Channel-assisted fixation and interbody fusion in treating recurrent lumbar disc herniation by muscle-splitting approach.
10.12200/j.issn.1003-0034.2021.04.003
- Author:
Zhong-You ZENG
1
;
Jian-Qiao ZHANG
1
;
Ke-Ya MAO
1
;
Yong-Xing SONG
1
;
Shi-Yang FAN
1
;
Wei YU
1
;
Fei PEI
1
;
Hai-Feng WANG
1
Author Information
1. The Second Department of Orthopaedics, Hospital of Coast Guard General Corps of Armed Police Forces, Jiaxing 314000, Zhejiang, China.
- Publication Type:Journal Article
- Keywords:
Lumbar disc herniation;
Recurrent;
Spinal fusion
- MeSH:
Adult;
Female;
Humans;
Intervertebral Disc Degeneration;
Intervertebral Disc Displacement/surgery*;
Lumbar Vertebrae/surgery*;
Male;
Middle Aged;
Muscles;
Pedicle Screws;
Retrospective Studies;
Spinal Fusion;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2021;34(4):304-304
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the clinical value and safety of unilateral pedicle screw fixation combined with contralateral translaminar facet screw fixation and interbody fusion by muscle-splitting approach treatment of recurrent lumbar disc herniation.
METHODS:The clinical data of 51 patients with recurrent lumbar disc herniation treated from June 2012 to December 2017 were retrospectively analyzed. There were 32 males and 19 females, aged 34 to 64 years with an average of (51.11± 7.28) years. Lesions invoved L
RESULTS:There was no statistical difference in operation time between two groups (
CONCLUSION:Muscle-splitting approach is feasible for thetreatment of recurrent lumbar disc herniation with pedicle screw fixation combined with contralateral translaminar facet screw fixation and interbody fusion. Compared with the median incision approach, the muscle-splitting approach has the advantages of small incision, less trauma, less bleeding, rapid recovery. Also it can protect multifidus and do not increase the incidence of serious complications. Thus, it can be used as a choice for fixation and fusion of recurrent lumbar disc herniation.
