|
|
第57卷 第2期 2024-3
Necrotizing fasciitis resulted from foreign body ingestion and intestinal perforation in an incisional hernia: Report of a case |
| ......................... |
|
第57卷 第2期 2024-3
Application of artificial intelligence in endodontic microsurgery |
| ......................... |
|
第57卷 第2期 2024-3
A rare case of cerebral metastasis of malignant peripheral nerve sheath tumor in a patient with neurofibromatosis type 1 |
| ......................... |
|
第57卷 第2期 2024-3
Ethic in commenting and clinical surgery journal publication: Emerging issue in the era of social media—A story from “Beall” to “Jaime” and independent researcher |
| ......................... |
|
第57卷 第2期 2024-3
Ophidascaris robertsi, the new emerging human parasite and neurosurgery |
| ......................... |
|
第57卷 第2期 2024-3
Tetanus toxoid IgG, usefulness in clinical surgery, and diagnostic property limitation |
| ......................... |
|
第57卷 第2期 2024-3
Deaths among surgeons while on duty: An important issue in surgery and occupational medicine that should not be disregarded |
| ......................... |
|
第57卷 第2期 2024-3
ChatGPT and its use in clinical surgery: A comment on its pro and con |
| ......................... |
|
第57卷 第2期 2024-3
Isolated spinal neurocysticercosis and pseudotumor cerebri: Tropical problem to be noted |
| ......................... |
|
第57卷 第2期 2024-3
Management of massive hemothorax resulting from traumatic diaphragm rupture with kidney avulsion injury by combined anterior thoracoabdominal approaches |
| ......................... |
|
第57卷 第2期 2024-3
Laparoscopic partial splenectomy for sclerosing angiomatoid nodular transformation: A case report and literature review |
| ......................... |
|
第57卷 第2期 2024-3
Using three-dimensional versus two-dimensional laparoscopy in sleeve gastrectomy: A case matched comparison |
| ......................... |
|
第57卷 第2期 2024-3
Effectiveness of placing prophylactic mesh with the Sugarbaker technique via laparoscopic abdominoperineal resection for rectal cancer: 1-year results |
| ......................... |
|
第57卷 第2期 2024-3
Nylon cable ties–assisted delay primary closure of fasciotomy wound in patients of forearm compartment syndrome |
| ......................... |
|
第57卷 第2期 2024-3
Prefabricated venous fl ap, an advanced free venous fl ap for distant transfer: An experimental rat study |
| ......................... |
|
第57卷 第1期 2024-1
Isolated lower leg monoplegia due to traumatic intraparenchymal hemorrhage |
| ......................... |
|
第57卷 第1期 2024-1
Reflections on the association between cholecystectomy, cholelithiasis, and colorectal cancer |
| ......................... |
|
第57卷 第1期 2024-1
Molluscum contagiosum, false positive, and incidence: Concern in surgery |
| ......................... |
|
第57卷 第1期 2024-1
New form of COVID-19 vaccine: A new advanced technology for fighting the remained problem |
| ......................... |
|
第57卷 第1期 2024-1
COVID-19 vaccination, acute appendicitis, interrelationship, and jointed probability: A concern |
| ......................... |
|
 |
| 篇名 |
Is Posterior Lumbar Interbody Fusion with Titanium Cages Alone Suitable for Lumbar Degenerative Disease? |
| 作者 |
Jui-Feng Lin, Cheng-Kuei Chang, Cheng-Chia Tsai, Shiu-Jau Chen |
| 卷期/出版年月 |
41卷6期 (2008/12) |
| 頁次 |
267-274 |
| 摘要 |
Objective: Posterior lumbar interbody fusion (PLIF) techniques have been used for
many years for the treatment of a variety of lumbar spine degenerative diseases.
Patients with herniated disc disease in the lumbar spine at one or two levels,
unilateral or bilateral leg(s) pain, chronic low back pain and a failed conservative
treatment, were considered for this procedure. This paper discusses how many levels
of the spine are suitable for cages alone which the patient needs for the operation,
and which level is better than others when the patient undergoes single-level surgery.
Methods: Twenty-three patients (21: single level, 2: two levels) underwent a
posterior lumbar interbody fusion procedure in which A-spine titanium vigor cages
were used. At follow-up, the outcomes were assessed using the Prolo Scale. All the
patients safely underwent surgery without severe complications.
Results: At the time of the last follow-up visit, 21 patients (100% of single-level
cases) were content with the result of the surgery. A patient (2-level case) underwent
pedicle screw fixation at a single level due to persistent lower back pain (LBP),
which pseudarthrosis was suspected. During the follow-up period, the patients who
underwent 2-level surgery have multiple complaints. The other patient (female, 2-
level case) suffered from LBP for 24 months. Under conservative treatment, low
back pain improved.
Conclusion: With regard to the preservation of the posterior element for utmost
benefits, a single-level operation has a better prognosis than a two-level operation. In
single level surgery, a PLIF by cages alone produces more satisfactory clinical results
at L3/4 and L4/5 than at L5/S1. |
| 關鍵詞 |
PLIF, cage alone, lumbar degenerative disease |
| 分類 |
Original Article |
|
