scholarly journals Does 360° lumbar spinal fusion improve long-term clinical outcomes after failure of conservative treatment in patients with functionally disabling single-level degenerative lumbar disc disease? Results of 5-year follow-up in 75 postoperative patients

2013 ◽  
Vol 7 (1) ◽  
pp. e1-e7 ◽  
Author(s):  
Jack E. Zigler ◽  
Rick B. Delamarter
Keyword(s):  
Conservative Treatment ◽  
Spinal Fusion ◽  
Clinical Outcomes ◽  
Lumbar Disc ◽  
Lumbar Spinal Fusion ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Lumbar Spinal

scholarly journals The Catheter Tip Position and Effects of Percutaneous Epidural Neuroplasty in Patients with Lumbar Disc Disease During 6-Months of Follow-up

2014 ◽  
Vol 5;17 (5;9) ◽  
pp. E599-E608 ◽  
Author(s):  
Prof. Dong Ah Shin
Keyword(s):  
Back Pain ◽  
Clinical Outcomes ◽  
Lumbar Disc ◽  
Controlled Study ◽  
Disc Disease ◽  
Catheter Position ◽  
Lumbar Disc Disease ◽  
Single Level ◽  
Catheter Tip

Background: Percutaneous epidural neuroplasty (PEN) is a minimally invasive intervention designed to treat neck, back, and low back pain. The efficacy of lumbar PEN has been relatively well investigated, but clinical effectiveness according to catheter position has not yet been established. Objective: The purpose of this study was to compare clinical outcomes between the ventral and dorsal positions of the catheter tip during lumbar PEN procedures using a retrospective review series. Methods: A total of 303 patients with back pain from single-level lumbar disc disease with and without radiculopathy were included in this study. In all patients, an attempt was made to place the catheter tip in the ventral position to maximize theoretical clinical improvement; however, several catheters failed to reach the desired position. Patients were assigned to 2 groups after lumbar PEN procedures were completed: those with catheters in the ventral position (Ventral group) and those with catheters in the dorsal position (Dorsal group). Clinical outcomes were assessed according to the Visual Analog Scale (VAS) score for back pain and leg pain at 0, 1, 3, and 6 months after treatment. Results: The only demographic difference observed between the 2 groups (Ventral and Dorsal groups) was an elongated symptom duration in the Dorsal group compared to the Ventral group (16.1 vs. 9.4 months, P = 0.013). The VAS (back) scores during the follow-up period (1, 3, and 6 months) were similar between the 2 groups. In one area of the VAS scoring (leg), the Ventral group showed a similar effect at postoperative one month compared to the Dorsal group, but significantly improved at postoperative 3 and 6 months (1.3 and 0.9 in ventral group, and 1.9 and 1.4 in dorsal group, respectively; P = 0.002 and 0.010). Odom’s criteria were also significantly improved over 6 months in the Ventral group compared to the Dorsal group. Limitations: This study was a retrospective analysis with a relatively short follow-up duration was not a randomized, controlled study. Therefore, the clinical effects of the catheter position could be confounded by other variables. Conclusion: In this short-term follow-up study, the effects of lumbar PEN on VAS scores were different according to the position of the catheter tip in patients with single-level lumbar disc herniation. Better outcomes in the Ventral group may have been achieved by more localized treatment with a selective block in the epidural space closer to the dorsal root ganglion and ventral aspect of the nerve root. Key words: Lumbar disc disease, pain management, percutaneous epidural neuroplasty, catheter position, dorsal, ventral

scholarly journals Long term results of Endoscopic Lumbar Discectomy using Side viewing Conical working tube

2018 ◽  
Vol 32 (2) ◽  
pp. 306-313
Author(s):  
Mohammad Kaif ◽  
Kuldeep Yadav ◽  
Mazhar Husain
Keyword(s):  
Low Cost ◽  
Lumbar Disc ◽  
Early Mobilization ◽  
Long Term Results ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Endoscopic Discectomy ◽  
Endoscopic Lumbar Discectomy

