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342786

Standalone Interbody Fusion Using PLIF for Treatment of Lumbar Disc Herniation with Collapsed Disc Height

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Last updated: 01 Jan 2025

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Abstract

Abstract Background: Chronic low back pain (LBP) and radicular pain due to lumbar disc prolapse affect a large number of peo-ple. Interbody fusion represents a valid surgical treatment in degenerative lumbar spine diseases, achieving satisfying results in the majority of patients. PLIF stabilizes the painful motion segment and may provide indirect decompression of the neural elements, and restore lordosis and disc height. Aim of Study: To assess the clinical and radiological out-come of patients with lumber disc prolapse with collapsed disc height operated by discectomy and Standalone PLIF fusion to restore disc height. Patients and Methods: This is a prospective study that had been occurred between October 2022 until October 2023 on 57 patients with single-level lumbar disc prolapse indicated for surgery in the Neurosurgery department at Fayoum University Hospital and Neurosurgery Department at Beni-Suef Universi-ty Hospital. Results: There was a statistically significant change in the disc height which increased from a mean preoperative height of 7 .68±1.13mm to a mean postoperative height of 10.40±1.43 mm, with a mean difference of 2.73mm (95% CI: 2.55 to 2.90), p-value <0.001. There was a statistically significant change in LBP and radicular pain. Post-hoc analysis using the Bonferroni meth-od showed that the mean LBP score on VAS score, 3 months post-operative was 1.86±1.04; which was a lower score com-pared with the mean preoperative LBP score of 4.44±1.88. Conclusion: We concluded that the PLIF technique with-out screws fixation is a valid modality of treatment of discog-enic low back pain associated with radicular lower limb pain. Restoration of disc height improves radicular pain by foramen decompression and fusion improves Low back pain.

DOI

10.21608/mjcu.2024.342786

Keywords

Disc prolapse — Lumber — PLIF — Disc height

Authors

First Name

MAHMOUD A. GOMAA, MD.*; HANY MOHAILABA, M.D.**

Last Name

MOSTAFA M.A. ABDELLATIF, MD.*

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Affiliation

The Department of Neurosurgery, Faculty of Medicine, Fayoum* and Beni-Suer* Universities

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Volume

91

Article Issue

12

Related Issue

46126

Issue Date

2023-12-01

Receive Date

2024-02-23

Publish Date

2024-12-01

Page Start

1,647

Page End

1,653

Print ISSN

0045-3803

Online ISSN

2536-9806

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https://mjcu.journals.ekb.eg/article_342786.html

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https://mjcu.journals.ekb.eg/service?article_code=342786

Order

342,786

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Original Article

Type Code

263

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

MainTitle

Standalone Interbody Fusion Using PLIF for Treatment of Lumbar Disc Herniation with Collapsed Disc Height

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Article

Created At

30 Dec 2024