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The Farfan back operation: technique and results
Canadian Journal of Surgery. Journal Canadien De Chirurgie
|November 1, 1975
Summary
Farfan back operations showed excellent outcomes in 85% of patients undergoing discoidectomy. One-level fusions achieved 93% success, with bone graft extrusion being the primary failure cause.
Area of Science:
- Orthopedic Surgery
- Spinal Surgery
Background:
- Discoidectomy is a common procedure for spinal disc issues.
- Fusion techniques are often employed alongside discoidectomy.
Purpose of the Study:
- To evaluate the outcomes of Farfan back operations.
- To assess the efficacy of discoidectomy with or without fusion.
Main Methods:
- A retrospective review of 94 Farfan back operations on 82 patients.
- Follow-up duration ranged from 3 to 5 years.
Main Results:
- 85% of patients reported excellent, good, or satisfactory outcomes.
- One-level fusions demonstrated a 93% success rate.
- Bone graft extrusion was the most frequent reason for treatment failure.
Conclusions:
- Farfan back operations yield high success rates, particularly when combined with one-level fusion.
- Graft extrusion necessitates further investigation and potential technique refinement.