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Double consecutive lumbar discectomy: Is fixation a rule?
Author(s): ,
M. Gaber Abdel Tawab
Affiliations:
Fayoum University, Fayoum, Egypt
M. A.Latif
Affiliations:
Fayoum University, Fayoum, Egypt
EANS Academy. Gaber Abdel Tawab M. Oct 21, 2018; 225793; EP2051
Mohamed Gaber Abdel Tawab
Mohamed Gaber Abdel Tawab
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Abstract
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Introduction:
Lumbar disc prolapse (LDP) represents less than 5% of all low back problems. Most of cases treated with conservative management. Surgery is needed in only 10% of cases.
We will evaluate the need for hardware fixation after double consecutive lumbar discectomies.
Patients and methods:
Our work was conducted on 30 patients with double consecutive LDP from January, 2016 to December, 2017 at Fayoum University hospital. Double consecutive lumbar discectomy was done in all patients. Regular follow up was done up to 6 months.
Results:
All cases had no instability 6 months after surgery. Four patients experienced mechanical low back pain 3 months postoperatively. Department, fayoum University Egypt. MR images revealed facet joint arthropathy.Two cases improved by medical treatment and the others required facet joint injection.
Conclusion:
Double consecutive lumbar discectomy is not considered a risk of instability but larger studies might be needed.
Key words:consecutive, prolapse, discectomy.
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