If you like this video, please check out: What is a spinal fusion surgery: th-cam.com/video/49DEQq9JmME/w-d-xo.html Lumbar radiculopathy: th-cam.com/video/BR6epDVvz7k/w-d-xo.html
Hi, great explanation. In TLIF surgery, it is not possible to achieve proper disc height and lordosis angle, beside it also can not guarantee the reduction of spondylolisthesis, meaning the proper alignment of L5/S1 vertebra. Whereas in ALIF procedure makes sure the disc height, ensuring the proper alignment, reducing the long term ASD. Then why the surgeons prefer the TLIF surgery more, and which is pretty much everywhere nowadays. The most important thing is that in TLIF surgery the patient still feels pain, as it is not fully possible to achieve a great disc height. *** Then why the surgeons are accepting more & more this MIS TLIF surgery. It is true that in MIS ALIF surgery the surgeons have to be extra careful as their are blood vessels when you cut through the abdomen, but isn't it the main issue to be careful for a surgeon. Then, i think the surgeons are being more commercial nowadays, they are not looking for the patients long term output, rather than they are just doing the surgery within a short period in the easiest way, without ensuring the best output.
ALIF surgery approach can be quite tricky (blood-vessels etc), so it is much easier/ safer to do the surgery from the back. Also, posterior surgery allows direct decompression of the nerves.
@@samuelhaines4675 I am doing good, walking better than before surgery, I walked a little over a mile at the walking track at our Y today. I go June 1st for my first visit with my surgeon
ALIF and TLIF are very different surgeries: The former is done through an incision in the front of the body (the abdomen) and the latter through an incision in the back of the body. In general TLIF is the preferred approach because it allows for direct decompression of the L5 nerves.
These are very helpful to understand what is being done, thank you for them. Is this type of fusion called a tlif? Also, does the spinous process remain intact and undisturbed?
I was diagnosed with osteoporosis 25 years ago. I am 79 and have had multiple falls including being bucked off a horse several times. Would a surgeon do this operation and is there any way to tell if my bones are brittle.
Hello Doctor, I am now 50 yrs of age. Five years back I had gone through Surgery at C5-6-7 due to cervical Myelopathy. My Symptoms initiated in Starting of January 2018. Due to compression at C-5-6-7 I felt pain in neck & radiating pain in shoulders. Then after @ 15 days my GAIT got affected. I felt imbalance while walking and poor grip in both the legs and feet. In between I was trying with treatments like neurotherepy, physiotherapy. However after one month means in Mid of February 2018 Tingling started in the neck region which were going till feet if I stretched neck to backward…. By End of February 2018 I started numbness in RIGHT Hand only & then in a week time I lost power / grip of my fingers. Additionally the legs also started jerk while walking and more imbalances. Hence in SOS situation I went for Surgery as advised by doctor in Mid of March 2018 to avoid further loss. Now after surgery my Heavy pain in Neck, Shoulders, tingling and the jerk in walking all are completely removed. The grip in my right hand /fingers slowly recovered and in next 6-7 month means by October 2018 @ 85-90% Power gained in Hand/Fingers. Rarely some cramp develops if there is any abnormal movement in hand but I am happy with the improvement. HOWEVER legs still not recover as that of my hand. My both legs are not weak since I can do trade mill, lift the weights by legs. ONLY I still feel stress/stiffness /spasticity in my both legs, feel numbness in legs, no firm grip. Feels stress in dorsal side of neck, thoracic region, lumber region, legs. …I am doing my regular activities but not as that earlier natural. Say I am living life with my 70% efficiency. Can't seat/walk longer causes lumber pain, numbness in legs. Can’t lean forward more causes stress/pain in lumber. Means now I am shifted in Stage 2 symptoms from Stage 3 of Cervical Myelopathy. Hope u understand my situation. Now is there is any hope to get rid of from this? It's now 5 years of surgery. I tried advance physiotherapy for lumber, legs, Ayurvedic treatment medicines, doing daily yoga, etc however no improvement. Whether this could be recovered by any means? Looking to surgery at cervical is it advised to opt for Chiropractic, neurotherepy, physiotherapy etc. Please advise suitably. Thanks!
in this video "Failed spinal fusion: How I fixed it" where laminectomy & fusion was performed bony arch was removed. Here similar procedure but facet joint was removed. What decides which part is removed?
