Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Spine
Abstract number: 26122
POSTERIOR LUMBAR INTERBODY FUSION (PLIF) FOR FAILED BACK
SURGERY SYNDROME(FBSS): DOES IT WORK?
Sandesh LAKKOL, Praveen MEREDDY, Raj LAKSHMIPATHY, Chandra BHATIA,
Manoj KRISHNA
University Hospital North Tees, Stockton-on-Tees (UNITED KINGDOM)
Aim: The aim of this study is to review the functional outcome of the patients treated
with Posterior Lumbar Interbody Fusion for FBSS. Materials & Methods: This is a
retrospective review of prospectively collected data of 39 patients diagnosed with
FBSS and treated with PLIF between June 2000 and December 2008 by the senior
author in our unit. Pain and function were evaluated by VAS for Back (VAS-BP) & leg
pain (VAS-LP), Oswestry disability index (NDI) and SF-36 questionnaires, and were
completed pre- & post-operatively. Results: There were 39 patients (20 women & 19
men) and mean age at operation was 47.3 years (range 32 to 76.1 years). Mean
duration of follow-up was 39.14 months (range 5.21 -73.5 months). The mean pre
and post-operative ODI values were 54.13 and 29.14 respectively. The mean postoperative
VAS for back and leg pain scores were reduced to 4.05 (Pre-op:7.38) and
3.69 (Mean pre-op 6.51) respectively. The mean preoperative SF-36 bodily pain
component score was 27.42 and the mean postoperative score was 40.50. Six
complications were documented. Four patients had uncomplicated dural tears that
resolved completely. Two patients had superficial wound infection that resolved with
oral antibiotics. Conclusions: Treatment of FBSS poses a challenge to the spine
surgeons and continues to remain controversial. Various methods of treatment
options are available and our study results show that PLIF can be offered as a safe
and effective modality of treatment for FBBS patients.
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