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Clinical outcomes and considerations of the lumbar interbody fusion technique for lumbar disk disease in adolescents

Authors
 Dae-Woong Kwon  ;  Kyung-Hyun Kim  ;  Jeong-Yoon Park  ;  Dong-Kyu Chin  ;  Keun-Su Kim  ;  Young-Eun Cho  ;  Sung-Uk Kuh 
Citation
 CHILDS NERVOUS SYSTEM, Vol.29(8) : 1339-1344, 2013 
Journal Title
CHILDS NERVOUS SYSTEM
ISSN
 0256-7040 
Issue Date
2013
MeSH
Adolescent ; Child ; Decompression, Surgical/methods* ; Female ; Humans ; Intervertebral Disc Degeneration/pathology ; Intervertebral Disc Degeneration/surgery* ; Intervertebral Disc Displacement/pathology ; Intervertebral Disc Displacement/surgery* ; Lumbar Vertebrae/diagnostic imaging ; Lumbar Vertebrae/surgery ; Magnetic Resonance Imaging ; Male ; Pain Measurement ; Postoperative Complications ; Retrospective Studies ; Spinal Fusion/methods* ; Tomography, X-Ray Computed ; Treatment Outcome ; Young Adult
Keywords
Adolescent ; Lumbar disk herniation ; Isthmic spondylolisthesis ; Posterior lumbar interbody fusion ; Transforaminal lumbar interbody fusion ; Bony spur
Abstract
PURPOSE:
The posterior lumbar interbody fusion (PLIF) and transforaminal lumbar interbody fusion (TLIF) techniques are commonly used surgical methods for wide indications such as degeneration or trauma. Although they are rarely required for lumbar disk disease in younger patients, there are a few children and adolescents who are indicated for PLIF or TLIF for other reasons, such as congenital severe stenosis with or without lumbar instability that requires wide decompression or severe bony spur that need to be removed. In such cases, different pathophysiology and outcomes are expected compared with adult patients.
METHODS:
We retrospectively reviewed data of 23 patients who underwent PLIF or TLIF surgery when less than 20 years old. Clinical and radiographic outcomes were assessed during a mean of 36.4 months follow-up period. The indications of lumbar interbody fusion, success of fusion, complications, and visual analog scale (VAS) were analyzed.
RESULTS:
Radiographs of all patients taken 6 months after the surgery showed fusion. Clinical outcome was also satisfactory, with improvement of VAS score from 7.7 preoperatively to 2.3 at 6 months after surgery. Only one patient had reoperation due to adjacent segment disease.
CONCLUSIONS:
For adolescent patients with severe bony spur, massive central disk rupture, or severe spondylolisthesis, lumbar interbody fusion surgery has good surgical outcome with few complications.
Full Text
http://link.springer.com/article/10.1007%2Fs00381-013-2088-6
DOI
10.1007/s00381-013-2088-6
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kuh, Sung Uk(구성욱) ORCID logo https://orcid.org/0000-0003-2566-3209
Kim, Kyung Hyun(김경현)
Kim, Keun Su(김근수) ORCID logo https://orcid.org/0000-0002-3384-5638
Park, Jeong Yoon(박정윤) ORCID logo https://orcid.org/0000-0002-3728-7784
Cho, Yong Eun(조용은) ORCID logo https://orcid.org/0000-0001-9815-2720
Chin, Dong Kyu(진동규) ORCID logo https://orcid.org/0000-0002-9835-9294
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/87207
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