Document Detail


Reoperation rate after instrumented posterior lumbar interbody fusion: a report on 1680 cases.
MedLine Citation:
PMID:  15543064     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Retrospective study on the incidence of reoperation in patients previously treated by instrumented posterior lumbar interbody fusion. OBJECTIVES: To answer the following questions: Reoperation rate after PLIF? And is there any influence of the length of fusion on the reoperation rate? SUMMARY OF BACKGROUND DATA: The use of different techniques demonstrates that there is currently no ideal procedure for lumbar fusion. The instrumented posterior lumbar interbody fusion (PLIF) shows a comparable success rate to the so-called 360 degrees fusion techniques (combined dorsoventral spondylodesis) without the need of an anterior approach. METHODS: We reviewed 1680 patients who underwent a PLIF at our institution between January 1995 and December 2000. A total of 3053 levels were fused. The reoperation rate was analyzed. The mean follow-up was 5 years. RESULTS: There were 221 (13.2%) reoperations in 206 patients (12.2%). Of 1680 PLIFs, 312 were multisegmental (>2 segments). Within this group, 45 (14.4%) revisions were done. We found that the most important difference between the multisegmental PLIFs and the mono- or bisegmental PLIFs is the rate of adjacent segment decompensation (5.1% vs. 2.3%), and this was statistically significant. The reoperation rate between those two groups was only slightly different with 12.9% for mono- or bisegmental and 14.4% for multisegmental PLIFs. CONCLUSIONS: The fusion length does not show a significant difference in the reoperation rate as such. Nevertheless, we registered a significantly higher incidence for decompensation of adjacent segments after multisegmental PLIFs.
Authors:
Ralph Greiner-Perth; Heinrich Boehm; Yasser Allam; Hesham Elsaghir; Joerg Franke
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Spine     Volume:  29     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-11-15     Completed Date:  2006-01-17     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2516-20     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, Spinal Surgery and Paraplegiology, Zentralklinik Bad Berka, Bad Berka, Germany. r.greiner.ort@zentralklinik-bad-berka.de
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MeSH Terms
Descriptor/Qualifier:
Female
Humans
Lumbar Vertebrae / radiography,  surgery*
Male
Middle Aged
Reoperation*
Retrospective Studies
Spinal Diseases / epidemiology*,  radiography,  surgery*
Spinal Fusion*

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