Source:http://linkedlifedata.com/resource/pubmed/id/10214573
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1999-7-7
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pubmed:abstractText |
In a prospective multicenter study, 20 patients underwent re-operation for recurrent radiculopathy after lumbo-sacral discectomy, and were treated with ADCON-L (Adhesion Control in a Barrier Gel) to inhibit epidural fibrosis following secondary surgery. Outcomes after re-operation were assessed at six and 12 months using: Visual Analog Scales to measure radicular and back pain, straight leg raising exams, and self-assessment of activity-related radicular pain. Each parameter was compared to baseline values, obtained immediately prior to the re-operation. The long term clinical results at 12 months after re-operation (summarized below) demonstrate a significant improvement of all clinical parameters, and correlated with the results seen at six months. Radicular pain, measured when most severe, was reduced from an average pre-operative score of 8.1-3.7 (p < 0.005). The straight leg raising angle increased from an average pre-operative value of 41 degrees-67 degrees (p < 0.005). Activity-related pain mean score was 4.6, vs. 17.0 pre-operatively (p < 0.005). Low back pain, measured when most severe, was reduced from an average pre-operative score of 6.1 to 3.1 (p < 0.012). These clinical findings compare very favorably with data reported in the literature. There were no adverse events or complications related to the use of ADCON-L.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0161-6412
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
21 Suppl 1
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
S51-60
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:10214573-Adult,
pubmed-meshheading:10214573-Diskectomy,
pubmed-meshheading:10214573-Epidural Space,
pubmed-meshheading:10214573-Female,
pubmed-meshheading:10214573-Fibrosis,
pubmed-meshheading:10214573-Follow-Up Studies,
pubmed-meshheading:10214573-Gels,
pubmed-meshheading:10214573-Humans,
pubmed-meshheading:10214573-Male,
pubmed-meshheading:10214573-Organic Chemicals,
pubmed-meshheading:10214573-Postoperative Complications,
pubmed-meshheading:10214573-Prospective Studies,
pubmed-meshheading:10214573-Questionnaires,
pubmed-meshheading:10214573-Recurrence,
pubmed-meshheading:10214573-Reoperation,
pubmed-meshheading:10214573-Spinal Nerve Roots,
pubmed-meshheading:10214573-Treatment Outcome
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pubmed:year |
1999
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pubmed:articleTitle |
Inhibition of epidural fibrosis with ADCON-L: effect on clinical outcome one year following re-operation for recurrent lumbar radiculopathy.
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pubmed:affiliation |
Service de Neurochirurgie, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Controlled Clinical Trial,
Research Support, Non-U.S. Gov't,
Multicenter Study
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