Transforaminal Lumbar Interbody Fusion

Transforaminal lumbar interbody fusion (TLIF) is a type of spinal fusion procedure in which bone graft is placed between the affected vertebrae in the lower back (lumbar) region through an incision on the patient’s back.

Indications:

Based on the spinal condition, age, activity levels, and the medical history of the patient, the surgeon may recommend TLIF as a treatment option.

It is indicated in the following spinal instability conditions:

  • Degenerative disc disease (damaged disc)
  • Spondylolisthesis (slippage of one vertebra on another)
  • Spinal stenosis

The common symptoms associated with lumbar spinal instability are pain, numbness, and muscle weakness in the lower back, hips and legs.

Procedure:

The basic steps involved are as follows:

  • A small incision is made in the skin on your back over the affected vertebrae
  • Muscles encircling the affected spine are retracted to gain accessibility to the spine
  • Lamina covering the vertebra is removed to view the nerve roots
  • Facet joints (structures that connect the vertebrae to one another) may be undercut or trimmed to provide more space for the nerve roots
  • Nerve roots are moved away to remove the disc material from the anterior region of the spine
  • Bone graft is inserted between the vertebrae
  • Screws and rods are fixed to stabilize the spine
  • Soft tissues are re-approximated and the incision is closed

Recovery:

Patients who have undergone TLIF surgery are usually discharged on the same day, but in some cases, hospital stay may be extended. Most of the patients observe immediate improvement of some or all of their symptoms but sometimes the improvement of the symptoms may be gradual.

Your surgeon may recommend few specific post-operative instructions for a fast and better recovery. Generally, patients may return to their routine activities within weeks after surgery.

Risks & complications:

The possible complications associated with TLIF include:

  • Infection
  • Nerve damage
  • Blood clots
  • Blood loss
  • Bowel or bladder problems

The primary risk of TLIF is failure of fusion of vertebral bone and bone graft which may require an additional surgery.

Please consult your physician for a complete list of indications, warnings, precautions, adverse effects, clinical results and other important medical information that pertains to TLIF procedure.

  • Ashford and St Peter’s Hospital

    NHS

    Ashford and St Peter’s
    Hospital
    NHS Foundation Trust
    Guildford Road, Cherstey,
    Surrey, KY16 0PZ.
    Ph: 01932 872 000
  • The BMI Runnymede Hospital

    Private

    The BMI
    Runnymede Hospital
    Guildford Road,
    Ottershaw, CHERTSEY,
    KT16 0RQ.
    Ph: 01932 877800
  • Spire St Anthony’s Hospital

    Private

    Spire St Anthony’s
    Hospital
    801 London Road,
    NORTH CHEAM,
    SM3 9DW.
    Ph: 020 8337 6691
  • Nuffield Health Woking Hospital

    Private

    Nuffield Health
    Woking Hospital
    Shores Road,
    WOKING,
    GU21 4BY.
    Ph: 01483 331257
  • Ramsay Health Ashtead Hospital

    Private

    Ramsay Health
    Ashtead Hospital
    The Warren,
    Ashtead, Surrey.
    KT21 2SB.
    Ph: 01372 221400