Comparison of posterior lumbar interbody fusion with transforaminal lumbar interbody fusion for treatment of recurrent lumbar disc herniation: A retrospective study.
Objective To compare posterior lumbar interbody fusion (PLIF) with transforaminal lumbar interbody fusion (TLIF) for spinal fusion in patients previously treated by discectomy. Methods This retrospective study evaluated pre- and postoperative neurological status via Japan Orthopaedic Association (JOA) score. Surgical outcome was based on recovery rate percentage (RR%). Adverse event data were reviewed. Results Both PLIF ( n = 26) and TLIF ( n = 25) significantly improved neurological status. There were no significant between-group differences in postoperative JOA score, RR% or surgical outcome. Overall, 92.3% patients in the PLIF group and 84% in the TLIF group had an excellent or good outcome (RR ≥ 65%). No patient had a poor outcome (RR < 50%). There were six cases of dural tear in the PLIF group and two in the TLIF group. Conclusions PLIF and TLIF provided good outcomes for recurrent lumbar disc herniation. TLIF may be preferred because of its shorter operative time and fewer procedure-related complications than PLIF.
1 Third Hospital of Hebei Medical University, Shijiazhuang, China.|2 Key Orthopaedic Biomechanics Laboratory of Hebei Province, Shijiazhuang, China.
Liqiang
L
Li
1 Third Hospital of Hebei Medical University, Shijiazhuang, China.|2 Key Orthopaedic Biomechanics Laboratory of Hebei Province, Shijiazhuang, China.
Yueju
Y
Liu
1 Third Hospital of Hebei Medical University, Shijiazhuang, China.|2 Key Orthopaedic Biomechanics Laboratory of Hebei Province, Shijiazhuang, China.
Peng
P
Zhang
1 Third Hospital of Hebei Medical University, Shijiazhuang, China.|2 Key Orthopaedic Biomechanics Laboratory of Hebei Province, Shijiazhuang, China.
Tao
T
Lei
1 Third Hospital of Hebei Medical University, Shijiazhuang, China.|2 Key Orthopaedic Biomechanics Laboratory of Hebei Province, Shijiazhuang, China.
Jie
J
Li
1 Third Hospital of Hebei Medical University, Shijiazhuang, China.|2 Key Orthopaedic Biomechanics Laboratory of Hebei Province, Shijiazhuang, China.
Yong
Y
Shen
D000328:Adult; D000368:Aged; D002681:China; D017586:Diskectomy / Q000009:adverse effects; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D017116:Low Back Pain / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D012189:Retrospective Studies; D013123:Spinal Fusion / Q000379:methods*; D016896:Treatment Outcome
Lumbar disc herniation; posterior lumbar interbody fusion; retrospective study; spinal fusion; transforaminal lumbar interbody fusion