Posterior lumbar interbody fusion with pedicular fixation for surgical treatment of failed back surgery syndrome

2013 ◽  
Vol 48 (3) ◽  
pp. 241
Author(s):  
KhaledM. Hassen Ali
Keyword(s):  
Surgical Treatment ◽  
Interbody Fusion ◽  
Posterior Lumbar Interbody Fusion ◽  
Failed Back Surgery Syndrome ◽  
Lumbar Interbody Fusion ◽  
Failed Back Surgery ◽  
Back Surgery

Anterior Lumbar Interbody Fusion for Treatment of Failed Back Surgery Syndrome: An Outcome Analysis

Neurosurgery ◽  
2004 ◽  
Vol 54 (3) ◽  
pp. 636-644 ◽  
Author(s):  
Neil Duggal ◽  
Ignacio Mendiondo ◽  
Heraldo R. Pares ◽  
Balraj S. Jhawar ◽  
Kaushik Das ◽  
...  
Keyword(s):  
Interbody Fusion ◽  
Perioperative Complications ◽  
Failed Back Surgery Syndrome ◽  
Anterior Lumbar Interbody Fusion ◽  
Leg Pain ◽  
Outcome Analysis ◽  
Lumbar Interbody Fusion ◽  
Disc Disease ◽  
Failed Back Surgery ◽  
Back Surgery

Abstract 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.

Clinical outcome of surgical treatment of failed back surgery syndrome

2005 ◽  
Vol 64 (6) ◽  
pp. 483-488 ◽  
Author(s):  
Ghassan Skaf ◽  
Carmel Bouclaous ◽  
Ali Alaraj ◽  
Roukoz Chamoun
Keyword(s):  
Surgical Treatment ◽  
Clinical Outcome ◽  
Failed Back Surgery Syndrome ◽  
Failed Back Surgery ◽  
Back Surgery

scholarly journals Surgical Outcomes of Multilevel Posterior Lumbar Interbody Fusion versus Lateral Lumbar Interbody Fusion for the Correction of Adult Spinal Deformity: A Comparative Clinical Study

2020 ◽  
Vol 14 (4) ◽  
pp. 421-429 ◽  
Author(s):  
Masayoshi Iwamae ◽  
Akira Matsumura ◽  
Takashi Namikawa ◽  
Minori Kato ◽  
Yusuke Hori ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Spinal Deformity ◽  
Surgical Outcomes ◽  
Interbody Fusion ◽  
Adult Spinal Deformity ◽  
Posterior Lumbar Interbody Fusion ◽  
Lumbar Interbody Fusion ◽  
Lateral Lumbar Interbody Fusion ◽  
The Mean

Study Design: A retrospective case control study.Purpose: The purpose of this study was to compare the surgical outcomes of multilevel lateral lumbar interbody fusion (LIF) and multilevel posterior lumbar interbody fusion (PLIF) in the surgical treatment of adult spinal deformity (ASD) and to evaluate the sagittal plane correction by combining LIF with posterior-column osteotomy (PCO).Overview of Literature: The surgical outcomes between multilevel LIF and multilevel PLIF in ASD patients remain unclear.Methods: We retrospectively reviewed 31 ASD patients who underwent multilevel LIF combined with PCO (LIF group, n=14) or multilevel PLIF (PLIF group, n=17) and with a minimum 2-year follow-up. In the comparison between LIF and PLIF groups, their mean age at surgery was 69.4 vs. 61.8 years while the mean follow-up period was 29.2 vs. 59.3 months. We evaluated the transition of pelvic incidence–lumbar lordosis (PI–LL) and disc angle (DA) in the LIF group, in fulcrum backward bending (FBB), after LIF and after posterior spinal fusion (PSF) with PCO. The spinopelvic radiographic parameters were compared between LIF and PLIF groups.Results: Compared with the PLIF group, the LIF group had less blood loss and comparable surgical outcomes with respect to radiographic data, health-related quality of life scores and surgical time. In the LIF group, the mean DA and PI–LL were unchanged after LIF (DA, 5.8°; PI–LL, 15°) compared with the values using FBB (DA, 4.3°; PI–LL, 15°) and improved significantly after PSF with PCO (DA, 8.1°; PI–LL, 0°).Conclusions: In the surgical treatment of ASD, multilevel LIF is less invasive than multilevel PLIF and combination of LIF and PCO would be necessary for optimal sagittal correction in patients with rigid deformity.

Surgical treatment of double-level isthmic spondylolisthesis

2014 ◽  
Vol 20 (4) ◽  
pp. 396-399 ◽  
Author(s):  
Deyong Song ◽  
Zhong Chen ◽  
Dewei Song
Keyword(s):  
Surgical Treatment ◽  
Interbody Fusion ◽  
Unusual Case ◽  
Posterior Instrumentation ◽  
Posterior Lumbar Interbody Fusion ◽  
Autogenous Bone ◽  
Lumbar Interbody Fusion ◽  
Isthmic Spondylolisthesis ◽  
Short Term

Isthmic spondylolisthesis, which is demonstrated in 4%–6% of the general population, is one of the most common types of spondylolisthesis. However, double-level isthmic spondylolisthesis is extremely rare. Only a few reports have examined the outcomes of surgical treatment of double-level spondylolisthesis. The authors present an unusual case of double-level isthmic spondylolisthesis of the lumbar spine. The patient had low-back pain for 20 years and did not respond to conservative treatment. Radiographs revealed bilateral pars defects at L-4 and L-5. Grade 2 isthmic spondylolisthesis was present, both at L4–5 and at L5–S1. The patient underwent decompression, reduction, and posterior lumbar interbody fusion with autogenous bone chips from posterior decompression. At follow-up after 12 months, the patient was free of pain, slippage was corrected, and fusion was achieved. Posterior lumbar interbody fusion with posterior instrumentation and reduction may yield good functional short-term results for double-level spondylolisthesis.

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