Multilevel Unilateral Pedicular Screw Fixation with Interbody Fusion in Surgery of Double- and Triple-Segment Lumbar Disc Pathology

Background Data: In double- and triple-segment lumbar disc herniation, a facet hypertrophy is more encountered specially in the same side of disc herniation with subsequent ipsilateral concave curve scoliosis. Lumbar fixation with interbody fusion surgery is a scientific and feasible option. Some au...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ahmed Hamad, MD., Ahmed M. El Sayed, M.D, Omar Elfarouk Ahmed, MD.
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2019
Materias:	lumbar spondylosis transforaminal lumbar interbody fusion tlif unilateral fixation Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/715f3b36145e4474a29ff208da8ca974
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:715f3b36145e4474a29ff208da8ca974
record_format	dspace
spelling	oai:doaj.org-article:715f3b36145e4474a29ff208da8ca9742021-12-02T08:43:46ZMultilevel Unilateral Pedicular Screw Fixation with Interbody Fusion in Surgery of Double- and Triple-Segment Lumbar Disc Pathology10.21608/esj.2020.11774.10962314-89502314-8969https://doaj.org/article/715f3b36145e4474a29ff208da8ca9742019-10-01T00:00:00Zhttps://www.esj.journals.ekb.eg/article_80120_868a585fddd8fbbdffb859861c30e760.pdfhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: In double- and triple-segment lumbar disc herniation, a facet hypertrophy is more encountered specially in the same side of disc herniation with subsequent ipsilateral concave curve scoliosis. Lumbar fixation with interbody fusion surgery is a scientific and feasible option. Some authors believe that unilateral pedicle screw fixation can provide similar biomechanical support to the traditional bilateral pedicle screw fixation. Purpose: To assess the strategy of use of unilateral pedicle screw fixation with lumbar interbody fusion in surgical treatment of multilevel (2-3) symptomatic lumbar disc herniation syndromes. Study Design: Retrospective observational analytic study. Patients and Methods: Retrospective evaluation of 216 patients' files who underwent unilateral pedicular screws fixation for management of degenerative lumbar disc pathology, from July 2007 to June 2017. Only 24 patient’s files were selected with multilevel symptomatic lumbar disc prolapse who were managed by unilateral pedicular screw fixation with interbody fusion. All patients were presented with symptoms of nerve root compression. Patients' data included age, gender, levels of disc prolapse, preoperative and postoperative Visual Analogue Scale (VAS) for back and leg and Oswestry Disability Index (ODI) for functional outcome, presence of complications, and finally patients’ satisfaction according to Odom’s criteria. VAS and ODI were retrieved preoperatively, immediately postoperatively, and 6 months postoperatively. Results: They were 18 males (75%) and 6 females (25%) with a male-to-female ratio of 3:1 and age ranging 35–63 years with a mean age of 49±9.8 years. Double-level disc prolapse was recorded in 20 (83.3%) patients, while it was triple in 4 cases (16.7%). At the last follow-up, back pain VAS improved from 7.5±1.47 to 1.12±1.03, leg pain VAS from 8.7±1.04 to 0.33±0.63, and ODI from 78±8.3 to 11.08±4.6. Excellent and good Odom’s outcomes were reported in 95% of our patients. Conclusion: Our study suggests that unilateral pedicular screw fixation with interbody fusion for the management of multiple level ipsilateral lumbar disc disease could be considered as an effective and less invasive method with satisfying clinical outcomes. (2019ESJ191) Ahmed Hamad, MD.Ahmed M. El Sayed, M.DOmar Elfarouk Ahmed, MD.Egyptian Spine Associationarticlelumbar spondylosistransforaminal lumbar interbody fusiontlifunilateral fixationNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 32, Iss 1, Pp 45-53 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	lumbar spondylosis transforaminal lumbar interbody fusion tlif unilateral fixation Neurology. Diseases of the nervous system RC346-429
