TLIF lumbar spine surgery with O-arm Navigation technology for better results
Center : Nakornthon Absolute Spine Care
Article by : Dr. Teerachat Tanasansomboon
In the past, It is necessary to have a long incision in the middle of the back and a wide area of muscle must be removed from the bone to perform spinal surgery, to hold screws in on the spine, this causes stretching of the muscle and causes a lot of pain for the patient and slows the patient's recovery from surgery. But with the current surgical technology, using percutaneous lumbar spine fusion (TLIF) surgery, there is no need to remove the muscle from the bone and will only need 4 small incisions thereby reducing the trauma of the patient Including the use of computer navigation (O-arm Navigation) to help during the surgery, making the surgery safe and get better results.
How is dislocation of the spine?
Spinal cord disease Spondylolisthesis is a displacement of one vertebra forward or behind more than usual. Most often, displacement of the 4th and 5th lumbar vertebrae is found because these vertebrae carry most of the body's weight. The severity of the symptoms will vary. Most patients tend to have pain in the lower back and will have worse symptoms after exercise especially when the lumbar bone is administered and may have other symptoms as well, which are divided into 2 parts:
- back symptoms chronic back pain symptoms often occur when there is a lot of back movement, such as bending, tilting, or walking.
- Leg symptoms, pain, numbness, heaviness in the hip or both legs, the symptoms are severe while walking and the symptoms will be relieved when the back bends or sits to rest. The patient will feel that the walking distance is getting shorter. If the neural stenosis is very narrow, it may interfere with defecation control or urine.
Indications for spinal surgery
Spinal cord disease treatment with transdermal lumbar spine fusion surgery or TLIF (Transforaminal Lumbar Interbody Fusion), it will be performed in the case of palliative treatment and if the symptoms do not improve, including patients with persistent or severe lower back pain or have neurological symptoms associated with joint dislocation, such as weakness, urinary tract and stool. Patients diagnosed with grade 3 and 4 may need surgery. It is a surgical procedure used to connect two or more vertebrae joints. It is usually performed to eliminate pain from displacement of the vertebrae and to align the spine back to normal as much as possible.
TLIF Percutaneous Spinal Welding
Percutaneous spondylolisthesis, or TLIF, is an operation in which doctors attach the spine together through a small incision in the skin, by using computed tomography (O-arm Navigation) to assist in surgery. Shows the different locations around the surgery area. The surgeon will see a 3D image throughout the surgery. This increases the insertion accuracy of up to 99%. With this new surgical technology, the pain of surgery is greatly reduced, and patients can return to normal daily life much faster.
Preparation before undergoing TLIF surgery
- Before surgery the patient will undergo a physical examination. Magnetic resonance imaging (MRI scan) and general physical examination.
- Patients are required to state their medical history, drug allergy or other treatment received. In particular, the use of antiplatelet or anticoagulant drugs, such as aspirin and warfarin, must be discontinued 1 week before surgery.
The surgeon makes a small incision in the back, about 1 inch in diameter, to relax the compression of the nerve through a tube-like device through a microscope, which greatly enhances the image. It shows the location to be operated on, including bones, disc herniation, including the nearby nerves clearly. When this is done, a device with the patient's own bone is inserted inside to allow the bones to join later. The O-arm Navigation is then used to create a three-dimensional image of the spine show different locations of the surgery area, showing the position of screws and metal splints. Then use a screw to secure it through a small incision through the skin. In total, it takes about 2 - 3 hours.
Advantages of TLIF in combination with computer-guided navigation
- Small surgical incision, significantly reduced pain after surgery
- Shorter hospital stay
- Tool insertion accuracy up to 99%, does not affect nearby nerves
- There is no need for blood transfusion after surgery.
- Able to start practicing walking within 24 hours after surgery
However, even after surgery and inserting screws and metal braces in the dislocated vertebrae, Adjacent spinal joints are also likely to deteriorate or move later. If you still use the same routin. Therefore, it is important to take care of yourself and prevent this disease. Including exercises to build strong back muscles regularly. It will help reduce the risk of spinal dislocation in the future.