[Surgical treatment for lumbar discogenic low back pain].
OBJECTIVE
To explore the curative effect of surgical treatment for lumbar discogenic low back pain.


METHODS
Forty-two patients with lumbar discogenic low back pain were treated with disc excision and lumbar interbody fusion: 12 of them were treated with posterior lumbar interbody fusion (PLIF), 30 with afront lumbar interbody fusion (ALIF). The clinical results were evaluated by pre- and post-operative visual analogue scale (VAS), and the fusion rates of the lumbosacral spine were evaluated by X-ray.


RESULTS
The average follow-up period was 18 months, ranging from 6 to 36 months. Low back pain basically disappeared in 11 patients treated with PLIF, with mild back pain in one patient; VAS after the operation decreased significantly in comparison with that preoperatively (P<0.01). Low back pain basically disappeared in 28 patients treated with ALIF; VAS after the operation decreased significantly in comparison with that preoperatively (P<0.01). The fusion rate was 90% in patients treated with PLIF, and 93% in patients with ALIF.


CONCLUSIONS
Disc excision and interbody fusion is effective in the treatment of lumbar discogenic low back pain, but the operation indications should be paid attention to.
Wang
Xi-yang
XY
Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha 410008, China. wqlwqwxy@163.com
Hu
Zhao-hui
ZH
Hu
Jian-zhong
JZ
Li
Kang-hua
KH
Zhang
Hong-qi
HQ
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007403:Intervertebral Disc / Q000601:surgery*; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000601:surgery*; D017116:Low Back Pain / Q000209:etiology / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013123:Spinal Fusion / Q000379:methods*; D016896:Treatment Outcome