Anterior lumbar interbody fusion for treatment of failed back surgery syndrome: An outcome analysis

被引:125
作者
Duggal, N
Mendiondo, I
Pares, HR
Jhawar, BS
Das, K
Kenny, K
Dickman, CA
机构
[1] Univ Western Ontario, London Hlth Sci Ctr, Dept Clin Neurol Sci, London, ON N6A 5A5, Canada
[2] Barrow Neurol Inst, Phoenix, AZ 85013 USA
[3] Univ Western Ontario, London, ON N6A 3K7, Canada
[4] New York Med Coll, Dept Neurosurg, Valhalla, NY 10595 USA
关键词
anterior lumbar interbody fusion; failed back surgery syndrome; functional outcome;
D O I
10.1227/01.NEU.0000108423.87889.9E
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
OBJECTIVE: Anterior lumbar interbody fusion (ALIF) has gained popularity for the treatment of degenerative disease of the lumbar spine. In this report, we present our experience with the ALIF procedure for treatment of failed back surgery syndrome (FBSS) in a noncontrolled prospective cohort. METHODS: In a 2-year period, we treated patients diagnosed with FBSS with ALIF. Clinical and radiological outcomes were recorded in a prospective, nonrandomized, longitudinal manner. Neurological, pain, and functional outcomes were measured preoperatively and 12 months after surgery. Operative data, perioperative complications, and radiological and clinical outcomes were recorded. RESULTS: Thirty-three patients with a preoperative diagnosis of FBSS, with degenerative disc disease (n = 17), postsurgical spondylolisthesis (n = 13), or pseudarthrosis (n = 3), underwent ALIF. Back pain, leg pain, and functional status improved significantly, by 76% (P < 0.01), 80% (P < 0.01), and 67% (P < 0.01), respectively. CONCLUSION: On the basis of our results, we found ALIF to be a safe and effective procedure for the treatment of FBSS for selected patients.
引用
收藏
页码:636 / 643
页数:8
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