transforaminal lumbar interbody fusion with tlif.pdf · done bilateral l4, l5 s1 roots...
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![Page 1: Transforaminal Lumbar Interbody Fusion WITH TLIF.pdf · done bilateral L4, L5 S1 roots decompressed. SPINE AP KIRAN BANSAL SUF 17217'NDWlSN INDIAN SPINAL INJURIES CENTRESEC-c, uasnNT](https://reader035.vdocument.in/reader035/viewer/2022070800/5f02303c7e708231d40302f3/html5/thumbnails/1.jpg)
Transforaminal Lumbar Transforaminal Lumbar Interbody FusionInterbody Fusion
![Page 2: Transforaminal Lumbar Interbody Fusion WITH TLIF.pdf · done bilateral L4, L5 S1 roots decompressed. SPINE AP KIRAN BANSAL SUF 17217'NDWlSN INDIAN SPINAL INJURIES CENTRESEC-c, uasnNT](https://reader035.vdocument.in/reader035/viewer/2022070800/5f02303c7e708231d40302f3/html5/thumbnails/2.jpg)
Presenting complaintsPresenting complaints
• 52 year female52 year female• Complaints of low back pain with bilateral Complaints of low back pain with bilateral
lower limb radiculopathy since 2 yearslower limb radiculopathy since 2 years
![Page 3: Transforaminal Lumbar Interbody Fusion WITH TLIF.pdf · done bilateral L4, L5 S1 roots decompressed. SPINE AP KIRAN BANSAL SUF 17217'NDWlSN INDIAN SPINAL INJURIES CENTRESEC-c, uasnNT](https://reader035.vdocument.in/reader035/viewer/2022070800/5f02303c7e708231d40302f3/html5/thumbnails/3.jpg)
History of present illness History of present illness
• Leg pain > back pain (100:40)Leg pain > back pain (100:40)• Pain is present off and on Pain is present off and on • Claudication distance - few steps Claudication distance - few steps • Numbness present in both sides (left Numbness present in both sides (left
>right)>right)• No history of weight loss; trauma, feverNo history of weight loss; trauma, fever
![Page 4: Transforaminal Lumbar Interbody Fusion WITH TLIF.pdf · done bilateral L4, L5 S1 roots decompressed. SPINE AP KIRAN BANSAL SUF 17217'NDWlSN INDIAN SPINAL INJURIES CENTRESEC-c, uasnNT](https://reader035.vdocument.in/reader035/viewer/2022070800/5f02303c7e708231d40302f3/html5/thumbnails/4.jpg)
Past history Past history
• Past history - Past history - nothing significant nothing significant • Hysterectomy done in 2004Hysterectomy done in 2004
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examinationexamination• On examination On examination • SLR - bilateral 90 degreeSLR - bilateral 90 degree• Neurological examination at the time of admission-Neurological examination at the time of admission-• Bulk - comparable bilateral upper and lower limbs Bulk - comparable bilateral upper and lower limbs • Tone - normal in bilateral upper and lower limbsTone - normal in bilateral upper and lower limbs• Power - upper limbs - 5/5 bilateral, in all muscle groupsPower - upper limbs - 5/5 bilateral, in all muscle groups• Lower limbs - 5/5 bilateral, in all muscle groupsLower limbs - 5/5 bilateral, in all muscle groups• Reflexes - upper limb - BJ/TJ /SJ - comparable bilaterally Reflexes - upper limb - BJ/TJ /SJ - comparable bilaterally • Lower limb - KJ/AJ- comparable bilaterally Lower limb - KJ/AJ- comparable bilaterally •• Sensory - Paraesthesia in left feet in L5 and S1 dermatomeSensory - Paraesthesia in left feet in L5 and S1 dermatome• PAS - present PAS - present • VAC - present VAC - present
![Page 6: Transforaminal Lumbar Interbody Fusion WITH TLIF.pdf · done bilateral L4, L5 S1 roots decompressed. SPINE AP KIRAN BANSAL SUF 17217'NDWlSN INDIAN SPINAL INJURIES CENTRESEC-c, uasnNT](https://reader035.vdocument.in/reader035/viewer/2022070800/5f02303c7e708231d40302f3/html5/thumbnails/6.jpg)
Final diagnosis Final diagnosis
• Lumbar canal stenosis L3-4; L4-5; L5-S1 Lumbar canal stenosis L3-4; L4-5; L5-S1
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SURGERY DONE SURGERY DONE
• Operated on 13/11/2009 and TLIF of L4-Operated on 13/11/2009 and TLIF of L4-5; L5-S1 level done with 6 pedicle screws 5; L5-S1 level done with 6 pedicle screws (M8 Medtronics) and 2 PEEK cage (M8 Medtronics) and 2 PEEK cage (Capstone) with flavectomy of L3-4 level (Capstone) with flavectomy of L3-4 level done bilateral L4, L5 S1 roots done bilateral L4, L5 S1 roots decompressed. decompressed.
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