Effect of early neurodynamic mobilization on the recurrence of sciatica after the minimally invasive surgery-transforaminal lumbar interbody fusion

VernacularTitle:早期神经松动术对微创椎间植骨融合术后根性疼痛复现的影响
Author: Xiaoyang CAI ; Haisheng Lü ; Youzhuan XIE
Keywords: neurodynamic mobilization; lumbar; minimally invasive surgery-transforaminal lumbar interbody fusion; recurrence of sciatica
From: Journal of Shanghai Jiaotong University(Medical Science) 2017;37(4):510-513
CountryChina
Language:Chinese
Abstract: Objective·To investigate the effect of early neurodynamic mobilization on the recurrence of sciatica after the minimally invasive surgery-transforaminal lumbar interbody fusion (MIS-TLIF). Methods·Fifty-four patients who underwent MIS-TLIF were divided into treatment group (n=28) and control group (n=26). The control group received conventional rehabilitation treatment, while the treatment group received neurodynamic mobilization every day after the first post-operative day. The score of visual analogue scale (VAS) and Japanese Orthopaedic Association (JOA) score were evaluated before and after the treatment. Results·There was no significant difference in the score of VAS or JOA between two groups before the treatment or three months after surgery (P>0.05). The score of VAS was significantly lower (P<0.05), and the JOA score was significantly higher (P<0.05) in the treatment group than in the control group four days after surgery. Conclusion·The early neurodynamic mobilization is effective to decrease the recurrence rate of sciatica in patients underwent MIS-TLIF.