지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 148 - 156 (9page)
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초록· 키워드
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Study Design: This was a prospective case series of 30 patients with post-discectomy syndrome with an average of 18 months of follow-up (level IV). Purpose: The efficacy of post-discectomy syndrome managed by minimally invasive surgery transforaminal lumbar interbody fusion (MIS-TLIF) was evaluated. Overview of Literature: In post-discectomy syndrome wherein conservative treatment had failed, the best surgical treatment modality still remains controversial. Methods: Patients were functionally assessed using the Visual Analog Scale (VAS) for low back pain (LBP) and leg pain (LP) and Oswestry Disability Index (ODI). Radiological fusion was confirmed with plain X-rays and when indicated with computed tomography scan at 12 months postoperatively. A total of 30 patients with 37 operated at lumbar levels with failed discectomy surgery who met our inclusion criteria were treated with MIS-TLIF. Results: The ODI of all patients showed significant improvement from a mean of 73.78% preoperatively to 16.67% at 1 month and 14.13% at 12 months postoperatively. The preoperative LBP VAS score (mean, 4.37) showed a significant decrease (p<0.001) to 1.90 at 1 month and 1.10 at 12 months. Preoperative LP VAS score of limb pain averaged 7.53 and showed a significant (p<0.001) decrease to 3.47 at 1 month and 1.10 at 12 months. All patients attained radiological fusion at 12 months. Conclusions: MIS-TILF constitutes a valid and effective treatment option for patients with post-discectomy syndrome.
목차
등록된 정보가 없습니다.
참고문헌 (31)
참고문헌 신청
Ebeling U / 1989 / Microsurgical reoperation following lumbar disc surgery : timing, surgical findings, and outcome in 92 patients / J Neurosurg 70:397~404
North RB / 1991 / Failed back surgery syndrome : 5-year follow-up in 102 patients undergoing repeated operation / Neurosurgery 28:685~691
Inoue S / 2017 / Prevalence, characteristics, and burden of failed back surgery syndrome : the influence of various residual symptoms on patient satisfaction and quality of life as assessed by a nationwide Internet survey in Japan / J Pain Res 10:811~823
Resnick DK / 2005 / Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine : part 8 : lumbar fusion for disc herniation and radiculopathy / J Neurosurg Spine 2:673~678
Bettini N / 2009 / Evaluation of conservative treatment of non specific spondylodiscitis / Eur Spine J 18(Suppl 1):143~150
North RB / 1991 / Failed back surgery syndrome : 5-year follow-up in 102 patients undergoing repeated operation / Neurosurgery 28:685~691
Inoue S / 2017 / Prevalence, characteristics, and burden of failed back surgery syndrome : the influence of various residual symptoms on patient satisfaction and quality of life as assessed by a nationwide Internet survey in Japan / J Pain Res 10:811~823
Resnick DK / 2005 / Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine : part 8 : lumbar fusion for disc herniation and radiculopathy / J Neurosurg Spine 2:673~678
Bettini N / 2009 / Evaluation of conservative treatment of non specific spondylodiscitis / Eur Spine J 18(Suppl 1):143~150
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