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Spinal Fusion Surgery (PLIF/TLIF)
Approximate Cost :On Request Duration : 3-10 Days
Minimally Invasive Spinal Fusion Surgery for Spondylolisthesis, Disc herniation, Degenerative Disc Disease
Posterior body part fusion fusion could be a surgical operation during which 2 or additional vertebrae square measure joined or united along. Fusion surgeries usually need the employment of bone graft to facilitate fusion. This involves taking tiny amounts of bone from the patient’s girdle bone (autograft), or from a donor (allograft), and so packing it between the vertebrae so as to "fuse" them along. this will be accomplished either posteriorly or between the os bodies. once it's done between os bodies, bone graft, at the side of a biomechanical spacer implant, can take the place of the intervertebral disk, that is entirely removed within the method.
Spinal fusion surgery could be a common treatment for such spinal disorders as dislocation, scoliosis, severe disc degeneration, or spinal fractures. Fusion surgery is typically thought-about solely when intensive non-operative therapies have failing. 2 common fusion surgeries accessible at World category surgical procedure Hospitals in Asian country for Spinal Disorders embody posterior fusion and interbody fusion like PLIF, TLIF.
What is Posterior Lumbar Interbody Fusion (PLIF) ?
Posterior body part fusion In Posterior body part interbody fusion, the fusion is achieved through a cutting created on the posterior (back) facet of spine. It aims at fusion of 2 adjacent vertebrae in cases of spinal instability and associated back pain. it's a well-liked procedure because it offers wonderful results. Major medical journals document that the procedure provides virtually complete relief of symptoms in 90-95% of the cases and therefore the patients square measure able to come to their daily activities among some weeks. The patients may come to most of their recreational activities.
How is Posterior Lumbar Interbody Fusion done ?
PLIF surgery aims at achieving spinal stability through bony fusion by two ways:
Posterior Lumbar Spinal Fusion The Open PLIF : is the ancient technique that is performed victimization anaesthesia. The patient is created to change posture on his front facet on the table with the low back exposed. A 3-6 in. long incision is created on the skin superjacent the affected vertebrae. The skin and also the connective tissue square measure cut open. The underlying muscles square measure backward and also the affected vertebrae square measure known. Fluoroscopic X-ray is employed to substantiate the precise location of the affected vertebrae. Then an entire excision (removal of the plate of the vertebrae) followed by bilateral foraminotomy (enlargement of the opening by removing the bony spurs) and/or discectomy (removal of sinning disc) square measure performed. This relieves the compression off the spinal nerves, permitting them to return to their traditional size and form. the world is checked for any remaining bony outgrowth or disc fragments which will compress the nerves. self-produced bone grafts or Metal or plastic implants square measure fitted within the empty space for initiating bone growth. Finally, peduncle screws square measure placed into the higher and lower vertebrae and connected with rods or plates. New bone is allowed to grow over these rods, serving to to bridge the adjacent vertebrae and achieving interbody fusion. the entire surgery time is more or less three to six hours, reckoning on the quantity of spinal levels concerned.
The other method is the Minimally Invasive PLIF procedure : which is performed victimization x-ray steerage. 2.5-cm incisions area unit created on either aspect of the lower back. The muscles area unit step by step expanded and hollow retractors inserted to permit access to the affected space of the body part spine. The plate is removed to permit visual image of the nerve roots. The offending disc material is aloof from the spine and replaced with a bone graft and structural support from a cage made from bone, titanium, carbon-fiber, or a compound, followed by placement of rod and screws. The hollow retractors area unit removed, permitting the expanded muscles to come back back along, and also the incisions area unit closed. This procedure generally takes regarding three to three ½ hours to perform. There was less blood loss, tissue trauma, operative time, and fast recovery during this procedure as compared to the normal one.
What is Transforaminal Lumbar Interbody Fusion (TLIF) ?
Lumbar Interbody FusionA transforaminal body part interbody fusion (TLIF) may be a sort of spine surgery that involves approaching the spine from the rear, or posterior, of the body to position bone graft between 2 vertebrae. The procedure could also be performed victimization minimally invasive surgical techniques.
How may be a Minimally Invasive TLIF Performed ?
Spinal Access and Bone Removal - First, your MD can build alittle incision within the skin of your back over the vertebra(e) to be treated. looking on the instrumentation to be used, the incision might be as little as roughly three centimeters. in a very ancient open TLIF, a 3- to 6-inch incision is usually needed.
The muscles surrounding the spine will then be dilated to allow access to the section of spine to be stabilized. After the spine is accessed, the lamina (the “roof” of the vertebra) is removed to allow visualization of the nerve roots. The facet joints, which are directly over the nerve roots, may be trimmed to give the nerve roots more room.
Bone Graft Material Placement - The nerve roots are then moved to one side and the disc material removed from the front (anterior) of the spine. A bone graft is then inserted into the disc space. The bone graft material acts as a bridge, or scaffold, on which new bone can grow. Screws and rods are inserted to stabilize the spine while the treated area heals and fusion occurs, and the ultimate goal of the procedure is to restore spinal stability.
Your surgeon will then close the incision, which typically leaves behind only a small scar or scars.