Value of Using Interbody Fusion Technique in Recurrent Lumbar Disc Hernia Patients

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Ahmed Mahmoud ◽  
Tarek Elhewala ◽  
Amr El-Adawy ◽  
Mohamed Elsofy
2005 ◽  
pp. 087-092 ◽  
Author(s):  
Aleksandr Evgenyevich Simonovich ◽  
Andrey Aleksandrovich Baikalov

Objective. To define optimal pathogenetic surgical techniques for pain syndrome recurrence after lumbar discectomy. Materials and Methods. The study included 176 patients operated on for pain syndrome recurrence. Decompressive and decompressive-stabilizing (posterior or anterior interbody fusion, dynamic fixation with DYNESYS instrumentation) reoperations were performed. The results were followed for 3 to 24 months. The dynamics of neurologic status and pain syndrome intensity were assessed with visual-analog scale and Osvesty index. Results. The main causes of pain syndrome recurrence were a herniation of the operated disc (52.8 %) and its combination with degenerative stenosis (9.7 %). Degenerative stenosis alone was a cause of pain recurrence in 21.6 % of cases. Hernia recurrence of the operated disc caused a pain syndrome more frequently within 2 years after surgery. Degenerative stenosis both alone and in combination with operated disc hernia occurred more often in a later follow-up period. Hypertrophic articular processes and vertebral arches, osteophytes, thickened yellow ligament and peridural fibrosis were the pathomorphologic substrate of stenosis. Fibrous changes were revealed intraoperatively in all cases. Peridural fibrosis never was a single cause of neurovascular compression but always was combined with other stenosing factors. Treatment results were better in patients who underwent decompressive-stabilizing surgery. Repeated recurrences of pain syndrome occurred in 9.8 % of cases after surgical decompression and in 1.4 % after decompressivestabilizing surgery. Conclusion. Decompressive-stabilizing surgery with posterior interbody fusion is a pathogenetical and technically adequate surgical treatment of pain syndrome recurrence after lumbar disc hernia removal.


2008 ◽  
Vol 11 (03) ◽  
pp. 107-115 ◽  
Author(s):  
Yücel Yıldırım ◽  
Bilge Kara ◽  
Serhat Erbayraktar ◽  
Salih Sayhan

Objective: To establish any changes up to the second postoperative month in pain, disability, performance, kinesiophobia, and lower extremity motor coordination of patients operated on for lumbar disc hernia. Methods: Forty-five patients with lumbar disc hernia were included in the study preoperatively, and were followed up until the second postoperative month. Pain and disability, walking and stair-climbing performances, and kinesiophobia were measured; and motor coordination tests were practiced with the Lower Extremity MOtor COordination Test (LEMOCOT). Results: The worst scores of pain, disability, performance, kinesiophobia, and LEMOCOT measurements were in the preoperative period; while the best ones were observed in the 2 months following the surgery. Conclusion: The measurements of pain, disability, performance, kinesiophobia, and lower extremity coordination usually performed in the cases operated on with a diagnosis of lumbar disc hernia are significantly affected from the initial period until the second postoperative month.


2013 ◽  
Vol 45 (3) ◽  
pp. 659-667 ◽  
Author(s):  
Cenk Murat Yazici ◽  
Banu Sarifakioglu ◽  
Aliye Guzelant ◽  
Polat Turker ◽  
Ozkan Ates

1993 ◽  
Vol 42 (3) ◽  
pp. 1135-1138
Author(s):  
Naoaki Kahara ◽  
Kimio Shimada ◽  
Yoshiaki Harada ◽  
Nobukazu Okimoto ◽  
Satoshi Masuda ◽  
...  

Neurosurgery ◽  
1981 ◽  
Vol 8 (1) ◽  
pp. 104???7 ◽  
Author(s):  
P Ciappetta ◽  
R Delfini ◽  
G P Cantore

2016 ◽  
Vol 22 (4) ◽  
pp. 256-259
Author(s):  
D. Balasa ◽  
Carmen Ciufu ◽  
R. Baz ◽  
Anca Hancu

Abstract We present a patient with left compressive L5-S1 lumbar disc hernia in lateral reces and foramina revealed by high intensity pain (Visual Autologus Scale 7/10) and paresthesias on the left S1 dermatoma for 5 months. He refused surgery and followed conservative treatment with very good results after 6 months. The radicular S1 pain became of a small intensity (Visual Autologus Scale 2-3/10) and intermitent and after one year it completely disapeared. After 4 years he repeated the lumbar magnetic resonance imaging which proved the disapearance of the L5-S1 lumbar disc hernia.


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