How I perform a TLIF (and what to expect after)

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Hello friends, today I'm bringing you a video overview of the transforaminal lumbar interbody fusion or TLIF. This is a procedure I perform on patients with severe nerve compression and bone that are not aligned correctly. I

Timestamps:
00:00 - Intro
00:54 - Anatomy and Overview
06:39 - Surgical Procedure Steps
17:20 - Risks, Recovery, Restrictions,
24:35 - Conclusion

For A Consultation:
- Please call 360 Orthopedics at 941-360-2233 and ask for Dr. Armaghani

Office Locations - 360 Orthopedics
1. 5985 Silver Falls Run, Suite 101
Lakewood Ranch, FL, 34202
2. 2750 Bahia Vista St, Suite 100
Sarasota, FL, 34239

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[DH-gkvh]

I've just been scheduled for the TLIF on June 14th! I'm excited! It L3 L4. Had a spinal fusion in 2011. I now have spinal stenosis of L3 L4 caused by that joint taking on too much work from the fusion below. I'm in almost constant pain and I'm ready to do it. To everyone here going through back pain of some kind, I send love all around hoping everyone their best possible outcome!

[jefftaylor]

I just had this procedure done two weeks ago at the Mayo Clinic in Phoenix. I had grade 3 spondylolisthesis, with L4 and L5 pretty much bone on bone with compressed nerve roots. That pain is gone and I’m on the road to recovery. Don’t fear the TLIF! 😀

[GotYo]

This is probably THE best description of what TLIF is all about. I just had mine done 18 days ago at Mayo in Minnesota. I’m going to tell you…the first seven days are pure hell but after that every day gets better. Follow the post op directions they tell you. What they don’t tell you is the numbness you will feel in your legs and chest because of the position they put you in. It goes away after a couple days. The back pain after about 1 month is more of your body healing the muscles they cut to get in there. My pre surgery pain was gone immediately and I wasn’t using a walker after 8 days. I was walking on my own at a slow pace but felt great! You will be tired and that’s normal. Rest as much as your body tells you. I was easily talking 2 naps about 3 hours long and it made a huuuge difference! Do be scared…be encouraged!😊

[mddell]

60ish year old American woman who has horrible degenerative spine with spinal stenosis, & spondylitis.
I've tried to explain that I have literally shrunk a whopping three full inches in my height, all due to my back issues.
(Seems that
L4 & L5 are very common for the majority of spine issues.)
Ten years ago, I had a discectomy, fusion, etc.
Docs then told me the exact same thing was happening all the way my spine.

Thanks for helping many people to get a full 'picture'
of what's happening in/on
our spines.)

[Marcdrichter]

I am an athletic 53 yr old male in generally excellent hardy physical health but after 30 years of back pain with unsuccessful various other interventions I just had (7/6/22) a successful L4-L5 fusion and Laminectomy to fix my Spondylolisthesis and severe stenosis. Dr. David Bomback in Danbury, CT did the TLIF (sp?) single incision work and I was pleased. That said, I must say watching your educational and instructional videos before and after surgery have been refreshing, reassuring, academically informative and immensely helpful!!! Speaking as a psychotherapist of 30 years I can confidently say (as I'm sure you're already very well aware) your high level of informative and easily accessible, concise and understandable style of communicating truly makes you a striking standout in the medical community. Your animation and accompanying commentary is also totally top notch. You emote confidence, patient compassion, realistic disclosure of what to expect from procedures and I very much appreciate your efforts. They are helpful and impacting. Your patients must love Thank

[DayOneAdeleFans]

As he said, it’s a marathon not a sprint. Seven months postop from L5-S1 fusion, laminectomy, and other repairs at Mayo Clinic in Jacksonville, Florida. Hands down the most insanely painful operation I have ever had and this is coming from a lady with a freakishly high pain tolerance. This operation will test you in every possible way. Surgeons tend to downplay the pain and lengthy recovery. If you do this, BE PREPARED!

