Neurosurgery · 2004 · 67 citations · 37 references
MedicineOrthopaedic SurgeryOrthopedic SurgeryOrthopedic RehabilitationPain ManagementSpine SurgeryDegenerative Spine DiseaseFailed Back Surgery SyndromeIntervertebral Disc DiseaseLumbar Spine SurgerySpinal FusionSpine DisordersAnterior Lumbar Interbody FusionFunctional Outcomes After SurgeryFunctional Status MonitoringLumbar Degenerative Disc DiseaseLumbar Spinal FusionLumbar Spine DisordersPatient-reported Functional StatusPreoperative Diagnosis
OBJECTIVE: Anterior lumbar interbody fusion (ALIF) has gained popularity for the treatment of degenerative disease of the lumbar spine. In this report, we present our experience with the ALIF procedure for treatment of failed back surgery syndrome (FBSS) in a noncontrolled prospective cohort. METHODS: In a 2-year period, we treated patients diagnosed with FBSS with ALIF. Clinical and radiological outcomes were recorded in a prospective, nonrandomized, longitudinal manner. Neurological, pain, and functional outcomes were measured preoperatively and 12 months after surgery. Operative data, perioperative complications, and radiological and clinical outcomes were recorded. RESULTS: Thirty-three patients with a preoperative diagnosis of FBSS, with degenerative disc disease (n = 17), postsurgical spondylolisthesis (n = 13), or pseudarthrosis (n = 3), underwent ALIF. Back pain, leg pain, and functional status improved significantly, by 76% (P < 0.01), 80% (P < 0.01), and 67% (P < 0.01), respectively. CONCLUSION: On the basis of our results, we found ALIF to be a safe and effective procedure for the treatment of FBSS for selected patients.
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The measurement of clinical pain intensity: a comparison of six methods
Mark P. Jensen, Paul Karoly, Sanford Braver · Pain · 1986 · 3.3K citations
Nursing, Psychology, Pain Medicine +14
The Bagby and Kuslich Method of Lumbar Interbody Fusion
Stephen D. Kuslich, Cynthia L. Ulstrom, Steven L. Griffith et al. · Spine · 1998 · 507 citations