Minimally Invasive Transforaminal Lumbar Interbody Fusion for the Surgical Management of Post-Discectomy Syndrome
Study Design This was a prospective case series of 30 patients with post-discectomy syndrome with an average of 18 months of follow-up (level IV). Purpose The efficacy of post-discectomy syndrome managed by minimally invasive surgery transforaminal lumbar interbody fusion (MIS-TLIF) was evaluated. O...
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2020-04-01
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| Series: | Asian Spine Journal |
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| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-2019-0136.pdf |
| _version_ | 1818572715325390848 |
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| author | Ahmed Bahaa Al Din AlShazli Ashraf Yassin Amer Ahmed Maher Sultan Ahmed Samir Barakat Wael Koptan Yasser ElMiligui Hesham Shaker |
| author_facet | Ahmed Bahaa Al Din AlShazli Ashraf Yassin Amer Ahmed Maher Sultan Ahmed Samir Barakat Wael Koptan Yasser ElMiligui Hesham Shaker |
| author_sort | Ahmed Bahaa Al Din AlShazli |
| collection | DOAJ |
| description | Study Design This was a prospective case series of 30 patients with post-discectomy syndrome with an average of 18 months of follow-up (level IV). Purpose The efficacy of post-discectomy syndrome managed by minimally invasive surgery transforaminal lumbar interbody fusion (MIS-TLIF) was evaluated. Overview of Literature In post-discectomy syndrome wherein conservative treatment had failed, the best surgical treatment modality still remains controversial. Methods Patients were functionally assessed using the Visual Analog Scale (VAS) for low back pain (LBP) and leg pain (LP) and Oswestry Disability Index (ODI). Radiological fusion was confirmed with plain X-rays and when indicated with computed tomography scan at 12 months postoperatively. A total of 30 patients with 37 operated at lumbar levels with failed discectomy surgery who met our inclusion criteria were treated with MIS-TLIF. Results The ODI of all patients showed significant improvement from a mean of 73.78% preoperatively to 16.67% at 1 month and 14.13% at 12 months postoperatively. The preoperative LBP VAS score (mean, 4.37) showed a significant decrease (p<0.001) to 1.90 at 1 month and 1.10 at 12 months. Preoperative LP VAS score of limb pain averaged 7.53 and showed a significant (p<0.001) decrease to 3.47 at 1 month and 1.10 at 12 months. All patients attained radiological fusion at 12 months. Conclusions MIS-TILF constitutes a valid and effective treatment option for patients with post-discectomy syndrome. |
| first_indexed | 2024-12-15T00:01:20Z |
| format | Article |
| id | doaj.art-d7c110b3629843b392224c5bf29a5400 |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-12-15T00:01:20Z |
| publishDate | 2020-04-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-d7c110b3629843b392224c5bf29a54002022-12-21T22:42:53ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462020-04-0114214815610.31616/asj.2019.01361136Minimally Invasive Transforaminal Lumbar Interbody Fusion for the Surgical Management of Post-Discectomy SyndromeAhmed Bahaa Al Din AlShazli0Ashraf Yassin Amer1Ahmed Maher Sultan2Ahmed Samir Barakat3Wael Koptan4Yasser ElMiligui5Hesham Shaker6 Agouza Armed Forces Spine Surgery Center, Giza, Egypt Agouza Armed Forces Spine Surgery Center, Giza, Egypt Orthopedics and Traumatology Department, Faculty of Medicine, Cairo University, Cairo, Egypt Orthopedics and Traumatology Department, Faculty of Medicine, Cairo University, Cairo, Egypt Orthopedics and Traumatology Department, Faculty of Medicine, Cairo University, Cairo, Egypt Orthopedics and Traumatology Department, Faculty of Medicine, Cairo University, Cairo, Egypt Agouza Armed Forces Spine Surgery Center, Giza, EgyptStudy Design This was a prospective case series of 30 patients with post-discectomy syndrome with an average of 18 months of follow-up (level IV). Purpose The efficacy of post-discectomy syndrome managed by minimally invasive surgery transforaminal lumbar interbody fusion (MIS-TLIF) was evaluated. Overview of Literature In post-discectomy syndrome wherein conservative treatment had failed, the best surgical treatment modality still remains controversial. Methods Patients were functionally assessed using the Visual Analog Scale (VAS) for low back pain (LBP) and leg pain (LP) and Oswestry Disability Index (ODI). Radiological fusion was confirmed with plain X-rays and when indicated with computed tomography scan at 12 months postoperatively. A total of 30 patients with 37 operated at lumbar levels with failed discectomy surgery who met our inclusion criteria were treated with MIS-TLIF. Results The ODI of all patients showed significant improvement from a mean of 73.78% preoperatively to 16.67% at 1 month and 14.13% at 12 months postoperatively. The preoperative LBP VAS score (mean, 4.37) showed a significant decrease (p<0.001) to 1.90 at 1 month and 1.10 at 12 months. Preoperative LP VAS score of limb pain averaged 7.53 and showed a significant (p<0.001) decrease to 3.47 at 1 month and 1.10 at 12 months. All patients attained radiological fusion at 12 months. Conclusions MIS-TILF constitutes a valid and effective treatment option for patients with post-discectomy syndrome.http://www.asianspinejournal.org/upload/pdf/asj-2019-0136.pdfpost-diskectomy syndromefailed back surgeryrecurrent disc prolapseinterbody fusionminimally invasive surgery transforaminal lumbar interbody fusion |
| spellingShingle | Ahmed Bahaa Al Din AlShazli Ashraf Yassin Amer Ahmed Maher Sultan Ahmed Samir Barakat Wael Koptan Yasser ElMiligui Hesham Shaker Minimally Invasive Transforaminal Lumbar Interbody Fusion for the Surgical Management of Post-Discectomy Syndrome Asian Spine Journal post-diskectomy syndrome failed back surgery recurrent disc prolapse interbody fusion minimally invasive surgery transforaminal lumbar interbody fusion |
| title | Minimally Invasive Transforaminal Lumbar Interbody Fusion for the Surgical Management of Post-Discectomy Syndrome |
| title_full | Minimally Invasive Transforaminal Lumbar Interbody Fusion for the Surgical Management of Post-Discectomy Syndrome |
| title_fullStr | Minimally Invasive Transforaminal Lumbar Interbody Fusion for the Surgical Management of Post-Discectomy Syndrome |
| title_full_unstemmed | Minimally Invasive Transforaminal Lumbar Interbody Fusion for the Surgical Management of Post-Discectomy Syndrome |
| title_short | Minimally Invasive Transforaminal Lumbar Interbody Fusion for the Surgical Management of Post-Discectomy Syndrome |
| title_sort | minimally invasive transforaminal lumbar interbody fusion for the surgical management of post discectomy syndrome |
| topic | post-diskectomy syndrome failed back surgery recurrent disc prolapse interbody fusion minimally invasive surgery transforaminal lumbar interbody fusion |
| url | http://www.asianspinejournal.org/upload/pdf/asj-2019-0136.pdf |
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