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Related Experiment Videos

Laminectomy with and without spinal fusion.

A J Tria1, J M Williams, D Harwood

  • 1UMDNJ-Robert Wood Johnson Medical School, New Brunswick.

Clinical Orthopaedics and Related Research
|November 1, 1987
PubMed
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Laminectomy, discectomy, and fusion (LDF) surgery showed similar patient outcomes to laminectomy and discectomy alone for herniated nucleus pulposus. However, LDF surgery resulted in a significantly lower reoperation rate.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Surgery

Background:

  • Symptomatic herniated nucleus pulposus often requires surgical intervention.
  • Surgical options include laminectomy with discectomy, and laminectomy, discectomy, and fusion (LDF).

Purpose of the Study:

  • To compare the long-term outcomes of laminectomy and discectomy versus laminectomy, discectomy, and fusion for herniated nucleus pulposus.
  • To assess reoperation rates and overall patient scores between the two surgical techniques.

Main Methods:

  • Retrospective evaluation of two patient groups surgically treated for herniated nucleus pulposus.
  • Group 1: 134 patients treated with laminectomy, discectomy, and fusion (LDF) (1972-1978).
  • Group 2: 200 patients treated with laminectomy and discectomy (1968-1981).

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  • Follow-up ranged from 3.5 to 16 years.
  • Patients were scored on a scale of 0-100.

    • Main Results:

    • LDF group average score: 70 points (49 follow-ups).
    • Disc group average score: 69 points (40 follow-ups).
    • LDF reoperation rate: 6% (3 patients).
    • Disc group reoperation rate: 19% (8 patients).
    • The disc group had a significantly higher reoperation rate.

    Conclusions:

    • Laminectomy and discectomy alone for herniated nucleus pulposus is associated with a higher reoperation rate compared to LDF.
    • While overall scores were similar, LDF demonstrated a statistically significant reduction in the need for subsequent surgeries.