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Document Type

Original Article

Abstract

Background: The most frequent surgical technique for people with low back and leg discomfort is lumbar disc surgery. The persistence or recurrence of symptoms arises as a prominent consequence of primary surgery, despite the enhanced success of lumbar disc surgery with many new technological and surgical procedures.

Aim of the work: In order to manage recurrent lumbar disc prolapse, this research compares the surgical results of transpedicular screws alone or in conjunction with posterior interbody fusion (PLIF) PEEK cage.

Patients and Methods: This is a prospective and retrospective comparative research of 20 patients suffering from recurrent lumbar disc prolapse, Patients are included randomly in either of the two groups, each group includes 10 patients, Group A: included patients who had interbody fusion added to the transpedicular screw, Group B: included patients who were subjected to transpedicular screws alone.

Results: The study's findings demonstrated that mean ± SD of Pain (VAS score) preoperatively was in group A 7.79 ± 1.41, and VAS score after 3 months postoperatively was 1.25 ± 0.576, and in group B 7.59 ± 1.64, and VAS score after 3 months postoperatively was 1.62 ± 0.638, there was a very statistically substantial variation between pre and postoperative regarding pain (p

Conclusion: Posterior Lumbar Interbody Fusion Combined with Transpedicular Screws is more technically feasible and enhanced reduced back pain and radicular pain more than Transpedicular Screws alone and it can be the best option for management of recurrent lumbar disc prolapse.

Keywords

Low back pain; Discectomy; Lumber Interbody Fusion; Recurrent.

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