Abstract Object: Endoscopic discectomy is a common procure performed worldwide with various devices being used and studies have reported their long term results. In this study we present the long term results of the unique device with separate side viewing channel. Methods: 66 patients of lumbar disc herniation treated between March 2009 to April 2012 using the unique conical working tube with separate side viewing endoscopic channel. Their preoperative and postoperative Oswestry Disability Index (ODI) and Macnab scores were used to evaluate the outcome after a minimum follow of 5 years with mean follow up of 76.18 months. Results: There were 46 males and 20 females with age ranging from19-72 (mean-38.4 years). The follow up ranged from 61 months to 95 months with mean of 76.18 months. The mean preoperative ODI score was 74.7 which decreased to a mean of 7.8 and the outcome evaluated by Macnab criteria was 69.69% excellent, 17 % good, 10% fair, 3.03% poor. 2 patients underwent second surgery. None of the patient had to change their occupation due to their lumbar disc disease. Complications occurred were dural tear in 2 patients, transient foot paresis in 1 patient and 1 discitis in 1 patient which improved on medical management. Conclusion: Endoscopic discectomy using thins Conical working tube is a safe and effective technique for lumbar disc prolapse. It has the advantage for early mobilization, short hospital stay and low cost. The long term results are comparable to the conventional techniques.

scholarly journals The positive effect of posterolateral lumbar spinal fusion is preserved at long-term follow-up: a RCT with 11–13 year follow-up

2007 ◽  
Vol 17 (2) ◽  
pp. 272-280 ◽  
Author(s):  
Thomas Andersen ◽  
Tina S. Videbæk ◽  
Ebbe S. Hansen ◽  
Cody Bünger ◽  
Finn B. Christensen
Keyword(s):  
Spinal Fusion ◽  
Lumbar Spinal Fusion ◽  
Long Term Follow Up ◽  
Lumbar Spinal ◽  
Positive Effect

scholarly journals Long-Term Effects of Segmental Lumbar Spinal Fusion on Adjacent Healthy Discs: A Finite Element Study

2016 ◽  
Vol 10 (2) ◽  
pp. 205 ◽  
Author(s):  
Gunti Ranga Srinivas ◽  
Anindya Deb ◽  
Malhar N. Kumar ◽  
Goutham Kurnool
Keyword(s):  
Finite Element ◽  
Spinal Fusion ◽  
Lumbar Spinal Fusion ◽  
Long Term Effects ◽  
Finite Element Study ◽  
Lumbar Spinal ◽  
Element Study

scholarly journals Postoperative bisphosphonate do not significantly alter the fusion rate after lumbar spinal fusion: a meta-analysis

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Jun Mei ◽  
Xiaoxu Song ◽  
Xiaoming Guan ◽  
Dou Wu ◽  
Junjie Wang ◽  
...  
Keyword(s):  
Bone Formation ◽  
Spinal Fusion ◽  
Meta Analysis ◽  
Fusion Rate ◽  
Lumbar Spinal Fusion ◽  
Fusion Surgery ◽  
Number Of Patients ◽  
Cage Subsidence ◽  
Lumbar Spinal

Abstract Background To evaluate the effect of postoperative BP treatment on improving the fusion rate after lumbar spinal fusion surgery by performing a meta-analysis of randomized controlled trials (RCTs) and other comparative cohort studies. Methods A comprehensive search of PubMed, EMBASE, the Web of Science, and the Cochrane Central Register of Controlled Trials was performed for RCTs and other comparative cohort studies on the effect of BP treatment on improving the fusion rate after lumbar spinal fusion surgery. The primary outcome measures were the number of patients with bone formation grades A, B, and C at 12 months of follow-up; fusion rates at 12 and 24 months of follow-up; vertebral compression fracture (VCF) at 12 and 24 months of follow-up; pedicle screw loosening at 24 months of follow-up; and cage subsidence, the Oswestry disability index (ODI), and the visual analogue score (VAS) at 12 months of follow-up. The final search was performed in July 2020. Results Seven studies with 401 patients were included. Compared with the placebo, BP treatment did not significantly alter the number of patients with bone formation grades A, B, and C, or the VAS at the 12-month follow-up or the fusion rates at the 12- and 24-month follow-ups. In addition, compared with the placebo, BPs significantly reduced the risks of VCF at the 12- and 24-month follow-ups, pedicle screw loosening at the 24-month follow-up, and cage subsidence and the ODI at the 12-month follow-up. Conclusions Postoperative BPs do not clearly improve bone formation and the fusion rate, but they reduce VCF, cage subsidence, and loosening of pedicle screws after lumbar fusion surgery compared with the control treatment.

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