| Does the Fusion of a Lumbar Disc Herniation Improve the Clinical Outcome? An Investigation With a Minimum10-year Follow-up. | |
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MedLine Citation:
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PMID: 22820279 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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STUDY DESIGN:: A retrospective long-term (minimum 10-year) follow-up and comparative study. OBJECTIVE:: To compare the clinical outcome of surgically treated primary lumbar disc herniation by conventional discectomy alone and discectomy with posterolateral fusion without instrumentation. SUMMARY OF BACKGROUND DATA:: Primary lumbar disc herniation is usually treated by discectomy alone. The long-term outcome of discectomy alone is generally satisfactory. However, the superiority of a discectomy alone in comparison to a discectomy with fusion for primary lumbar disc herniation has yet to be determined. METHODS:: Conventional discectomy without fusion was performed in 39 patients in hospital A (without-fusion group) and conventional discectomy with postero-lateral fusion without instrumentation was performed in 109 patients in hospital B (with-fusion group). The subjective symptoms (analgesic use, continuing gait time, 4-grade modified outcome criteria, numerical rating scale of pain and satisfaction with the operation and the Japanese version of the Roland-Morris Disability Questionnaire) and objective symptoms (SLR-T, manual muscle test and sensory disturbance) were assessed. RESULTS:: There were no differences detected in the subjective and objective symptoms between the without-fusion and with-fusion group. CONCLUSION:: Routine fusion surgery for a primary lumbar disc herniation was therefore found to have no apparent benefit even in the long-term outcome. |
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Authors:
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Koji Otani; Shinichi Kikuchi; Katsuhiko Sato; Md Shoji Yabuki; Md Kazuya Yamauchi; Md Yoshiaki Takeyachi; Md Shinichi Konno |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-7-19 |
Journal Detail:
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Title: Journal of spinal disorders & techniques Volume: - ISSN: 1539-2465 ISO Abbreviation: - Publication Date: 2012 Jul |
Date Detail:
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Created Date: 2012-7-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101140323 Medline TA: J Spinal Disord Tech Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Dept. of Orthopedics Surgery, Fukushima Medical University School of Medicine, Fukushima City, JAPAN. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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