Transforaminal Lumbar Interbody Fusion(TLIF) Procedure
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- čas přidán 14. 01. 2015
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Today's Video:
The T-L-I-F is defined as Transforaminal Lumbar Interbody Fusion. This approach requires a small incision on the
back and can be done as a minimally invasive procedure through a 1 inch portal.
Initial supplemental posterior fixation is used to considerably enhance the stability of the motion segment.
The traditional T-L-I-F approach requires that the facet joint be removed to access the spine.
This allows the implant to be delivered without manipulating the spinal cord.
The surgeon can then remove the diseased disc nucleus to prepare the vertebral bodies for fusion.
First bone graft is placed in anterior disc space.
After the disc is prepared, a biocompatible polymer implant is filled with bone graft material and placed in the
disc space.
Additional bone graft may be placed around the implant to increase the surface area for fusion.
This procedure is normally accompanied by a posterior fixation with pedicle screws or facet screws
The implant maintains the spacing of the vertebrae while the fusion takes place.
After the fusion is completed and a solid bone mass forms; the two vertebrae are joined together.
Can I just say the human body is just simply amazing!!!!! And the doctors surgery is also amazing.
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Did my TLIF last week and I already don’t feel those crazy nerve pain and hoping to be fit for my kidos family and close friends . It’s a pain procedure but worth it is done by an expert surgeon.Ya shafee❤
How are you doing now? I'm having this done in about 3 weeks
how are you bro? relieved from nerve pain? can you walk?@@toddpatrick7695
Awesome keep uploading these kind of information...
Wow, this video is the most clear and informative one I have watched about the TLIF procedure.
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I’m going to be having this L4-5. This is by far the best video explaining the process
Hey buddy did you ever get this done??? How are you feeling, can you walk normal???
@@JoseLuisRodriguez-nn4vc sorry no. Not yet. I got sidelined by hip replacement surgery on both hips. Still healing up from those
@@jeffharder8706 good luck to you my brother god bless, will be praying for you tonight!!!!
Hi Jeff how are you today ?
How is your situation now ? I am suffering from same problem and doctor is asking for fusion. Could you please pass me your experience ? May I contact you to hear from you ?
@@mohammedsharon752 hey bro, have you done it?
if yes, how do you feel now?
The best animation video i have seen so far regarding vertebral anatomy..... thank you 👍👏
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Best explanation I’ve seen yet!
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Best demonstration .Thanks for sharing
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Excellent work. Congratulation for great educational videos.
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Great video. The bone rack at work will make a lot more sense now.
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This is exactly what I will have done in June. I am looking forward to not having pain like I have experienced for the past 4 - 5 years. Healing of the surgical area I know will be painful but that heals in time. This is an excellent video explaining the surgery and the workings of the entire vertebra system.
How are you now with the back surgery?
@@jasonyoung1132 I guess he didn't make it!
He may be happy and too busy to answer....
Are you still okay now after surgery?2023/3 now
I have done same
Unfortunately still have pain and stiffness lower back.
Even physiotherapy exercise not working 😢😢
I should not have done.. 😩
Superb explanation about Spinal Cord and Nerves functionaries. Brief explanation for TLIF surgery. Lot of thanks to Atlantic Spine centre.💯⭐👌👍🙏☝️💐💐💐💐💐💐
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Outstanding!!!
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Nice explanation. Having this done soon and I like the animation.
How is your back doing today?
@@wanaraz sore! But way better. Thanks for asking.
@@dale8809 Great! Are you hitting some weights in conjunction with recovery?
Hi there. Is there a need to make a plastic surgery for facet joints if they are completely separated from the vertebra?
I had my lower back surgery decompression and fixation sometime in 2012 and have been fine Since then except for occasional numbness at my feet. I complement the treatment with constant workouts and other back stretching exercises including use of back support at work. The Iranian Hospital at Dubai.
While my surgery and recovery OK. I am experiencing weak erection and has gotten worse this 2020. Is there a connection. Am really worried.
