TY - JOUR
T1 - Anterior Lumbar Interbody Fusion for Treatment of Failed Back Surgery Syndrome
T2 - An Outcome Analysis
AU - Duggal, Neil
AU - Mendiondo, Ignacio
AU - Pares, Heraldo R.
AU - Jhawar, Balraj S.
AU - Das, Kaushik
AU - Kenny, Kathy J.
AU - Dickman, Curtis A.
AU - Angevine, Peter D.
AU - McCormick, Paul C.
AU - Kurpad, Shekar N.
AU - Mueller, Wade
AU - Benzel, Edward C.
AU - Wang, Michael Y.
AU - Haid, Regis W.
AU - Traynelis, Vincent C.
PY - 2004/3
Y1 - 2004/3
N2 - 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.
AB - 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.
KW - Anterior lumbar interbody fusion
KW - Failed back surgery syndrome
KW - Functional outcome
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U2 - 10.1227/01.NEU.0000108423.87889.9E
DO - 10.1227/01.NEU.0000108423.87889.9E
M3 - Article
C2 - 15028138
AN - SCOPUS:10744230096
SN - 0148-396X
VL - 54
SP - 636
EP - 644
JO - Neurosurgery
JF - Neurosurgery
IS - 3
ER -