Pedicle Screw and Rod Fixation with TLIF in a Series of 14 Patients with Recurrent Lumbar Disc Herniation | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 135, Volume 95, Issue 1, April 2024, Page 2177-2180 PDF (346.36 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2024.360958 | ||||
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| Abstract | ||||
| Background: Lower back and leg pain (LBP) is a leading cause of disability. Degenerative lumbar spine conditions pose significant treatment challenges. Transforaminal lumbar interbody fusion (TLIF) with pedicle screw and rod fixation has emerged as a promising surgical technique for recurrent lumbar disc herniation. Objective: To determine the therapeutic efficacy and clinical outcomes associated with TLIF utilizing pedicle screw and rod fixation in patients presenting with recurrent lumbar disc herniation. Patients and Methods: A retrospective cohort study was undertaken, encompassing a sample of 14 patients presenting with recurrent lumbar disc herniations, all of whom underwent a singular level of lumbar surgical intervention during the period from 2022 to 2023. Imaging assessments encompassed lumbar radiography, CT scans, and MRI for the comprehensive evaluation of the cases. For comparative analysis, a retrospective evaluation was conducted on 19 patients who underwent single-level lumbar fusion for analogous indications within the same period Results: All patients experienced significant improvements in mobility and life quality. The TLIF group exhibited superior clinical outcomes compared to the control group, with reduced perioperative blood loss and accelerated rehabilitation. The mean VAS declined from 6.8 ± 1.2 (range 6.0– 8.5) to 3.1 ±1.2 (range 2.6–6.5) (p < 0.001). In the control group, the mean VAS decreased from 7.2 ±1.2 (range 5.5–9) to 3.5 ±1.1 (range 3–6.8). Conclusion: TLIF alongside PS and RF demonstrates a reliable and effective method for treating patients with recurrent lumbar disc herniation. | ||||
| Keywords | ||||
| Lumbar disc herniation; Transforaminal lumbar interbody fusion; Erosive osteochondrosis; Clinical outcomes | ||||
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