Ask your surgeon about it, see how he answer you.plse share here . Thanks
Sir every share sergon advice then next patient be aware.
I just had this surgery done. I was really scared, but now I feel better.
Do you have pain at flection or extension ??
How long it's been?
I had surgery on December the 2nd of 21. Yeah i have muscle spasms and pain. But i have diabetes and it taking long for the wound to heal.
Glad you feel better!
@jessica How do you feel now??? Are you back to your normal life??? Running jumping, could you do that? Or are you still in pain. I have the same surgery scheduled in 5 days. Just want to know if i am taking the right decision..
What long term risks are there?
The German disc replacement surgery has always been popular because these fusions had a high risk of major long term issues in the nearest disc eventually?
So what about the disc which is removed, the bone will be flexible like disc or what happens?
Great video but the facet joint "cartridge" grabbed my attention. Shouldn't it be "cartilage"???
2018. nice
Precisava de um cirujia Deca para eu Ada
Thank you for these videos. I had a TLIF in 09/20 due to issues at L4-5 on the right side. No left side issue at the time. However, now I am having issues with the L5 on the left side and am having a Laminal Foraminotomy. My surgeon said he would to remove hardward in order to get to the L5 on the left side and that it would be an outpatient procedure. So, this was very confusing considering the initial TLIF. This video was really helpful for me to under better about the instrumentation and placement.
How is your back now?
Glad it helped!
Hello, thank you for a great video clip. One thing is.. the caption in the right upper side is incorrect (it says 'PLIF procedure') from 4:06 while audio continuously explains TLIF procedure.
PLIF and TLIF both are same as per my knowledge
@@DhileepR No , procedures slightly different. PLIF makes incision down the mid back , TFIL 2 incisions on either side of midline spine. it avoids cutting nerves
After the two vertebrae are joined together (fully healed) - are the pedicle screws removed in a subsequent procedure - since the support they initially provided seems no longer necessary.
Some people do go in and have the hardware removed, but usually only if it’s causing issues for them. I had my fusion when I was 10 and I’m turning 35 this year and still have all of my hardware in place. I don’t feel like it’s worth it to go in and get rid of it when it’s not bothering me.
Once the bone fuses you are much less flexible in that region right?
Is this a good thing?
What happens if you over stretch that region? It looks like something potentially painful
They told me you lose some flexibility but not much.
3:27 that`s exactly what i have, but does this mean the disk is samaged and must be replaced? or can it heal back?
It does not have to be replaced. The small piece that is "slipped" can be removed and the rest of disc can be left alone. Speak to your doctor and see what he/she recommends and feels is best for you.
hello, i broke my L2 vertebrae and now its fixed L1 to L4, I'm curious what limits do I have after full rehabilitation
How are you now, pal?
Dr. Ara Deukmedjian, a neurosurgeon at the Deuk Spine Center in Melbourne Florida (just southeast of Orlando) has a orthoscopic (very tiny cut) approach (fast heal same day outpatient) without the need of fusion or its hardware and long healing time. Dr. Deuk can heal bad discs with a patented laser approach. Having had a friggen fusion, (leading to decades of more damn costly revisions due to adjacent disc damage over time), I would not personally not choose this aggressive approach again. The US has been so far behind. It surgeon’s like Dr. Deuk and Tony Mork that use tiny incisions to perform back surgery. Everybody needs to make their own decisions, I get that. It’s a question if you have your MRI reviewed by these advanced surgeons. The tiny inconvenience of travel has never stopped me from finding the best one out there. For some the fusion may make sense.
I am having this surgery in a week. Have been suffering extreme pain in left hip and all down left leg and foot due to a pinched nerve no one can find!!!! Sure hope surgery helps..
have your pain doctor , surgeon perform nerve conduction studies to see where pain is coming from. Don't have surgery without knowing where pain is coming from. Good Luck I hope you find the source. You might have to do mylogram as well.
