Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Clinical Analysis of Anterior Lumbar Interbody Fusion for Failed Back Surgery Syndrome

Failed Back Surgery Syndrome에서 전방 요추체간 유합술의 치료성적분석

  • Kim, Young Soo (Department of Neurosurgery, Yonsei University College of Medicine) ;
  • Kuh, Sung Uk (Department of Neurosurgery, Yonsei University College of Medicine) ;
  • Cho, Young Eun (Department of Neurosurgery, Yonsei University College of Medicine) ;
  • Jin, Byung Ho (Department of Neurosurgery, Yonsei University College of Medicine) ;
  • Chin, Dong Kyu (Department of Neurosurgery, Yonsei University College of Medicine)
  • 김영수 (연세대학교 의과대학 부속 영동세브란스병원 신경외과학교실) ;
  • 구성욱 (연세대학교 의과대학 부속 영동세브란스병원 신경외과학교실) ;
  • 조용은 (연세대학교 의과대학 부속 영동세브란스병원 신경외과학교실) ;
  • 진병호 (연세대학교 의과대학 부속 영동세브란스병원 신경외과학교실) ;
  • 진동규 (연세대학교 의과대학 부속 영동세브란스병원 신경외과학교실)
  • Received : 2000.11.07
  • Accepted : 2001.05.17
  • Published : 2001.06.28
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Abstract

Objective : To evaluate the role of anterior lumbar interbody fusion in treatment of failed back surgery syndrome, the authors retrospectively analyzed the result of anterior lumbar interbody fusion performed in our institute. Methods : Fifteen FBSS patients due to variable causes have been treated with anterior lumbar interbody fusion in our institute from April 1994 to June 1999. We analyzed clinical changes in 15 patients who were followed up for an average of 23 months. Results : The etiologies of FBSS were post operative discitis(6 cases), post operative instability(3 cases), post operative adhesion(5 cases), and recurrence(1 case). These fifteen FBSS patients were treated with anterior lumbar interbody fusion. The overall treatment outcome was satisfactory(excellent and good) in 11 cases. Three patients were slightly improved, but post operative low back pain was remained. One patient who had underwent nerve root injury due to pedicle screw insertion showed no improvement. Conclusion : We conclude that the anterior lumbar interbody fusion for FBSS seems to be safe and favorable treatment in selective patients, because low incidence of nerve injury risk and post-operative infection.

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