The efficacy and safety of the surgical treatment of recurrent lumbar disc herniation with anterior lumbar interbody fusion

doi:10.13418/j.issn.1001-165x.2020.05.022

Chinese Journal of Clinical Anatomy ›› 2020, Vol. 38 ›› Issue (5) : 600-604. DOI: 10.13418/j.issn.1001-165x.2020.05.022

YAN Hui-bo, JIN Da-di, LI Qing-chu, QIU Yi-yan, WU Yi, YANG Chang-sheng

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Abstract

Objective　To observe the clinical effect and safety of anterior lumbar interbody fusion in the surgical treatment of recurrent lumbar disc herniation.　Methods　12 patients of recurrent lumbar disc herniation treated with anterior lumbar interbody fusion were included and analyzed retrospectively. VAS (visual analogue scale), ODI (Oswestry disability index), height of disc space and foramina, the cobb angle of the operated level in the sagittal plane, lumbar lordosis (LL), the status of interbody fusion and the related complications were recorded.　Results　Osphyalgia and skelagia with VAS score and ODI of 3 months after the operation and the final follow-up had improved. The anterior height of postoperative intervertebral space increased significantly by 3.6 mm (P<0.05). The height of foramina, the Cobb angle of the postoperative intervertebral space and LL also had improved. The posterior lumber intervertebral fusion were good in all patients. Fusion cage subsidence occurred in 2 patients.　Conclusions　Surgical treatment for recurrent lumbar disc herniation with anterior lumbar interbody fusion was effective and safe, which had the advantages of minimal trauma, less blood loss during the operation and less complications in perioperative period.

Key words

Anterior lumbar interbody fusion / 　Lumbar disc herniation / 　Efficacy / 　Safety

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YAN Hui-bo, JIN Da-di, LI Qing-chu, QIU Yi-yan, WU Yi, YANG Chang-sheng. The efficacy and safety of the surgical treatment of recurrent lumbar disc herniation with anterior lumbar interbody fusion[J]. Chinese Journal of Clinical Anatomy. 2020, 38(5): 600-604 https://doi.org/10.13418/j.issn.1001-165x.2020.05.022

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