000			03003cam a2200349 a 4500
003			EG-GiCUC
005			20250223031817.0
008			171002s2017 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.11.25.Ph.D.2017.Ah.M
100	0		_aAhmed Bahaa Aldin Alshazli
245	1	0	_aMinimally invasive transforaminal lumbar interbody fusion (TLIF) for the surgical management of post-discectomy syndrome / _cAhmed Bahaa Aldin Alshazli ; Supervised Yasser Elmiligui , Wael Tawfeek Koptan , Ahmed Maher Sultan
246	1	5	_aالجراحة الأقل اختراقـا للجلد لالتحام الفقرات خلال الثقب الفقارى القطنى فى العلاج الجراحى لمضاعفات ما بعد استئصال الغضروف القطنى
260			_aCairo : _bAhmed Bahaa Aldin Alshazli , _c2017
300			_a187 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery
520			_aPost-discectomy syndrome is a common cause of back or limb pain following discectomy procedures. About 0.5-25% develops recurrent disc herniation (rDH) after a successful first discectomy. Currently, there aren{u2019}t any guidelines to assist surgeons in determining which approach is most appropriate to treat post-discectomy syndrome. A recent survey showed significant heterogeneity among surgeons regarding treatment options for rDH. It remains unclear which methods lead to better outcomes, as there are no comparative studies with a sufficient level of evidence. Methods: In this study we treated 30 patients with failed discectomy surgery and met our inclusion criteria with minimal invasive (MI) TLIF. Patients were followed up for improvement of symptoms with VAS, ODI. Also interbody fusion rate was assessed using CT scan at 6 month and one year follow up. Finally we compared our result to different conventional open modalities of treatment in literature. Results: The ODI for all patients showed significant improvement (mean 31.5% one 1 postoperative and mean 16.7% at 6 months postoperative). The preoperative VAS score of LBP (mean 3.2) showed statistically insignificant decrease of values in early postoperative period. Significant decrease one month post-operative (reaching 0.3 at 12th month follow-up). Preoperative VAS score of limb pain (mean 9.03) showed statistically significant decrease of values starting of immediate postoperative period with mean 2.7 reaching 0.3 at 12th month follow-up
530			_aIssued also as CD
653		4	_aFailed
653		4	_aPost-discectomy
653		4	_aRecurrent
700	0		_aAhmed Maher Sultan , _eSupervisor
700	0		_aWael Tawfeek Koptan , _eSupervisor
700	0		_aYasser Elmiligui , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aSamia _eCataloger
942			_2ddc _cTH
999			_c62690 _d62690