Minimally Invasive Transforaminal Lumbar Interbody Fusion for the Surgical Management of Post-Discectomy Syndrome
- Author:
Ahmed Bahaa Al Din ALSHAZLI
1
;
Ashraf Yassin AMER
;
Ahmed Maher SULTAN
;
Ahmed Samir BARAKAT
;
Wael KOPTAN
;
Yasser ELMILIGUI
;
Hesham SHAKER
Author Information
- Publication Type:Clinical Study
- From:Asian Spine Journal 2020;14(2):148-156
- CountryRepublic of Korea
- Language:0
-
Abstract:
Methods:Patients were functionally assessed using the Visual Analog Scale (VAS) for low back pain (LBP) and leg pain (LP) and Oswestry Disability Index (ODI). Radiological fusion was confirmed with plain X-rays and when indicated with computed tomography scan at 12 months postoperatively. A total of 30 patients with 37 operated at lumbar levels with failed discectomy surgery who met our inclusion criteria were treated with MIS-TLIF.
Results:The ODI of all patients showed significant improvement from a mean of 73.78% preoperatively to 16.67% at 1 month and 14.13% at 12 months postoperatively. The preoperative LBP VAS score (mean, 4.37) showed a significant decrease (p <0.001) to 1.90 at 1 month and 1.10 at 12 months. Preoperative LP VAS score of limb pain averaged 7.53 and showed a significant (p <0.001) decrease to 3.47 at 1 month and 1.10 at 12 months. All patients attained radiological fusion at 12 months.
Conclusions:MIS-TILF constitutes a valid and effective treatment option for patients with post-discectomy syndrome.
