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Date Published: 05/02/2025
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DOI: https://doi.org/10.51298/vmj.v546i3.12680
Issue
Vol. 546 No. 3 (2025)
Section
Các bài báo
How to Cite
Đỗ, M. H., & Phạm, M. Đức. (2025). SURGICAL OUTCOMES OF TRANSFORAMINAL LUMBAR INTERBODY FUSION (TLIF) FOR PATIENTS WITH LUMBAR SPONDYLOLITHESIS AND OSTEOPOROSIS AT VIET DUC HOSPITAL. Vietnam Medical Journal, 546(3). https://doi.org/10.51298/vmj.v546i3.12680

SURGICAL OUTCOMES OF TRANSFORAMINAL LUMBAR INTERBODY FUSION (TLIF) FOR PATIENTS WITH LUMBAR SPONDYLOLITHESIS AND OSTEOPOROSIS AT VIET DUC HOSPITAL

Mạnh Hùng Đỗ, Minh Đức Phạm

Main Article Content

Abstract

Objective: To evaluate the surgical outcomes of transforaminal lumbar interbody fusion (TLIF) for patients with lumbar spondylolisthesis and osteoporosis at Viet Duc Hospital. Methods: A prospective descriptive study was conducted with 80 patients diagnosed with lumbar spondylolisthesis and osteoporosis who underwent TLIF surgery at Viet Duc University Hospital from January 2022 to January 2024. Results: In our study, the average operation time for single-level surgery was 68.2 ± 15.4 minutes, and for two-level surgery, it was 99.8 ± 22.6 minutes. The average blood loss for single-level surgery was 230.2 ± 50.6ml, and for two-level surgery, it was 430.2 ± 80.2ml. The average blood loss for single-level surgery was 230.2 ± 50.6 ml, and for two-level surgery, it was 430.2 ± 80.2 ml. Neurological symptoms improved significantly at 1, 6, and 12 months postoperatively. Neurological symptoms improved significantly at 1, 6, and 12 months postoperatively. Immediately after surgery, only 1 patient (1.3%) required reoperation due to a hematoma at the surgical site, and 3 patients (3.8%) had urinary tract infections. Additionally, 2 patients (2.5%) had superficial wound infection. At 12 months postoperatively, the rates of screw loosening were 7.5%, screw pull-out was 2.5%, cage displacement was 2.5%, and adjacent segment disease was 1.3%. Four patients required reoperation: 2 patients for screw pull-out and cage displacement, 1 patient for screw loosening, and 1 patient for adjacent segment disease. The rate of successful bone fusion was 72.5%, with only 2.5% of patients experiencing non-union. Conclusion: Transforaminal lumbar interbody fusion (TLIF) surgery for patients with lumbar spondylolisthesis and osteoporosis has been clinically effective, significantly improving VAS and ODI scores, increasing intervertebral height, achieving good correction, with a high bone fusion rate and a low complication rate.

Article Details

Keywords

: Lumbar spondylolithesis, osteoporotic, transforaminal lumbar interbody fusion (TLIF).

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