Anterior Lumbar Interbody Fusion for Treatment of Failed Back Surgery Syndrome: An Outcome Analysis

Neil Duggal, Ignacio Mendiondo, Heraldo R. Pares, Balraj S. Jhawar, Kaushik Das, Kathy J. Kenny, Curtis A. Dickman, Peter D. Angevine, Paul C. McCormick, Shekar N. Kurpad, Wade Mueller, Edward C. Benzel, Michael Y. Wang, Regis W. Haid, Vincent C. Traynelis

Research output: Contribution to journalArticle

47 Scopus citations

Abstract

OBJECTIVE: Anterior lumbar interbody fusion (ALIF) has gained popularity for the treatment of degenerative disease of the lumbar spine. In this report, we present our experience with the ALIF procedure for treatment of failed back surgery syndrome (FBSS) in a noncontrolled prospective cohort. METHODS: In a 2-year period, we treated patients diagnosed with FBSS with ALIF. Clinical and radiological outcomes were recorded in a prospective, nonrandomized, longitudinal manner. Neurological, pain, and functional outcomes were measured preoperatively and 12 months after surgery. Operative data, perioperative complications, and radiological and clinical outcomes were recorded. RESULTS: Thirty-three patients with a preoperative diagnosis of FBSS, with degenerative disc disease (n = 17), postsurgical spondylolisthesis (n = 13), or pseudarthrosis (n = 3), underwent ALIF. Back pain, leg pain, and functional status improved significantly, by 76% (P < 0.01), 80% (P < 0.01), and 67% (P < 0.01), respectively. CONCLUSION: On the basis of our results, we found ALIF to be a safe and effective procedure for the treatment of FBSS for selected patients.

Original languageEnglish (US)
Pages (from-to)636-644
Number of pages9
JournalNeurosurgery
Volume54
Issue number3
DOIs
StatePublished - Mar 2004

Keywords

  • Anterior lumbar interbody fusion
  • Failed back surgery syndrome
  • Functional outcome

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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    Duggal, N., Mendiondo, I., Pares, H. R., Jhawar, B. S., Das, K., Kenny, K. J., Dickman, C. A., Angevine, P. D., McCormick, P. C., Kurpad, S. N., Mueller, W., Benzel, E. C., Wang, M. Y., Haid, R. W., & Traynelis, V. C. (2004). Anterior Lumbar Interbody Fusion for Treatment of Failed Back Surgery Syndrome: An Outcome Analysis. Neurosurgery, 54(3), 636-644. https://doi.org/10.1227/01.NEU.0000108423.87889.9E