Circumferential arthrodesis is postulated as the surgical treatment of choice in some de-generative and disc diseases ofthe lumbar spine, both in primary surgery and especially in revision surgery. Objective: To measure pain and functionalityusing the ODI scale, in patients with low back and / or radicular pain who have had a comprehensive transforaminalsurgical ap-proach together with anterior and posterior arthrodesis (TLIF). Material and methods: In our series, weperformed TLIF(transforaminal interbody fusión lumbar) on 38 patients during 2-000-2.003 years and evaluated the longtermresults, ten years, using the Oswestry Disability Index (ODI). Results: They show improvement in ODI by comparingthe baseline figures, prior to the intervention, with the 10-year follow-up (34.21 +/- 9.31 to 11.82 +/- 7.62 points, p = 0.000). This improvement is also observed in each of the ODI sections in a significant way: pain intensity, personal care, abilityto get up, walk, sit, stand, sleep, sex life, social life and travel (p = 0.000, in all of them).Conclusion: In our case series, inpatients with low back and / or radicular pain, the use of the TLIF technique may have contributed to a significantimprovement in the test score by improving pain, sleep, functionality and social aspects, maintained at least up to 10 yearsof follow-up.

Circumferential arthrodesis is postulated as the surgical treatment of choice in some de-generative and disc diseases ofthe lumbar spine, both in primary surgery and especially in revision surgery. Objective: To measure pain and functionalityusing the ODI scale, in patients with low back and / or radicular pain who have had a comprehensive transforaminalsurgical ap-proach together with anterior and posterior arthrodesis (TLIF). Material and methods: In our series, weperformed TLIF(transforaminal interbody fusión lumbar) on 38 patients during 2-000-2.003 years and evaluated the longtermresults, ten years, using the Oswestry Disability Index (ODI). Results: They show improvement in ODI by comparingthe baseline figures, prior to the intervention, with the 10-year follow-up (34.21 +/- 9.31 to 11.82 +/- 7.62 points, p = 0.000). This improvement is also observed in each of the ODI sections in a significant way: pain intensity, personal care, abilityto get up, walk, sit, stand, sleep, sex life, social life and travel (p = 0.000, in all of them).Conclusion: In our case series, inpatients with low back and / or radicular pain, the use of the TLIF technique may have contributed to a significantimprovement in the test score by improving pain, sleep, functionality and social aspects, maintained at least up to 10 yearsof follow-up.