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Article: Reduction of disc space distraction after anterior lumbar interbody fusion with autologous iliac crest graft

TitleReduction of disc space distraction after anterior lumbar interbody fusion with autologous iliac crest graft
Authors
KeywordsAnterior lumbar interbody fusion
Autologous iliac crest graft
Reduction of disc space distraction
Sciatica
Issue Date2003
PublisherLippincott, Williams & Wilkins. The Journal's web site is located at http://www.spinejournal.com
Citation
Spine, 2003, v. 28 n. 13, p. 1385-1389 How to Cite?
AbstractStudy Design. A retrospective review with long-term clinical and radiologic assessment was conducted. Objective. To assess the severity and reasons for the reduction of disc space distraction after successful autograft fusion of the lumbar spine and its clinical consequences. Summary of Background Data. Anterior lumbar interbody fusion is an established treatment for lumbar disc degeneration. It Is not firmly established whether the grafted level narrows after surgery, and if so, what the clinical consequences are. Methods. This study assessed 67 patients who underwent anterior lumbar interbody fusion at L4-L5 with autologous iliac crest graft. The disc space height and angle between L4 and L5 were serially measured. Times until fusion and the presence of symptoms before and after surgery and at the latest follow-up assessment were noted. Results. The mean follow-up period was 14 years (range, 2.5-32 years). The fusion rate was 96% (64 of 67 patients), and the mean time to fusion was 9 months. In the group that had successful fusion, there was an initial increase in disc space distraction followed by a reduction in 55 patients (86%). The mean preoperative disc space height was 12.1 mm, which increased immediately after surgery to 16.2 mm, but had been reduced to 12.6 mm at the latest follow-up assessment. The reduction in distraction occurred within the first 3 months after surgery and was correlated with age, but not with recurrence of symptoms, the amount of initial distraction, or the gender of the individual. A similar trend was seen with L4-L5 segmental angulation. Conclusions. Reduction of disc space distraction after anterior lumbar interbody fusion using tricortical iliac crest bone graft is a common finding. Despite this, the fusion rate is high, and there is no association with symptom recurrence.
Persistent Identifierhttp://hdl.handle.net/10722/79676
ISSN
2015 Impact Factor: 2.439
2015 SCImago Journal Rankings: 1.459
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorCheung, KMCen_HK
dc.contributor.authorZhang, YGen_HK
dc.contributor.authorLu, DSen_HK
dc.contributor.authorLuk, KDKen_HK
dc.contributor.authorLeong, JCYen_HK
dc.date.accessioned2010-09-06T07:57:19Z-
dc.date.available2010-09-06T07:57:19Z-
dc.date.issued2003en_HK
dc.identifier.citationSpine, 2003, v. 28 n. 13, p. 1385-1389en_HK
dc.identifier.issn0362-2436en_HK
dc.identifier.urihttp://hdl.handle.net/10722/79676-
dc.description.abstractStudy Design. A retrospective review with long-term clinical and radiologic assessment was conducted. Objective. To assess the severity and reasons for the reduction of disc space distraction after successful autograft fusion of the lumbar spine and its clinical consequences. Summary of Background Data. Anterior lumbar interbody fusion is an established treatment for lumbar disc degeneration. It Is not firmly established whether the grafted level narrows after surgery, and if so, what the clinical consequences are. Methods. This study assessed 67 patients who underwent anterior lumbar interbody fusion at L4-L5 with autologous iliac crest graft. The disc space height and angle between L4 and L5 were serially measured. Times until fusion and the presence of symptoms before and after surgery and at the latest follow-up assessment were noted. Results. The mean follow-up period was 14 years (range, 2.5-32 years). The fusion rate was 96% (64 of 67 patients), and the mean time to fusion was 9 months. In the group that had successful fusion, there was an initial increase in disc space distraction followed by a reduction in 55 patients (86%). The mean preoperative disc space height was 12.1 mm, which increased immediately after surgery to 16.2 mm, but had been reduced to 12.6 mm at the latest follow-up assessment. The reduction in distraction occurred within the first 3 months after surgery and was correlated with age, but not with recurrence of symptoms, the amount of initial distraction, or the gender of the individual. A similar trend was seen with L4-L5 segmental angulation. Conclusions. Reduction of disc space distraction after anterior lumbar interbody fusion using tricortical iliac crest bone graft is a common finding. Despite this, the fusion rate is high, and there is no association with symptom recurrence.en_HK
dc.languageengen_HK
dc.publisherLippincott, Williams & Wilkins. The Journal's web site is located at http://www.spinejournal.comen_HK
dc.relation.ispartofSpineen_HK
dc.subjectAnterior lumbar interbody fusionen_HK
dc.subjectAutologous iliac crest graften_HK
dc.subjectReduction of disc space distractionen_HK
dc.subjectSciaticaen_HK
dc.titleReduction of disc space distraction after anterior lumbar interbody fusion with autologous iliac crest graften_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0887-9869&volume=28&issue=13&spage=1385&epage=1389&date=2003&atitle=Reduction+of+disc+space+distraction+after+anterior+lumbar+interbody+fusion+with+autologous+iliac+crest+graften_HK
dc.identifier.emailCheung, KMC:cheungmc@hku.hken_HK
dc.identifier.emailLuk, KDK:hcm21000@hku.hken_HK
dc.identifier.authorityCheung, KMC=rp00387en_HK
dc.identifier.authorityLuk, KDK=rp00333en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1097/00007632-200307010-00007en_HK
dc.identifier.pmid12838095-
dc.identifier.scopuseid_2-s2.0-0038015612en_HK
dc.identifier.hkuros87054en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0038015612&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume28en_HK
dc.identifier.issue13en_HK
dc.identifier.spage1385en_HK
dc.identifier.epage1389en_HK
dc.identifier.isiWOS:000184056100006-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridCheung, KMC=7402406754en_HK
dc.identifier.scopusauthoridZhang, YG=7601314771en_HK
dc.identifier.scopusauthoridLu, DS=7403079533en_HK
dc.identifier.scopusauthoridLuk, KDK=7201921573en_HK
dc.identifier.scopusauthoridLeong, JCY=35560782200en_HK

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