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Not affiliated with the Royal Australasian College of Surgeons.

Spine
intermediate
X-Type

Transforaminal Lumbar Interbody Fusion

Fusion Techniques

A 52-year-old man with L4-L5 spondylolisthesis and bilateral leg pain has failed 6 months of conservative treatment. The surgeon plans a transforaminal lumbar interbody fusion (TLIF). The patient asks about the differences between TLIF and other fusion techniques. Regarding TLIF:

Mark each as TRUE or FALSE

A

TLIF was developed by Harms and Rolinger in 1982 as a modification of PLIF; it uses a unilateral pos...

B

Advantages over PLIF include less neural retraction (unilateral access), reduced risk of dural tear ...

C

TLIF requires more neural retraction than PLIF; it approaches through the midline; Kambin triangle i...

D

The procedure involves facetectomy (partial or complete), disc removal, endplate preparation, cage i...

E

Complications include cage malposition, subsidence (especially with small cages or endplate violatio...

Answer the questions to see explanations

Click T (True) or F (False) for each option