Prevention of epidural fibrosis in a prospective series of 100 primary lumbo-sacral discectomy patients: follow-up and assessment at re-operation.

Details

Serval ID
serval:BIB_D0EDDCF6ACF8
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Prevention of epidural fibrosis in a prospective series of 100 primary lumbo-sacral discectomy patients: follow-up and assessment at re-operation.
Journal
Neurological Research
Author(s)
Brotchi J., Pirotte B., De Witte O., Levivier M.
ISSN
0161-6412 (Print)
ISSN-L
0161-6412
Publication state
Published
Issued date
1999
Peer-reviewed
Oui
Volume
21
Number
Suppl. 1
Pages
S47-S50
Language
english
Notes
Publication types: Case Reports ; Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
An implantable device (ADCON-L), which acts as a resorbable barrier to epidural fibrosis following lumbar discectomy, has been shown to minimize the formation of peridural fibrotic scar and to improve the post-operative outcome, in two large controlled and multi-center clinical trials. In this prospective study, 100 patients were treated with the device during their first-time lumbo-sacral discectomy surgeries and monitored for 12 months. During this time interval, four of these patients required re-operation. In these cases, epidural scar and ease of dissection were systematically evaluated and recorded. At the time of re-operation, in all four patients, absent or minimal soft scar tissue was found where ADCON-L had been placed, no adhesions to the involved root were observed, and the dissection was easier than expected; the healing of the surgical wound was excellent , and no residual implant material was found. These observations indicate that the use of ADCON-L at the time of the first lumbar disc surgery minimizes the hazards and difficulty that can be encountered in a subsequent revision surgery due to the presence of epidural fibrosis, and may therefore improve the chances of satisfactory outcome following re-operation.
Keywords
Adolescent, Adult, Cicatrix/prevention & control, Diskectomy, Epidural Space, Evaluation Studies as Topic, Female, Fibrosis/prevention & control, Follow-Up Studies, Humans, Lumbosacral Region, Male, Middle Aged, Prospective Studies, Reoperation, Treatment Outcome
Pubmed
Web of science
Create date
20/01/2008 17:35
Last modification date
20/08/2019 15:51
Usage data