That's an important question: Good arguments can be made for either case. However, most surgeons (>80%) will probably go for a TLIF. The advantage of a TLIF is that you can perform a direct decompression of the nerves (since you can visualize them). However, some surgeons routinely perform ALIF with excellent results. The key thing is to discuss this important question with your surgeon and find out their preference (based on their their training and results). Hope this helps.
Thanks for answering. After 2 failed classical operation (removing disc from nerve on l5s1) I have oportuniti to do it in private hospital. In my country Croatia only one doctor is doing ALIF. Dr Vide Bilić and he is known like surgeon who is fixing problems of others surgions. He explained that L5S1 have triangle shape so that is much bigger reach from front side. Others offering TLIF(but they are not doing ALIF generally so...) I am not afraid of ALIF but, everyone around me are affraid a lot.
Maybe you don't need posterior fixation with an ALIF. The screw in the cage may be sufficient. Be sure to discuss with your surgeon. Tiger Woods had an ALIF.
If you like this video, please check out:
What is a spinal fusion surgery: th-cam.com/video/49DEQq9JmME/w-d-xo.html
Lumbar radiculopathy: th-cam.com/video/BR6epDVvz7k/w-d-xo.html
You did not explain how you performed the laminectomy, only facet removal
Had this done a year ago, and it was a tough recovery but very successful. My back and leg pain are completely gone. It was definitely worth it.
Great to hear that you did so well!
Thanks for your opinion of your surgery … Waiting for this surgery but hearing your experience helps with decision … Thx
@@gordoncallanan5869me too , wait to see what they decide for my back too ,
My new Hero!
Hi, great explanation. In TLIF surgery, it is not possible to achieve proper disc height and lordosis angle, beside it also can not guarantee the reduction of spondylolisthesis, meaning the proper alignment of L5/S1 vertebra. Whereas in ALIF procedure makes sure the disc height, ensuring the proper alignment, reducing the long term ASD. Then why the surgeons prefer the TLIF surgery more, and which is pretty much everywhere nowadays. The most important thing is that in TLIF surgery the patient still feels pain, as it is not fully possible to achieve a great disc height.
*** Then why the surgeons are accepting more & more this MIS TLIF surgery. It is true that in MIS ALIF surgery the surgeons have to be extra careful as their are blood vessels when you cut through the abdomen, but isn't it the main issue to be careful for a surgeon. Then, i think the surgeons are being more commercial nowadays, they are not looking for the patients long term output, rather than they are just doing the surgery within a short period in the easiest way, without ensuring the best output.
ALIF surgery approach can be quite tricky (blood-vessels etc), so it is much easier/ safer to do the surgery from the back. Also, posterior surgery allows direct decompression of the nerves.
thanks for the information, having a TLIF in April on L3, L4, and L5. Looking forward to being able to walk normally again, I miss my mobility
Wishing you the best of luck and an excellent recovery!
@@SpineSurgeonSpeaks thank you
How are you doing now Eddie?
@@samuelhaines4675 I am doing good, walking better than before surgery, I walked a little over a mile at the walking track at our Y today. I go June 1st for my first visit with my surgeon
@@eddiehinson4575how are you now?
How do outcomes compare to a ALIF? Specifically for pars defects in active populations? Thanks fir the videos and info🙏
ALIF and TLIF are very different surgeries: The former is done through an incision in the front of the body (the abdomen) and the latter through an incision in the back of the body. In general TLIF is the preferred approach because it allows for direct decompression of the L5 nerves.
These are very helpful to understand what is being done, thank you for them.
Is this type of fusion called a tlif? Also, does the spinous process remain intact and undisturbed?
Excellent
Thank you for watching 👍
I was diagnosed with osteoporosis 25 years ago. I am 79 and have had multiple falls including being bucked off a horse several times. Would a surgeon do this operation and is there any way to tell if my bones are brittle.
