Posterior Lumbar Interbody Fusion Using a Unilateral Single Cage and a Local Morselized Bone Graft in the Degenerative Lumbar Spine.
10.4055/cios.2009.1.4.214
- Author:
Dong Hee KIM
1
;
Soon Taek JEONG
;
Sang Soo LEE
Author Information
1. Department of Orthopaedic Surgery, Gyeongsang National University School of Medicine, Jinju, Korea. ssurgeon@gsnu.ac.kr
- Publication Type:Original Article
- Keywords:
Spinal fusion;
Posterior lumbar interbody fusion;
Unilateral single cage;
Local morselized graft
- MeSH:
Adult;
Aged;
Blood Loss, Surgical;
Bone Transplantation/*methods;
Female;
Follow-Up Studies;
Humans;
Intervertebral Disk Degeneration/*radiography/*surgery;
Lumbar Vertebrae/pathology/*radiography/*surgery;
Male;
Middle Aged;
Prosthesis Implantation/methods;
Retrospective Studies;
Spinal Fusion/*methods;
Spinal Stenosis/surgery;
Spondylolisthesis/surgery;
Time and Motion Studies;
Treatment Outcome
- From:Clinics in Orthopedic Surgery
2009;1(4):214-221
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: We retrospectively evaluated the clinical and radiological outcomes of posterior lumbar interbody fusion (PLIF) with using a unilateral single cage and a local morselized bone graft. METHODS: Fifty three patients who underwent PLIF with a unilateral single cage filled with local morselized bone graft were enrolled in this study. The average follow-up duration was 31.1 months. The clinical outcomes were evaluated with using the visual analogue scale (VAS) at the pre-operative period, at 1 year post-operation and at the last follow-up, the Oswestry Disability Index, the Prolo scale and the Kim & Kim criteria at the last follow-up; the radiological outcomes were evaluated according to the change of bone bridging, the radiolucency, the instablity and the disc height. RESULTS: For the clinical evaluation, the VAS pain index, the Oswestry Disability Index, the Prolo scale and the Kim & Kim criteria showed excellent outcomes. For the the radiological evaluation, 52 cases showed complete bone union at the last follow-up. Regarding the complications, only 1 patient had cage breakage during follow-up. CONCLUSIONS: PLIF using a unilateral single cage filled with a local morselized bone graft has the advantages of a shorter operation time, less blood loss and a shorter hospital stay, as compared with the PLIF using bilateral cages, for treating degenerative lumbar spine disease. This technique also provides excellent outcomes according to the clinical and radiological evaluation.
