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Journal of Korean Neurosurgical Society > Volume 30(6); 2001 > Article
Journal of Korean Neurosurgical Society 2001;30(6): 734-742.
Clinical Analysis of Anterior Lumbar Interbody Fusion for Failed Back Surgery Syndrome.
Young Soo Kim, Sung Uk Kuh, Young Eun Cho, Byung Ho Jin, Dong Kyu Chin
Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea.
To evaluate the role of anterior lumbar interbody fusion in treatment of failed back surgery syndrome, the authors retrospectively analyzed the result of anterior lumbar interbody fusion performed in our institute.
Fifteen FBSS patients due to variable causes have been treated with anterior lumbar interbody fusion in our institute from April 1994 to June 1999. We analyzed clinical changes in 15 patients who were followed up for an average of 23 months.
The etiologies of FBSS were post operative discitis(6 cases), post operative instability(3 cases), post operative adhesion(5 cases), and recurrence(1 case). These fifteen FBSS patients were treated with anterior lumbar interbody fusion. The overall treatment outcome was satisfactory(excellent and good) in 11 cases. Three patients were slightly improved, but post operative low back pain was remained. One patient who had underwent nerve root injury due to pedicle screw insertion showed no improvement.
We conclude that the anterior lumbar interbody fusion for FBSS seems to be safe and favorable treatment in selective patients, because low incidence of nerve injury risk and post-operative infection.
Key Words: Failed back surgery syndrome; Anterior lumbar interbody fusion
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