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

Détails

ID Serval
serval:BIB_D0EDDCF6ACF8
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Prevention of epidural fibrosis in a prospective series of 100 primary lumbo-sacral discectomy patients: follow-up and assessment at re-operation.
Périodique
Neurological Research
Auteur⸱e⸱s
Brotchi J., Pirotte B., De Witte O., Levivier M.
ISSN
0161-6412 (Print)
ISSN-L
0161-6412
Statut éditorial
Publié
Date de publication
1999
Peer-reviewed
Oui
Volume
21
Numéro
Suppl. 1
Pages
S47-S50
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
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.
Mots-clé
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
Création de la notice
20/01/2008 17:35
Dernière modification de la notice
20/08/2019 15:51
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