Abstract
We reviewed 47 consecutive patients with degenerative lumbar disc disease. All patients were treated by anterior interbody fusion using an autogenous iliac bone graft in combination with posterior pedicle fixation but without a posterior fusion. There were 32 men and 15 women with a mean age of 44 (range 23–56) years. One third (n=15) of the patients had previous surgery. We saw complications in six patients including two with vascular injury. The mean follow-up was 2.2 years. Seventy-two per cent of the cases had a satisfactory clinical outcome, and the overall fusion rate was 97%.
Résumé
Nous avons examiné 47 malades consécutifs présentant une Maladie du Disque Lombaire Dégénératif. Tous les malades ont été traités par fusion corporéale antérieure utilisant une greffe iliaque autogène combinée avec une fixation pédiculaire postérieure mais sans une fusion postérieure. Il y avait 32 hommes et 15 femmes, avec un âge moyen de 44 ans (23–56 ans). Un tiers (n=15) des malades avaient déjà été opéré. Il y a eu des complications chez six malades, en incluant deux malades avec blessure vasculaire. Le suivi moyen était de 2,2 années. 72% des cas avaient un résultat clinique satisfaisant, et le taux de la fusion total était de 97%.
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