How did i t go ?
@@uditraizada1335 it was a piece of cake. Couldn't believe hardly no pain. Resting is hard. Not one to sit still!!! Doing great. Would do it again...
@@darlenegriffin4700hi, any update after a year?
Pain between the fourth and fifth vertebra without numbness in the leg, do I need an operation and pain on the left side?
How is it now?
I Have had three neck surgeries,1st was a failed fusion and screws backed out eventually broke.After 2nd fusion was in minor car accident screws broke once again. 3rd surgery an artificial disc placed in C-2 and C-7 fused at C-5-6. I now can move my head side to side up and down. The surgeon told me he believes and I truly believe that your spine is free motion . Where is the free motion with rods in your back? I now have problems at T-10 down to S-1 , L4-5 S-1 being priority now what? Searching the U S for new technique other than fusion and rods
Hi Gerri. If you are seeking care in the NJ or NY area, you can use our contact page to have one of our patient care team members try to assist with your concerns: www.atlanticspinecenter.com/contact-atlantic-spine-center/
In the end video me jo vertebra ko fuse kiya disc nikaal k uske baad bo disc b ek bone se cover ho gyi kya esa real m hota he ?
Hanji
@@kuldeepsinghtopwal4170 bro aapko pta he
Esa hota he?
@@kuldeepsinghtopwal4170
Ek baat hor bta dena compressed vertebra decompressed ho jata he natural after some tym
@@nimanajeha1564 yes hota hai
roughly how much does it cost?
Price depends on many factors, including your current location and healthcare system. If you would like more information on Atlantic Spine Center, please visit www.atlanticspinecenter.com.
I've had a second herniation and discectomy on my l4 l5 disk. I'm mortified of arthritis and potentially having to get a fusion in the future. Wtf fml
Also, I feel like in 100 years humans will look back at the TLIF as barbaric 😭.
Orthopedics seems to be carpenter for the human body 😭🥱
I had a L4-5 and L5-s1 fusion in the beginning of 2017 after 2 years of TERRIBLE back pain/Leg pain (herniated disc)and then at the end of the year I had the screws and rods removed. (Still had pain, different pain dr said should remove hardware) Since the removal I’ve been so much worse! MRI and X-ray shows “perfectly healed spine” can anyone help ? Where could this pain come from? Can’t sleep, EVERYTHING HURTS! back breaking pain when cough, sneeze, try to run. I’m only 31 but I feel like I’m 90!
If you are in the New Jersey or New York area, you can reach out to our team at: www.atlanticspinecenter.com/contact-atlantic-spine-center/
Me too pleas can you help me did I need to operation
Hello bro how are you now?
Kindly share Whats app no.
I have to discuss about my injury and your injury comparably. Please reply
@@nimanajeha1564 back still hurts, less but hurts. Still some numbing and tingling all the way down into my toes. Sneezing still sucks and Yeah, I’m still hurt. Less? Maybe, but from when?!?!? I’m not even sure! 😟
Also some bathroom issues from directly after the second surgery and still to this day which is the worst.
Pain I can hide but pissing on myself, not so much
Do not EVER do this unless you are put in a position of no choice. Hands-down the most painful operation I’ve ever had and I’m not fusing so it’s back to Mayo for another op. Beyond upset.
So sorry that it’s not going well for you. I had three surgeries, including a fusion, when I was 10. Thankfully mine fused and healed up fine, but I have heard of other people having problems.
Hi, I red you message and quite shocked, because i was planning to have this surgery in future. please help e to get more idea from you, is it good to go for or not? thank you in advance.
@@shyamnugessur6594 It is a long recovery, super painful, and does not always work. That is the most honest answer I can give you.
@dayoneadelefans How are you feeling now? If you would like a complimentary second opinion, please give us a call and we will coordinate that for you. Surgery should be a last resort for treatment, 80% of our practice is non-surgical. We have locations in NJ and NYC and can be reached at (877) 727-6272.