The diagnosis and treatment of lumbar internal disc disruption.
- Author:
Bao-gan PENG
1
;
Wen-wen WU
;
Shu-xun HOU
;
Xiao-ning WANG
;
Wei-lin SHANG
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Female; Follow-Up Studies; Humans; Internal Fixators; Intervertebral Disc; diagnostic imaging; Low Back Pain; etiology; Lumbar Vertebrae; diagnostic imaging; Magnetic Resonance Imaging; Male; Middle Aged; Spinal Diseases; complications; diagnosis; surgery; Spinal Fusion; instrumentation; methods; Tomography, X-Ray Computed; Treatment Outcome; Young Adult
- From: Chinese Journal of Surgery 2003;41(8):564-566
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo study the diagnosis and treatment of lumbar internal disc disruption (IDD).
METHODSThirty-six patients with chronic disabling low back pain proved by discography as IDD were treated with disc excision and lumbar interbody fusion, and 8 cases were treated with PLIF, 28 with ALIF. The clinical results were evaluated by pre- and post-operative VAS, and the fusion results were evaluated by X-ray studies of the lumbosacral spine.
RESULTSThe average period of follow-up was 18 months, ranging from 6 to 26 months. Six patients treated with PLIF basically disappeared low back pain, 2 complained of mild back pain; the VAS after operation was decreased significantly in comparison with that of pre-operation (P < 0.01). Twenty-seven treated with ALIF basically disappeared low back pain; the VAS after operation was decreased significantly in comparison with that of pre-operation (P < 0.01). Fusion rate was 88% in patients who were treated with PLIF, and 97% in patients with ALIF.
CONCLUSIONDisc excision and interbody fusion is an effective method for the treatment of IDD, but the operation indications should be known well.
