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Preliminary efficacy of inter-spinal distraction fusion which is a new technique for lumbar disc herniation

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Abstract

Introduction

To investigate the short- and medium-term efficacy of inter-spinal distraction fusion (ISDF) for lumbar disc herniation with a spinal internal fixation device, the BacFuse Spinous Process Fusion Plate.

Methods

Ninety-five patients who received ISDF between January 2014 and January 2015 were included for the current retrospective study. The symptoms and imaging results before surgery, immediately after surgery, at six months, and at the last follow-up were assessed using the leg visual analogue scale (VAS), Oswestry disability index (ODI), and 12-item short-form survey (SF-12). The intra-operative intervertebral angle (IA), anterior disk height (ADH), posterior disk height (PDH), foramina height (FH), foramina width (FW), and range of motion (ROM) were assessed using X-rays. The foramina and herniated disc area were assessed using computed tomography (CT).

Results

The leg VAS, ODI, and SF-12 were significantly improved after surgery. All indices except ADH were also significantly improved after surgery. PDH and FH increased by 15.5% (P < 0.001) and 9.7% (P < 0.001) at the last follow-up. ROM was statistically different from before surgery. CT images indicated that the herniated disc area decreased by 3.1%, while the foramina areas increased by 5.7% at the last follow-up. 92.6% patients demonstrated successful outcome.

Conclusions

ISDF significantly alleviated the clinical symptoms, improved spinal structure, and partially retracted the herniated disc. Our findings imply that ISDF is an effective minimally invasive procedure in the treatment of lumbar disc herniation.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, China-Japan Friendship Hospital, 2 Yinghuadong Road, Chaoyang District, Beijing, 100029, China

    Hongyu Wei & Hao Chen

  2. Department of Orthopaedic Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China

    Hai Tang & Tidong Zhang

  3. Beijing University of Chinese Medicine China-Japan Friendship School of Clinical Medicine, 2 Yinghuadong Road, Chaoyang District, Beijing, 100029, China

    Chunke Dong

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  1. Hongyu Wei
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  5. Chunke Dong
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Correspondence to Hai Tang.

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Wei, H., Tang, H., Zhang, T. et al. Preliminary efficacy of inter-spinal distraction fusion which is a new technique for lumbar disc herniation. International Orthopaedics (SICOT) 43, 899–907 (2019). https://doi.org/10.1007/s00264-018-4188-0

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  • DOI: https://doi.org/10.1007/s00264-018-4188-0

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