Posterior lumbar interbody fusion using a unilateral single cage in the degenerative lumbar spine
GU Yu-Tong, YAO Zhen-Jun, CHEN Tong-Yi, DONG Jian, JIANG Xiao-Xing, ZHANG Jian, FEI Qin-Ming, YAN Zuo-Qin
Chinese Journal of Clinical Anatomy ›› 2011, Vol. 29 ›› Issue (1) : 100-104.
Posterior lumbar interbody fusion using a unilateral single cage in the degenerative lumbar spine
Objective We retrospectively evaluated the clinical and radiological outcomes of posterior lumbar interbody fusion (PLIF) using a unilateral single cage and a local morselized bone graft. Methods Fifty five patients who underwent PLIF with a unilateral single cage filled with local morselized bone graft were enrolled in this study. The average follow-up duration was 39.2 months. The clinical outcomes were evaluated with the visual analogue scale (VAS) at the pre-operative period, at 1 year post-operation and at the final follow-up, the Oswestry Disability Index and the Prolo scale at the final follow-up; the radiological outcomes were evaluated according to the change of bone bridging, the radiolucency, the instability and the disc height. Results For the clinical evaluation, the VAS pain index, the Oswestry Disability Index and the Prolo scale showed excellent outcomes. For the radiological evaluation, 55 cases showed complete bone union at the final follow-up. Conclusion PLIF using a unilateral single cage filled with a local morselized bone graft for treating degenerative lumbar spine disease provides excellent outcomes according to the clinical and radiological evaluation.
Spinal fusion / Posterior lumbar interbody fusion / Unilateral single cage / Local morselized graft
[1] Chiang MF, Zhong ZC, Chen CS, et al. Biomechanical comparison of instrumented posterior lumbar interbody fusion with one or two Cages by finite element analysis
[J]. Spine, 2006,31(19):E682-689.
[2] Videbaek TS, Christensen FB, Soegaard R, et al. Circumferential fusion improves outcome in comparison with instrumented posterolateral fusion: long-term results of a randomized clinical trial
[J]. Spine, 2006,31(25): 2875-2880.
[3] Cole CD, McCall TD, Schmidt MH, et al. Dailey Comparison of low back fusion techniques: transforaminal lumbar interbody fusion (TLIF) or posterior lumbar interbody fusion (PLIF) approaches
[J]. Curr Rev Musculoskelet Med, 2009,2:118–126.
[4] Diedrich O, Luring C, Pennekamp PH, et al. Effect of posterior lumbar interbody fusion on the lumbar sagittal spinal profile
[J]. Z Orthop Ihre Grenzgeb, 2003,141(4):425-432.
[5] Cloward RB. The treatment of ruptured lumbar intervertebral discs by vertebral body fusion: I. indications, operative technique, after care
[J]. J Neurosurg, 1953,10(2):154-168.
[6] Carmouche JJ, Molinari RW. Epidural abscess and discitis complicating instrumented posterior lumbar interbody fusion: a case report
[J]. Spine, 2004,29(23): E542-546.
[7] Chen L, Tang T, Yang H. Complications associated with posterior lumbar interbody fusion using Bagby and Kuslich method for treatment of spondylolisthesis
[J]. Chin Med J (Engl), 2003,116(1):99-103.
[8] Fogel GR, Toohey JS, Neidre A, Brantigan JW. Outcomes of L1-L2 posterior lumbar interbody fusion with the Lumbar I/F cage and the variable screw placement system: re porting unexpected poor fusion results at L1-L2
[J]. Spine J, 2006,6(4):421-427.
[9] Miura Y, Imagama S, Yoda M, et al. Is local bone viable as a source of bone graft in posterior lumbar interbody fusion
[J]? Spine, 2003,28(20):2386-2389.
[10]Trèves R, Scotto C, Bertin P, et al. Do visual analog scale pain scores change during a rheumatologist visit
[J]. Joint Bone Spine, 2002,69(2):234-235.
[11]Fairbank JC, Pynsent PS. The Oswestry disability index
[J]. Spine, 2000,25 (21):2940-2953.
[12]郑广新, 赵晓欧, 刘广林, 等. Oswestry功能障碍指数评定腰痛患者的可信性
[J]. 中国脊柱脊髓杂志, 2002,12(1):13-15.
[13]Prolo DJ, Oklund SA, Butcher M. Toward uniformity in evaluating results of lumbar spine operations: a paradigm applied to posterior lumbar interbody fusions
[J]. Spine, 1986,11(6):601-606.
[14]Davis RA. A long-term outcome analysis of 984 surgically treated herniated lumbar discs
[J]. J Neurosurg, 1994,80(3):415-421.
[15]Choy WS, Kim WJ, Kim KH, et al. Th e results of the posterior lumbar interbody fusion using titanium mesh cage for spondylolisthesis
[J]. J Korean Soc Spine Surg, 1999,6(1):129-134.
[16]Chen L, Yang H, Tang T. Cage migration in spondylolisthesis treated with posterior lumbar interbody fusion using BAK cages
[J]. Spine, 2005,30(19):2171-2175.
[17]Zhao J, Hai Y, Ordway NR, et al. Posterior lumbar interbody fusion using posterolateral placement of a single cylindrical threaded cage
[J]. Spine, 2000,25(4):425-430.
[18]Fogel GR, Toohey JS, Neidre A, et al. Is one cage enough in posterior lumbar interbody fusion: a comparison of unilateral single cage interbody fusion to bilateral cages
[J]. J Spinal Disord Tech, 2007,20(1):60-65.
[19]Oxland TR, Lund T. Biomechanics of stand-alone cages and cages in combination with posterior fixation: a literature review
[J]. Eur Spine J, 2000,9(Suppl 1):S95-101.
[20]Kim DH, Jeong ST, Lee SS. Posterior lumbar interbody fusion using a unilateral single cage and a local morselized bone graft in the degenerative lumbar spine
[J]. Clin Orthop Surg, 2009,1(4):214-221.
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