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Medical Journal of Islamic Republic of Iran، جلد ۲۸، شماره ۱، صفحات ۸۲۳-۸۲۸
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عنوان انگلیسی Instrumented transforaminal lumbar interbody fusion in surgical treatment of recurrent disc herniation
چکیده انگلیسی مقاله Background :The incidence of recurrence in patients undergoing primary discectomy due to lumbar disc herniation (LDH), is regularly reported as 5-15%. In this study we aimed to evaluate surgical outcome of instrumented transforaminal lumbar interbody fusion (TLIF) in the patients suffering from recurrent LDH. Methods : We retrospectively studied 51 patients (30 female, 21 male) from August 2007 to October 2011. The mean age and follow-up of the patients was 46.4±14.8 (ranged 29-77 years old) and 31.4±6.8 (ranged 25-50 months), respectively. Clinical improvement was assessed by Oswestry Disability Index (ODI), visual analogue scale (VAS), and subjective satisfaction rate, while fusion was appraised radiologically. Data analysis was by one sample Kolmogorov-Smirnov, paired t, and Mann-Whitney tests. Results : Surgery could significantly improve mean leg and lumbar VAS and ODI from preoperative 7.4±2.5, 7.8±3.1, and 72.1±21.5 to postoperative 3.4±3.6, 3.5±2.6, and 27.5±18.0, respectively at the last follow-up visit. Subjective satisfaction rate was excellent in 24 patients (47.1%), good in 14 (27.5%), fair 11 (21.6%), and poor in two (3.9%). We had one patient with iatrogenic partial L5 nerve root injury and one with unknown late onset refractory postoperative back pain. Fusion rate was 100% and instrument failure was nil. Conclusion : In surgical treatment of the patients with recurrent LDH, bilaterally instrumented TLIF is a relatively safe and effective procedure and can be associated with least instrument failure and highest fusion rate while no postoperative bracing is also needed.
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نویسندگان مقاله فرزاد امیدی کاشانی | farzad omidi kashani
orthopedic department, orthopedic research center, imam reza hospital, mashhad university of medical sciences, mashhad, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)
سازمان های دیگر: Orthopedic Department, Orthopedic Research Center | Imam Reza Hospital,

ابراهیم قیم حسنخانی | ebrahim ghayem hasankhani
orthopedic department, orthopedic research center, imam reza hospital, mashhad university of medical sciences, mashhad, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)
سازمان های دیگر: Orthopedic Department, Orthopedic Research Center | Imam Reza Hospital,

حمیدرضا نوروزی | hamid reza noroozi
orthopedic department, orthopedic research center, imam reza hospital, mashhad university of medical sciences, mashhad, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی مشهد (Mashhad university of medical sciences)
سازمان های دیگر: Orthopedic Department, Orthopedic Research Center | Imam Reza Hospital,

نشانی اینترنتی http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1569-6&slc_lang=en&sid=en
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