Surgical Management of the Failed Back Surgery Syndrome (FBSS) Using Posterior Lumbar Interbody Fusion (PLIF) with Posterior Transpedicular Stabilization

Czech version

Authors: V. Kaťuch ¹; F. Pataky ¹; J. Kaťuchová ²; M. Gajdoš ¹; J. Radoňak ²
Authors‘ workplace: Neurochirurgická klinika LF UPJŠ a FNLP Košice, Slovenská republika prednosta: doc. MUDr. M. Gajdoš, CSc., mim. prof. ¹; I. chirurgická klinika LF UPJŠ a FNLP Košice, Slovenská republika, prednosta: prof. MUDr. J. Radoňak, CSc. ²
Published in: Rozhl. Chir., 2010, roč. 89, č. 7, s. 450-458.
Category: Monothematic special - Original

Overview

Introduction:
One of possibility of treatment FBSS is posterior lumbar interbody fusion, PLIF with posterior transpedicular stabilization.

Material and Methods:
Between January 2005 and December 2007, the prospective study of treatment failed back surgery syndrome patients with posterior lumbal interbody fusion and posterior transpedicular stabilization was performed at the Department of Neurosurgery University Hospital FNLP in Kosice. Physical examinations were performed before surgery, after surgery 30 days, and at 4 follow-up visits (3 months, 6 months, 12 months and 24 months). At each interval, patients outcomes measures, including visual analog scale pain rating VAS and Oswestry Disability Index ODI.

Results:
At the Department of Neurosurgery, 58 failed back surgery syndrome patients were operated on between 1. 1. 205 and 31. 12. 2007. Long term follow up was investigated in 47 patients, 11 patients were lost to follow-up.

Postoperative complications were controlled 30 days after surgery. They were presented in 9 patients (19.14%). No patient died after surgery.

The working ability was found in 23 patients 49%. Before surgery all patiens used analgesic, after surgery there were present decrese in using analgesic. Improvement quality of life and decrease pain measured with ODI and VAS were investigated. ODI before surgery was 71.7 and 24 months after surgery ODI was 37,7. VAS before surgery was 7.95 and 24 months after surgery VAS was 2.82. There were found statistically significant influence on decrease pain mesuares ODI and VAS after surgery p < 0.0001.

Conclusion:
Our study results show that PLIF with posterior transpedicular stabilization can be safely perfomed and that can allow decrease pain and improve quality of life in FBSS patients.

Key words:
failed back surgery syndrome – posterior lumbar interbody fusion with posterior trasnpedicular stabilization – quality of life

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