Transforaminal Lumbar Interbody Fusion Flashcards
What is the purpose of a TLIF?
Surgical procedure to removal a degenerated disc and fuse the lumbar spine to eliminate back pain
What are the clinical indications for TLIF surgery?
- Spondylolisthesis
- Degenerative Disc Disease
- Herniated Disc
What are the specific instruments for a TLIF?
- Cerebellar Retractor
- Nerve Root Retractor
- Leksell Rongeur
- Kerrison Rongeur
- Cobb Elevator
- Woodsen Elevator
- Nerve Hook
- Midas Rex Drill
What does it mean to Cobb Over?
Use Cobb Elevator as a retractor
What is Patient Positioning for a TLIF?
- Prone on Open Jackson table
- Face in Prone Pillow
- Arms at 90 degrees
- Foam on chest and over ASIS
- Foley inserted
- SCDs placed
What is important to note when positioning for a TLIF?
Make sure spine is in its natural curvature
What is the first step in a TLIF?
X-ray confirmation of correct level for decompression and fusion
Where is the skin incision made for a TLIF?
Midline incision, 3-4 cm. per level being fused
What step is after the skin incision during a TLIF?
Dissection to expose the Spinous and Transverse Processes to expose the Articular Facet Joints
What instrument is used to remove the Spinous Process?
Leksell Rongeur
What occurs after removal of the Spinous Process?
Laminectomy using Midas Rex Drill
How do we expose the Intervertebral Disc?
Performing a Box Annulotomy using a #15 blade
-Three borders of a square
What is the final step of a TLIF?
Placing a drain and closing the fascia with a 0 Vicryl on a CT1 Popoff needle
What suture do we use to close the Dermis after a TLIF?
2-0 Vicryl on a CT1 Popoff needle
What suture do we use to close the Skin after a TLIF?
4-0 Monocryl on a PS2 needle
