Posterior pedicle screw fixation and interbody fusion in the treatment of recurrent lumbar disc herniation:an evaluation of vertebral stability
10.3969/j.issn.2095-4344.2014.04.011
- VernacularTitle:后路钉棒内固定椎间融合治疗复发性腰椎间盘突出症：椎体稳定性评价
- Author:
Fengsong LIU
;
Kai WANG
;
Chengwei JING
;
Liang ZHANG
;
Bin LIU
;
Yalin YANG
- Publication Type:Journal Article
- Keywords:
lumbar vertebrae;
internal fixators;
bone nails;
joint instability
- From:
Chinese Journal of Tissue Engineering Research
2014;(4):553-558
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Discectomy is an important therapy for lumbar disc herniation, but a smal number of patients undergoing discectomy wil relapse.
OBJECTIVE:To investigate the spinal stability fol owing posterior pedicle screw fixation combined with interbody fusion cage for treatment of recurrent lumbar disc herniation.
METHODS:Twenty-six patients with recurrent lumbar disc herniation from January 2007 to December 2011 were enrol ed and subjected to posterior pedicle screw fixation combined with interbody fusion cage. Pain relief and lumbar stability were observed postoperatively. We analyzed the spinal stability in recurrent lumbar disc herniation patients after posterior pedicle screw fixation combined with interbody fusion cage depending on literature search.
RESULTS AND CONCLUSION:Al the 26 patients were fol owed up for 12-36 months. After treatment, al patients effectively al eviated the symptoms of low back pain, and lumbar interbody fusion was good, with a good rate of 96.2%. There was no pedicle screw loosening, broken, non-fusion phenomenon. Posterior decompression and interbody fusion cage combined with posterior pedicle screw fixation for recurrent lumbar disc herniation, characterized as fast symptom relief, strong fixation, exact interbody fusion exact, is an ideal treatment for recurrent lumbar disc herniation.
