1 / 14

Manoj Krishna Raymond Pollock Chandra Bhatia

Long term follow-up of patients undergoing Posterior Lumbar Interbody Fusion (PLIF) Surgery A review of 182 cases . Manoj Krishna Raymond Pollock Chandra Bhatia. Spine unit, University Hospital of North Tees Stockton-on-Tees. www.spinalunit.org. www.spinalunit.org. Methods.

zilya
Télécharger la présentation

Manoj Krishna Raymond Pollock Chandra Bhatia

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Long term follow-up of patients undergoing Posterior Lumbar Interbody Fusion (PLIF) SurgeryA review of 182 cases Manoj Krishna Raymond Pollock Chandra Bhatia Spine unit, University Hospital of North Tees Stockton-on-Tees www.spinalunit.org www.spinalunit.org.

  2. Methods • Study period March 1997 to November 2003 • 226 patients underwent PLIF • 182 patients have both baseline & follow-up (80% response) • Outcomes measured at baseline (pre-op) and at a single follow-up (post-op) • Mean follow up – 26 months Spine unit, University Hospital of North Tees Stockton-on-Tees www.spinalunit.org.

  3. Outcome Measures • Oswestry disability index (ODI)* • VAS for back and leg pain • SF-36 *9 section NASS ODI used, with each section scored 0-5 www.spinalunit.org.

  4. Patients • 182 patients • 99 females • 83 males • Mean age = 45.3 yrs • 110 one level fusion • 72 two level fusion • Duration of symptoms- median 63 months www.spinalunit.org.

  5. www.spinalunit.org.

  6. Outcomes: ODI t-test P = 0.001 95% CI for difference (23.8) = 18.4 – 29.2 www.spinalunit.org.

  7. Outcomes: VAS scores t-test leg pain P = 0.001 95% CI for difference (3.3) = 2.0 – 4.3 t-test back pain P = 0.001 95% CI for difference (3.9) = 3.2 – 4.8 www.spinalunit.org.

  8. SF-36 Scores www.spinalunit.org.

  9. Summary • ODI- 45% improvement • VAS Back- 51% improvement • VAS Leg- 50% improvement • SF-36- 12-69% improvement

  10. Complications • Dural tear- 12 • Neuralgia- 16→ 6 persistent leg pain • Infection- • Superficial-8, Deep-2. • Bone graft pain- 3 • Pedicle fracture- 2 • Brachial neuropraxia- 1 www.spinalunit.org.

  11. Clinical Results • 68% of patients had significantimprovement in Oswestry scores (>15%). • 79% of patients had significant decrease in VAS for Back pain (change >2 points). • 68.3% of patients had significant decrease in VAS for leg pain (change>2 points). www.spinalunit.org.

  12. Conclusion PLIF surgery reduces pain, improves functioning and quality of life in patients with chronic low back & leg pain, unresolved by conservative therapy www.spinalunit.org.

  13. Further Advancement • Our currenttechnique involves less invasive surgery and results are much better than the results presented. • We will present these results in a future meeting. www.spinalunit.org.

  14. THANK YOU www.spinalunit.org www.spinalunit.org.

More Related