scholarly journals Comparison between Posterior Laminectomy and Discectomy Followed by Coflex and Transforaminal Lumbar Interbody Fusion in Treating Lumbar Disc Herniation: A Minimum 2-year Follow-up Study

2014 ◽  
Vol 4 (1_suppl) ◽  
pp. s-0034-1376698-s-0034-1376698
Author(s):  
Z. Wang ◽  
Z. Luo ◽  
L. Shangguan
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Interbody Fusion ◽  
Lumbar Disc ◽  
Transforaminal Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Follow Up Study ◽  
Posterior Laminectomy

scholarly journals Clinical Study of Unilateral Extraforaminal Lumbar Interbody Fusion (ELIF) Revision For Lumbar Disc Herniation After Primary Discectomy

2021 ◽  
Author(s):  
Qilin Lu ◽  
Jin Tang ◽  
Long Chen ◽  
Xiao-zhen Wang ◽  
Yi-liang Zhu ◽  
...  
Keyword(s):  
Blood Volume ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Interbody Fusion ◽  
Lumbar Disc ◽  
Operation Time ◽  
Clinical Effects ◽  
Lumbar Interbody Fusion ◽  
Incomplete Removal

Abstract Background: Lumbar disc herniation (LDH) is a common spinal disorder. The discectomy with non-fusion operation is widely used. When the revision is needed, the options for revision way is still controversial. This study aims to introduce unilateral extraforaminal lumbar interbody fusion (ELIF) revision surgery, and to investigate the clinical efficacy and complication of Unilateral Extraforaminal Lumbar Interbody Fusion (ELIF) in revising primary discectomy for lumbar disc herniation. Methods:16 patients with incomplete removal and recurrence herniation of lumbar disc after minimally invasive treatment without fixation were treated by ELIF with unilateral pedicle screw(UPS) from April 2016 to October 2020. All those patietns including 11 male and 5 female aged 29-65 years were analyzed retrospectively. The clinical effects were evaluated by operation time, intraoperative blood loss, postoperative blood volume of drainage and complications. The Visual Analogue Scale(VAS), Oswestry Disability Index (ODI) were documented before, after surgery and at last follow--up. Results: The operation time was 95.73±10.5 min, the bleeding volume was 201.5±27.6 ml. Postoperative blood volume of drainage was 50.7±6.3 ml. 2 patients suffered dura tear. All patients were followed up for 12-26 months with 15.7 on average. VAS and ODI scores significantly improved at the preoperative, postoperative and the 12th month’s follow up (P < 0.05). Conclusion: The application of ELIF with unilateral fixation is a satisfied way to revise primary discectomy for lumbar disc herniation. However, the dura tear induced by scar tissue adhesion needs to be noticed.

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