spellingShingle	lumbar spondylosis transforaminal lumbar interbody fusion tlif unilateral fixation Neurology. Diseases of the nervous system RC346-429 Ahmed Hamad, MD. Ahmed M. El Sayed, M.D Omar Elfarouk Ahmed, MD. Multilevel Unilateral Pedicular Screw Fixation with Interbody Fusion in Surgery of Double- and Triple-Segment Lumbar Disc Pathology
description	Background Data: In double- and triple-segment lumbar disc herniation, a facet hypertrophy is more encountered specially in the same side of disc herniation with subsequent ipsilateral concave curve scoliosis. Lumbar fixation with interbody fusion surgery is a scientific and feasible option. Some authors believe that unilateral pedicle screw fixation can provide similar biomechanical support to the traditional bilateral pedicle screw fixation. Purpose: To assess the strategy of use of unilateral pedicle screw fixation with lumbar interbody fusion in surgical treatment of multilevel (2-3) symptomatic lumbar disc herniation syndromes. Study Design: Retrospective observational analytic study. Patients and Methods: Retrospective evaluation of 216 patients' files who underwent unilateral pedicular screws fixation for management of degenerative lumbar disc pathology, from July 2007 to June 2017. Only 24 patient’s files were selected with multilevel symptomatic lumbar disc prolapse who were managed by unilateral pedicular screw fixation with interbody fusion. All patients were presented with symptoms of nerve root compression. Patients' data included age, gender, levels of disc prolapse, preoperative and postoperative Visual Analogue Scale (VAS) for back and leg and Oswestry Disability Index (ODI) for functional outcome, presence of complications, and finally patients’ satisfaction according to Odom’s criteria. VAS and ODI were retrieved preoperatively, immediately postoperatively, and 6 months postoperatively. Results: They were 18 males (75%) and 6 females (25%) with a male-to-female ratio of 3:1 and age ranging 35–63 years with a mean age of 49±9.8 years. Double-level disc prolapse was recorded in 20 (83.3%) patients, while it was triple in 4 cases (16.7%). At the last follow-up, back pain VAS improved from 7.5±1.47 to 1.12±1.03, leg pain VAS from 8.7±1.04 to 0.33±0.63, and ODI from 78±8.3 to 11.08±4.6. Excellent and good Odom’s outcomes were reported in 95% of our patients. Conclusion: Our study suggests that unilateral pedicular screw fixation with interbody fusion for the management of multiple level ipsilateral lumbar disc disease could be considered as an effective and less invasive method with satisfying clinical outcomes. (2019ESJ191)
format	article
author	Ahmed Hamad, MD. Ahmed M. El Sayed, M.D Omar Elfarouk Ahmed, MD.
author_facet	Ahmed Hamad, MD. Ahmed M. El Sayed, M.D Omar Elfarouk Ahmed, MD.
author_sort	Ahmed Hamad, MD.
title	Multilevel Unilateral Pedicular Screw Fixation with Interbody Fusion in Surgery of Double- and Triple-Segment Lumbar Disc Pathology
title_short	Multilevel Unilateral Pedicular Screw Fixation with Interbody Fusion in Surgery of Double- and Triple-Segment Lumbar Disc Pathology
title_full	Multilevel Unilateral Pedicular Screw Fixation with Interbody Fusion in Surgery of Double- and Triple-Segment Lumbar Disc Pathology
title_fullStr	Multilevel Unilateral Pedicular Screw Fixation with Interbody Fusion in Surgery of Double- and Triple-Segment Lumbar Disc Pathology
title_full_unstemmed	Multilevel Unilateral Pedicular Screw Fixation with Interbody Fusion in Surgery of Double- and Triple-Segment Lumbar Disc Pathology
title_sort	multilevel unilateral pedicular screw fixation with interbody fusion in surgery of double- and triple-segment lumbar disc pathology
publisher	Egyptian Spine Association
publishDate	2019
url	https://doaj.org/article/715f3b36145e4474a29ff208da8ca974
work_keys_str_mv	AT ahmedhamadmd multilevelunilateralpedicularscrewfixationwithinterbodyfusioninsurgeryofdoubleandtriplesegmentlumbardiscpathology AT ahmedmelsayedmd multilevelunilateralpedicularscrewfixationwithinterbodyfusioninsurgeryofdoubleandtriplesegmentlumbardiscpathology AT omarelfaroukahmedmd multilevelunilateralpedicularscrewfixationwithinterbodyfusioninsurgeryofdoubleandtriplesegmentlumbardiscpathology
_version_	1718398421867429888

Multilevel Unilateral Pedicular Screw Fixation with Interbody Fusion in Surgery of Double- and Triple-Segment Lumbar Disc Pathology

Ejemplares similares