INTRODUCTION: Discectomy for lumbar disc herniation has a high rate of reoperation and recurrent herniation. METHODS: Retrospectively matched cohort of patients undergoing lumbar discectomy alone or with a strutted intradiscal spacer. RESULTS: 133 discectomy and 112 patients with discectomy plus spacer were included. Pain and disability scores were significantly lower for both groups at 2 years. Patients receiving a strutted intradiscal spacer following discectomy had a reduced rate of all-cause reoperations and operations for recurrent herniations compared to discectomy alone. CONCLUSION: Use of a strutted intradiscal spacer following discectomy improves surgical outcomes following surgery for lumbar herniation versus discectomy alone.
INTRODUCTION: Discectomy for lumbar disc herniation has a high rate of reoperation and recurrent herniation. METHODS: Retrospectively matched cohort of patients undergoing lumbar discectomy alone or with a strutted intradiscal spacer. RESULTS: 133 discectomy and 112 patients with discectomy plus spacer were included. Pain and disability scores were significantly lower for both groups at 2 years. Patients receiving a strutted intradiscal spacer following discectomy had a reduced rate of all-cause reoperations and operations for recurrent herniations compared to discectomy alone. CONCLUSION: Use of a strutted intradiscal spacer following discectomy improves surgical outcomes following surgery for lumbar herniation versus discectomy alone.
Authors: Ralph Rahme; Ronald Moussa; Rabih Bou-Nassif; Joseph Maarrawi; Tony Rizk; Georges Nohra; Elie Samaha; Nabil Okais Journal: J Neurosurg Spine Date: 2010-11
Authors: Richard Bostelmann; Hans-Jakob Steiger; Jan Frederick Cornelius Journal: J Neurol Surg A Cent Eur Neurosurg Date: 2016-04-28 Impact factor: 1.268
Authors: Christian C Apfel; Ozlem S Cakmakkaya; William Martin; Charlotte Richmond; Alex Macario; Elizabeth George; Maximilian Schaefer; Joseph V Pergolizzi Journal: BMC Musculoskelet Disord Date: 2010-07-08 Impact factor: 2.362