Hello Doctor, I am now 50 yrs of age. Five years back I had gone through Surgery at C5-6-7 due to cervical Myelopathy. My Symptoms initiated in Starting of January 2018. Due to compression at C-5-6-7 I felt pain in neck & radiating pain in shoulders. Then after @ 15 days my GAIT got affected. I felt imbalance while walking and poor grip in both the legs and feet. In between I was trying with treatments like neurotherepy, physiotherapy. However after one month means in Mid of February 2018 Tingling started in the neck region which were going till feet if I stretched neck to backward…. By End of February 2018 I started numbness in RIGHT Hand only & then in a week time I lost power / grip of my fingers. Additionally the legs also started jerk while walking and more imbalances. Hence in SOS situation I went for Surgery as advised by doctor in Mid of March 2018 to avoid further loss.
Now after surgery my Heavy pain in Neck, Shoulders, tingling and the jerk in walking all are completely removed. The grip in my right hand /fingers slowly recovered and in next 6-7 month means by October 2018 @ 85-90% Power gained in Hand/Fingers. Rarely some cramp develops if there is any abnormal movement in hand but I am happy with the improvement.
HOWEVER legs still not recover as that of my hand. My both legs are not weak since I can do trade mill, lift the weights by legs. ONLY I still feel stress/stiffness /spasticity in my both legs, feel numbness in legs, no firm grip. Feels stress in dorsal side of neck, thoracic region, lumber region, legs. …I am doing my regular activities but not as that earlier natural. Say I am living life with my 70% efficiency. Can't seat/walk longer causes lumber pain, numbness in legs. Can’t lean forward more causes stress/pain in lumber. Means now I am shifted in Stage 2 symptoms from Stage 3 of Cervical Myelopathy. Hope u understand my situation. Now is there is any hope to get rid of from this? It's now 5 years of surgery. I tried advance physiotherapy for lumber, legs, Ayurvedic treatment medicines, doing daily yoga, etc however no improvement. Whether this could be recovered by any means? Looking to surgery at cervical is it advised to opt for Chiropractic, neurotherepy, physiotherapy etc. Please advise suitably. Thanks!
What's a good contact for u?
You can find my contact information at my website:
www.MustafaKhanMD.com
لازم نشيل جزء من الصفائح العظميه ام لا
Yes, part of the bone (lamina) needs to be removed to free-up the nerve.
in this video "Failed spinal fusion: How I fixed it" where laminectomy & fusion was performed bony arch was removed. Here similar procedure but facet joint was removed. What decides which part is removed?
Using the MRI/ CT the surgeon can determine how much bone needs to be removed to free-up the nerve. It varies on a case-by-case basis.
For the L5S1 is it better ALIF or TLIF?
That's an important question: Good arguments can be made for either case. However, most surgeons (>80%) will probably go for a TLIF. The advantage of a TLIF is that you can perform a direct decompression of the nerves (since you can visualize them). However, some surgeons routinely perform ALIF with excellent results. The key thing is to discuss this important question with your surgeon and find out their preference (based on their their training and results). Hope this helps.
Thanks for answering.
After 2 failed classical operation (removing disc from nerve on l5s1) I have oportuniti to do it in private hospital.
In my country Croatia only one doctor is doing ALIF. Dr Vide Bilić and he is known like surgeon who is fixing problems of others surgions. He explained that L5S1 have triangle shape so that is much bigger reach from front side.
Others offering TLIF(but they are not doing ALIF generally so...)
I am not afraid of ALIF but, everyone around me are affraid a lot.
Good luck to you!
Maybe you don't need posterior fixation with an ALIF. The screw in the cage may be sufficient. Be sure to discuss with your surgeon. Tiger Woods had an ALIF.
How i get rid of from spine fusion without surgery can you recommend me any exercise please
@@SpineSurgeonSpeaksi m not affected by sciatica my lumber 4 and 5 are fused and physiotherapist suggest few exercise but i want relief fast
have you done fusion؟ @@lintakhan624