Anterior lumbar interbody fusion for treatment of failed back surgery syndrome: an outcome analysis. Neurosurgery 2004 Mar;54(3):636-43; discussion 643-4
Date
03/19/2004Pubmed ID
15028138DOI
10.1227/01.neu.0000108423.87889.9eScopus ID
2-s2.0-10744230096 (requires institutional sign-in at Scopus site) 56 CitationsAbstract
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.
Author List
Duggal N, Mendiondo I, Pares HR, Jhawar BS, Das K, Kenny KJ, Dickman CAAuthors
Shekar N. Kurpad MD, PhD Chair, Director, Professor in the Neurosurgery department at Medical College of WisconsinWade M. Mueller MD Professor in the Neurosurgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Activities of Daily LivingAdult
Aged
Female
Humans
Low Back Pain
Lumbar Vertebrae
Male
Middle Aged
Neurologic Examination
Pain Measurement
Postoperative Complications
Prospective Studies
Pseudarthrosis
Radiculopathy
Recurrence
Reoperation
Spinal Fusion
Spinal Osteophytosis
Spondylolisthesis
Syndrome
Treatment Failure