Surgical treatment for lumbar discogenic low back pain.
- Author:
Xi-yang WANG
1
;
Zhao-hui HU
;
Jian-zhong HU
;
Kang-hua LI
;
Hong-qi ZHANG
Author Information
1. Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha 410008, China. wqlwqwxy@163.com
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Female;
Humans;
Intervertebral Disc;
surgery;
Intervertebral Disc Displacement;
complications;
surgery;
Low Back Pain;
etiology;
surgery;
Lumbar Vertebrae;
surgery;
Male;
Middle Aged;
Spinal Fusion;
methods;
Treatment Outcome
- From:
Journal of Central South University(Medical Sciences)
2006;31(4):607-612
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the curative effect of surgical treatment for lumbar discogenic low back pain.
METHODS:Forty-two patients with lumbar discogenic low back pain were treated with disc excision and lumbar interbody fusion: 12 of them were treated with posterior lumbar interbody fusion (PLIF), 30 with afront lumbar interbody fusion (ALIF). The clinical results were evaluated by pre- and post-operative visual analogue scale (VAS), and the fusion rates of the lumbosacral spine were evaluated by X-ray.
RESULTS:The average follow-up period was 18 months, ranging from 6 to 36 months. Low back pain basically disappeared in 11 patients treated with PLIF, with mild back pain in one patient; VAS after the operation decreased significantly in comparison with that preoperatively (P<0.01). Low back pain basically disappeared in 28 patients treated with ALIF; VAS after the operation decreased significantly in comparison with that preoperatively (P<0.01). The fusion rate was 90% in patients treated with PLIF, and 93% in patients with ALIF.
CONCLUSION:Disc excision and interbody fusion is effective in the treatment of lumbar discogenic low back pain, but the operation indications should be paid attention to.
