Transforaminal interbody fusion: possibilities of segmental lordosis correction
https://doi.org/10.14531/ss2026.2.77-82
Abstract
Objective. To determine the possibilities of transforaminal lumbar interbody fusion (TLIF) in creating/correcting a segmental angle at a single lumbar level in case of its degenerative lesion.
Material and Methods. A retrospective analysis included data from prospectively enrolled patients with single-level degenerative stenosis and symptomatic spondylolisthesis. Open TLIF was performed in the first group (n = 31), and minimally invasive TLIF – in the second group (n = 20). Posterior screw fixation was performed in both groups. Both surgical options included intraoperative correction of the segmental lordosis. Radiographic results at discharge were assessed, and predictors of segmental lordosis value achieved after intervention were identified.
Results. The postoperative segmental lordosis was greater in the open TLIF group than in the minimally invasive group (8° [5.0; 9.0] vs 6° [4.0; 7.3]; p = 0.006). The preoperative segmental lordosis was a predictor of the achieved postoperative segmental lordosis (beta = 0.229–0.587; p < 0.05). The postoperative segmental lordosis value had a strong inverse correlation with the value of lordosis correction (r ranged from –0,719 до –0,488; p < 0.000).
Conclusion. The L4–L5 segment is the most commonly operated level in patients with degenerative stenosis and spondylolisthesis. The median postoperative segmental angle after TLIF (open or minimally invasive) is 7°, when using all arsenal available to the spine surgeon. The smaller the preoperative segmental angle, the greater the potential for intraoperative correction.
About the Authors
O. N. Leonova
National Medical Research Center of Traumatology and Orthopedics n.a. N.N. Priorov, Moscow, Russia
Russian Federation
Russian Federation
Olga Nikolayevna Leonova, MD, Cand. Sci. (Medicine); 9 Novospassky Lane, Moscow, 115172, Russia
E. S. Baykov
National Medical Research Center of Traumatology and Orthopedics n.a. N.N. Priorov, Moscow, Russia
Russian Federation
Russian Federation
Evgenii Sergeyevich Baykov, MD, Cand. Sci. (Medicine)
N. S. Kuzmin
National Medical Research Center of Traumatology and Orthopedics n.a. N.N. Priorov, Moscow, Russia
Russian Federation
Russian Federation
Nikita Sergeevich Kuzmin
A. V. Krutko
National Medical Research Center of Traumatology and Orthopedics n.a. N.N. Priorov, Moscow, Russia
Russian Federation
Russian Federation
Aleksandr Vladimirovich Krutko, MD, Dr. Sci. (Medicine)
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For citations:
Leonova O.N., Baykov E.S., Kuzmin N.S., Krutko A.V. Transforaminal interbody fusion: possibilities of segmental lordosis correction. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2026;23(2):77-82. (In Russ.) https://doi.org/10.14531/ss2026.2.77-82
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