Anterior lumbar interbody fusion for treatment of failed back surgery syndrome: an outcome analysis.

作者信息

Duggal Neil, Mendiondo Ignacio, Pares Heraldo R, Jhawar Balraj S, Das Kaushik, Kenny Kathy J, Dickman Curtis A

机构信息

Department of Clinical Neurological Sciences, University of Western Ontario, London, Ontario, Canada.

出版信息

Neurosurgery. 2004 Mar;54(3):636-43; discussion 643-4. doi: 10.1227/01.neu.0000108423.87889.9e.

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.