[meowasaurusB]

I am having this procedure in 10 days. This is the most informative, easily understandable video I have found. This video has helped ease my pre op anxiety. Thank you so much.

[angelasanders]

I am 2 weeks post op. My surgeon preform my procedure exactly like you discuss in this video.Im doing very well. My recovery has that bad at all. My surgeon prescribed a back brace for me to use the first 3 months.
I also have a machine I have to do for 30 mins a day
It's a magnetic field belt that helps bone growth. I think I'm ready to venture out of the house. I pray for us all to heal great and move on with life. If any of you are hesitant to getting the surgery. Don't be anymore. Just get it down. I put mind off through the holidays. But by the time Surgery day came, I was barely making it. Rt leg pain, tingling and numbness was through the roof.
After surgery almost Instant relief.im glad I had it done. 🙏

[pmcphi]

I wish I had found you before my surgery. You are clear, concise and helpful when it comes to understanding the process. Thank you!

[davido.newell]

It is wonderful being a student when the teacher presents information with such transparency, clarity, and intelligence.
(Deep Bow)
Thank You, Sir !

[benarimah]

I had this surgery 7 weeks ago and I am glad I did. All the pain, tingling sensation & numbness have all gone.

[fyrcaster]

Ive had l3-4-5 fused. Getting ready for l2-3. L3-4 was 10 years ago. L4-5 was 2 years ago. Back pain isnt reaaly my problem. Im having severe nerve pain and rls in legs. Never really goes away with the surgery but it does help. Im 45 with degenerate disc disease on both sides of family. Good luck to all having these surgeries.

[watchenyou]

Great video! I had this surgery over 10 years ago and it was the best decision I made. I was up and walking around a few hours after the surgery. No more electrical pain in my back and legs. The incision pain was very little when compared to the electrical pain before surgery.

[desertflyer]

Thank you for your very clear explanation. I am 3 weeks out from having exactly this procedure at L4-L5 at Mayo Clinic. The first week or so was very painful, mostly from muscle spasms. In about 1 1/2 weeks I was completely off opioids and now just take an occasional Tylenol as needed. For the next 3 weeks my only therapy is to walk as much as possible. My main advice is get off opioids as soon as possible. They are bad news and mess with your brain and digestive system.

[davidshrum]

A helpful and encouraging video. Dr. Armaghani's explanations and descriptions of risks fills a much needed gap: My surgeon performed the procedure but failed in his explanations.. I had severe numbness in my right quad. When I asked him about it, "sometimes that happens, " he said. Does it go away? "Sometimes. Sometimes we have to go back in, " he said. Mind you, my back pain is completely gone. It's been 2 months since the surgery and my numbness has diminished. This video fills a gap for many sho have surgeons without the details of Dr. Armaghani. Thank you Dr. Armaghani to step up to your calling to make this video!! Dave in Huntsville, Alabama

[thomasosborne]

Probably the most informative video on this subject that I have viewed. Thank you.

[kerryalexander]

Best explanation and animation on the net! Thanks so much.

[Chuck.S.]

I wish doctors would discuss what the LONG TERM affect to having this surgery. I had my fusion at L5-S1 in 2013. First off, your spine is obviously not meant to be fused. L5-S1 is the worst because there, in the normal function of the human body, is a central point of flex. I have had 4 additional surgeries to relieve severe stenosis and also added scar tissue. I will say that my first "revision" surgery is because 2 of my screws were too long and actually protruded THROUGH my L5 vertebrae. Regardless, and I do not speak for anyone but myself, my body does not like the hardware being there. I know a lot of doctors want to do the surgery, have a follow up of a year or whatever, but this is for life. You have to maintain this just like any other long term injury. Find a GOOD pain management doctor that will listen and understand your challenges.

[JustMissAmanda]

This is a fabulous presentation - thank you for your time & detail provided!

[rafiashton]

The best and most effective explanation on the subject.
I have undergone Laminectomy and TILF surgery, thanks to this video and comprehensive explintionsI have been able to go through this with less concerns and worries with a great understanding on my recovery and what to expect.