Early Outcome of Discectomy with Interspinous Process Distraction Device a Retrospective Cross-Sectional Study

Gunaseelan Ponnusamy

doi:10.31031/oproj.2018.02.000536

Abstract

Orthopedic Research Online Journal Early Outcome of Discectomy with Interspinous Process Distraction Device a Retrospective Cross-Sectional Study Gunaseelan Ponnusamy* Nasional Universty of Malaysia, Malaysia *Corresponding author: Gunaseelan Ponnusamy, Nasional Universty of Malaysia, 1938 Jalan G-1, Taman Melawati 53100 Kuala Lumpur, Malaysia Submission: February 25, 2017; Published: March 21, 2018 DOI: 10.31031/OPROJ.2018.02.000536 ISSN : 2576-8875Volume2 Issue3

Highlights

Posterior spinal diseases resulting from lumbar disc herniation or lumbar spinal stenosis is associated with significant structural failure of intervertebral disc, of the ligaments, and/or of the bone structures [1]
We selectively look into patients with low back pain with radiculopathy from prolapsed intervertebral disc treated with discectomy and interspinous process distraction (IPD) device
The most prevalent DIAM implanted level we found in this study was L5/S1 followed by L4/L5

Summary

Introduction

Posterior spinal diseases resulting from lumbar disc herniation or lumbar spinal stenosis is associated with significant structural failure of intervertebral disc, of the ligaments, and/or of the bone structures [1]. The typical failures includes disc prolapses, endplate damage, internal disc disruption disc space narrowing, hypertrophic facet joints, hypertrophic ligaments and osteophytes. These degenerative changes may cause instability in advanced stages of the disease. The operative “gold standard” of treatment of degenerative lumbar spinal disease is decompression with or without fusion of the affected segment. Improvements in surgical techniques and implants have improved the successful fusion rate but not have significantly improved the clinical outcome. This observation has led to increasing interest in motion preservation techniques in the treatment of low back pain

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