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Post-discectomy syndrome treated with lumbar interbody fusion

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Abstract

We studied 27 patients with post-discectomy syndrome. All patients had Lumbar Interbody Fusion with titanium cages and pedicle screw fixation either as Anterior (ALIF, n=18) or as Transforaminal Lumbar Interbody Fusion (TLIF, n=9). Follow-up ranged from 24 to 94 months. The clinical and radiological data were compared. The outcome was evaluated using the Oswestry low back pain disability score and the visual analogue pain intensity scale. Outcomes were similar for all patients regardless of surgical technique and showed a significant improvement at final follow-up.

Resumé

Nous avons étudié 27 malades présentant un syndrome post-discectomie. Dix-huit malades ont été traités par une fusion vertébrale lombaire antérieure et neuf par une fusion transforaminale avec fixation par vis pédiculaire. Le suivi était de 24 à 94 mois. Les données clinique et radiologiques ont été comparées et le résultat évalué en utilisant les Scores d’Oswestry et l’échelle visuelle analogique pour la douleur. Le résultat était semblable pour tous les malades sans influence de la technique chirurgicale et a montré une amélioration significative au suivi final.

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References

  1. Andersen T, Christensen FB, Hansen ES, Buenger CE (2003) Pain 5 years after instrumented and non-instrumented posterolateral lumbar spinal fusion. Eur Spine J 12:393–399

    Article  PubMed  Google Scholar 

  2. Bono CM, Lee CK (2004) Critical analysis of trends in fusion for degenerative disc disease over the past 20 years. Spine 29:455–463

    Article  PubMed  Google Scholar 

  3. Christensen FB, Hansen ES, Eiskjaer SP (2002) Circumferential lumbar spinal fusion with Brantigan cage versus postero-lateral fusion with titanium Cotrel-Dubousset instrumentation: a prospective, randomized clinical study of 146 patients. Spine 27:2674–2683

    Article  PubMed  Google Scholar 

  4. Deyo RA, Gray DT, Kreuter, W, Mirza S, Brook MI (2005) United States trends in lumbar fusion surgery for degenerative conditions. Spine 30:1441–1445

    Article  PubMed  Google Scholar 

  5. Duggal N, Mendiondo I, Pares HR, Jhawar BS, Das K, Kenny KJ, Dickman CA (2004) Anterior lumbar interbody fusion for treatment of failed back surgery syndrome: an outcome analysis. Neurosurgery 54:636–644

    Article  PubMed  Google Scholar 

  6. Freeman BJ, Licina P, Mehdian SH (2000) Posterior lumbar interbody fusion combined with instrumented postero-lateral fusion: 5-year results in 60 patients. Eur Spine J 9:42–46

    Article  PubMed  CAS  Google Scholar 

  7. Fritzell P, Haegg O, Nordwall A (2003) Complications in lumbar fusion surgery for chronic low back pain: a comparison of three surgical techniques used in a prospective randomized study. Eur Spine J 12:178–189

    PubMed  Google Scholar 

  8. Fritzell P, Haegg O, Wessberg P, Nordwall A (2001) Lumbar fusion versus nonsurgical treatment for chronic low back pain: a multicentre randomized controlled trial from the Swedish lumbar spine study group. Spine 26:2521–2532

    Article  PubMed  CAS  Google Scholar 

  9. Fritzell P, Haegg O, Wessberg P, Nordwall A (2002) Chronic low back pain and fusion: a comparison of three surgical techniques. Spine 27:1131–1141

    Article  PubMed  Google Scholar 

  10. Hackenberg L, Bullmann V, Schneider M, Halm H, Liljenqvist U (2005) Transforaminal lumbar interbody fusion: a safe technique with satisfactory three to five year results. Eur Spine J 14(6):551–558 Aug

    Article  PubMed  Google Scholar 

  11. Harms J, Jeszensky D (1998) The unilateral transforaminal approach for posterior lumbar interbody fusion. Orthop Traumatol 6:88–99

    Google Scholar 

  12. Humphreys SC, Hodges SD, Patwardhan AG, Eck JC, Murphy RB, Covington LA (2001) Comparison of posterior and transforaminal approaches to lumbar interbody fusion. Spine 26:567–571

    Article  PubMed  CAS  Google Scholar 

  13. Lowe TG, Tahernia AD, O’Brien MF, Smith DA (2002) Unilateral transforaminal posterior lumbar interbody fusion (TLIF): indications, technique and two-year results. J Spinal Disord Tech 15:31–38

    PubMed  Google Scholar 

  14. Madan SS, Boeree NR (2003) Comparison of instrumented anterior interbody fusion with instrumented circumferential lumbar fusion. Eur Spine J 12:567–575

    Article  PubMed  CAS  Google Scholar 

  15. Mayer HM (2000) The ALIF concept. Eur Spine J 9:35–43

    Article  Google Scholar 

  16. McAfee C (1999) Interbody fusion cages in reconstructive operations on the spine. J Bone Joint Surgery Am 81:859–880

    CAS  Google Scholar 

  17. Niemeyer T, Bovingloh AS, Halm H, Liljenqvist U (2004) Results after anterior-posterior lumbar spinal fusion: 2–5 years follow-up. Int Orthop 28:298–302

    Article  PubMed  Google Scholar 

  18. Niskanen RO (2002) The Oswestry low back pain disability questionnaire. A two-year follow-up of spine surgery patients. Scand J Surg 91:208–211

    PubMed  CAS  Google Scholar 

  19. Sasso RC, Burkus JK, LeHuec JC (2003) Retrograde ejaculation after anterior lumbar interbody fusion. Spine 28:1023–1026

    Article  PubMed  Google Scholar 

  20. Schofferman J, Slosar P, Reynolds J, Golthwaite N, Koestler M (2001) A prospective randomized comparison of 270 degrees fusion to 360 degrees fusion (circumferential fusions). Spine 26:E207–E212

    Article  PubMed  CAS  Google Scholar 

  21. Shah R, Mohammed S, Saifuddin A, Taylor B (2003) Comparison of plain radiographs with CT scan to evaluate interbody fusion following the use of titanium interbody cages and transpedicular instrumentation. Eur Spine J 12:387–385

    Article  Google Scholar 

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Correspondence to Thomas Niemeyer.

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Niemeyer, T., Halm, H., Hackenberg, L. et al. Post-discectomy syndrome treated with lumbar interbody fusion. International Orthopaedics (SICO 30, 163–166 (2006). https://doi.org/10.1007/s00264-005-0039-x

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  • DOI: https://doi.org/10.1007/s00264-005-0039-x

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