Transforaminal Lumbar Interbody Fusion for Management of Recurrent Lumbar Disc Herniation
Study DesignRetrospective study.PurposeTo study the surgical outcome of transforaminal lumbar interbody fusion (TLIF) combined with trans-pedicular screws fixation for management of selected cases of recurrent lumbar disc herniation.Overview of LiteratureRecurrent lumbar disc herniation is a major c...
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2016-02-01
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| Series: | Asian Spine Journal |
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| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-10-52.pdf |
| _version_ | 1818524229203656704 |
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| author | Haitham El-Beltagy Abd El-Kader |
| author_facet | Haitham El-Beltagy Abd El-Kader |
| author_sort | Haitham El-Beltagy Abd El-Kader |
| collection | DOAJ |
| description | Study DesignRetrospective study.PurposeTo study the surgical outcome of transforaminal lumbar interbody fusion (TLIF) combined with trans-pedicular screws fixation for management of selected cases of recurrent lumbar disc herniation.Overview of LiteratureRecurrent lumbar disc herniation is a major cause of surgical failure, occurring in 5%–11% of cases. The optimal technique for treatment is controversial. Some authors believe that repeated simple discectomy is the treatment of choice, but approach-related complications can be considerable. Other surgeons prefer more removal of posterior elements (as lamina and facet joints) with posterior fusion.MethodsThe study included 15 patients who presented with symptomatic recurrent lumbar disc herniation who underwent reoperation through posterior trans-pedicular screws and TLIF in our department from April 2008 to May 2010, with a 24-month follow-up. Japanese Orthopedic Association Scale (JOA) was used for low back pain. The results of surgery were also evaluated with the MacNab classification.ResultsThe mean JOA score showed significant improvement, increasing from 9.5 before surgery to 24.0 at the end of follow-up (p<0.001). Clinical outcome was excellent in 7 patients (46% of cases), good in 6 patients (40%) and fair in only 2 patients (14%). There was a significant difference (p<0.05) between patients presenting with recurrent disc at the ipsilateral side and those at the contralateral side.ConclusionsIn spite of the small number of patients and the short follow-up period, the good clinical and radiological outcome achieved in this study encourage the belief that TLIF is an effective option for the treatment of selected cases of recurrent lumbar disc herniation. |
| first_indexed | 2024-12-11T05:54:31Z |
| format | Article |
| id | doaj.art-78785b38e3f64a3697aa49aeafb07705 |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-12-11T05:54:31Z |
| publishDate | 2016-02-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-78785b38e3f64a3697aa49aeafb077052022-12-22T01:18:43ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462016-02-01101525810.4184/asj.2016.10.1.52110Transforaminal Lumbar Interbody Fusion for Management of Recurrent Lumbar Disc HerniationHaitham El-Beltagy Abd El-Kader0Department of Neurosurgery, Al-Menoufia University, Al-Menoufia, Egypt.Study DesignRetrospective study.PurposeTo study the surgical outcome of transforaminal lumbar interbody fusion (TLIF) combined with trans-pedicular screws fixation for management of selected cases of recurrent lumbar disc herniation.Overview of LiteratureRecurrent lumbar disc herniation is a major cause of surgical failure, occurring in 5%–11% of cases. The optimal technique for treatment is controversial. Some authors believe that repeated simple discectomy is the treatment of choice, but approach-related complications can be considerable. Other surgeons prefer more removal of posterior elements (as lamina and facet joints) with posterior fusion.MethodsThe study included 15 patients who presented with symptomatic recurrent lumbar disc herniation who underwent reoperation through posterior trans-pedicular screws and TLIF in our department from April 2008 to May 2010, with a 24-month follow-up. Japanese Orthopedic Association Scale (JOA) was used for low back pain. The results of surgery were also evaluated with the MacNab classification.ResultsThe mean JOA score showed significant improvement, increasing from 9.5 before surgery to 24.0 at the end of follow-up (p<0.001). Clinical outcome was excellent in 7 patients (46% of cases), good in 6 patients (40%) and fair in only 2 patients (14%). There was a significant difference (p<0.05) between patients presenting with recurrent disc at the ipsilateral side and those at the contralateral side.ConclusionsIn spite of the small number of patients and the short follow-up period, the good clinical and radiological outcome achieved in this study encourage the belief that TLIF is an effective option for the treatment of selected cases of recurrent lumbar disc herniation.http://www.asianspinejournal.org/upload/pdf/asj-10-52.pdfRecurrent lumbar disc herniationTranspedicular screwsTransforaminal lumbar interbody fusion |
| spellingShingle | Haitham El-Beltagy Abd El-Kader Transforaminal Lumbar Interbody Fusion for Management of Recurrent Lumbar Disc Herniation Asian Spine Journal Recurrent lumbar disc herniation Transpedicular screws Transforaminal lumbar interbody fusion |
| title | Transforaminal Lumbar Interbody Fusion for Management of Recurrent Lumbar Disc Herniation |
| title_full | Transforaminal Lumbar Interbody Fusion for Management of Recurrent Lumbar Disc Herniation |
| title_fullStr | Transforaminal Lumbar Interbody Fusion for Management of Recurrent Lumbar Disc Herniation |
| title_full_unstemmed | Transforaminal Lumbar Interbody Fusion for Management of Recurrent Lumbar Disc Herniation |
| title_short | Transforaminal Lumbar Interbody Fusion for Management of Recurrent Lumbar Disc Herniation |
| title_sort | transforaminal lumbar interbody fusion for management of recurrent lumbar disc herniation |
| topic | Recurrent lumbar disc herniation Transpedicular screws Transforaminal lumbar interbody fusion |
| url | http://www.asianspinejournal.org/upload/pdf/asj-10-52.pdf |
| work_keys_str_mv | AT haithamelbeltagyabdelkader transforaminallumbarinterbodyfusionformanagementofrecurrentlumbardischerniation |