经椎间孔腰椎椎体间融合术（TLIF）是通过后方入路进行脊柱前柱和后柱融合的手术方式。骨移植物和椎体间垫片用于前方稳定，同时用椎弓根钉棒系统锁定并植骨作后方稳定。本视频提供TLIF手术的概况。
警告：请在有WIFI的场所观看视频，土豪请随意。
Transforaminal lumbar interbody fusion (TLIF) is a procedure that fuses the anterior and posterior columns of the spine through a posterior approach. A bone graft and interbody spacer stabilize the anterior portion while the posterior is locked in place with pedicle screws, rods and bone graft. This video provides an overview of TLIF surgery.
经椎间孔腰椎椎体间融合术（TLIF）是通过后方入路进行脊柱前柱和后柱融合的手术方式。骨移植物和椎间融合器用于前方稳定，同时用椎弓根钉棒系统锁定并植骨作后方稳定。本视频简要介绍了TLIF手术。
Overview（概况）
TLIF is generally used to treat back or leg pain caused by degenerative disc disease. The surgeon will stabilize the spine by fusing vertebrae together with bone graft material.
TLIF手术通常用于治疗因椎间盘退变性疾病引起的腰腿痛。外科医生使用植骨材料将椎体融合在一起以稳定脊柱。
Incision made（作切口）
The procedure is performed through one or more small incisions in the back.
手术通过背部1个或多个切口进行。
Disc Accessed（显露椎间盘）
Parts of the vertebral bone need to be removed to get access to the disc. Since most TLIF procedures access the disc through only one side of the spine, recovery time after the procedure will be shorter than with traditional fusion surgery.
为显露椎间盘，部分椎骨需要切除。因为许多TLIF手术通过脊柱的一侧显露椎间盘，术后恢复的时间比传统的融合手术来得短。
Disc partially Removed（切除部分椎间盘）
The damaged disc is partially removed. Some of the disc wall is left behind to help contain the bone graft material.
切除部分病变的椎间盘。保留椎间盘壁以利于包容植骨材料。
Implant Inserted（植入内植物）
The implant is placed in the empty disc space, realigning the vertebral bones. This also lifts pressure from pinched nerve roots. The area may also be filled with morselized bone.
在空的椎间盘间隙内植入内植物，重建椎体序列。这样还可以解除神经根的压迫。椎间隙内也可充填颗粒状骨。
Additional Support（附加的支撑）
The surgeon may implant a series of screws and rods for additional support. Bone graft is also placed along the sides of the spine.
为获得附加支撑，外科医生会植入一系列的钉棒系统。骨移植物也可植于脊柱两侧。
End of Procedure（手术结束）
The morselized bone graft will grow through and around the implants, forming a bone bridge that connects the vertebral bodies above and below. This solid bone bridge is called a fusion.
颗粒状骨移植物通过内植物或在其周围生长，形成连接上下椎体的骨桥。这种坚固的骨桥称为融合。
(胡佰文 译）
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