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Effect of early neurodynamic mobilization on the recurrence of sciatica after the minimally invasive surgery-transforaminal lumbar interbody fusion

CAI Xiao-yang1, Lü Hai-sheng2, XIE You-zhuan2   

  1. 1. Department of Orthopaedic Surgery, Hospital affiliated to Huaqiao University, Quanzhou 362011, China; 2. Department of Orthopaedic Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 20011, China
  • Online:2017-04-28 Published:2017-05-04
  • Supported by:

    Fund for Key Discipline of Shanghai Municipal Education Commission,J50206

Abstract:

Objective · To investigate the effect of early neurodynamic mobilization on the recurrence of sciatica after the minimally invasive surgerytransforaminal lumbar interbody fusion (MIS-TLIF). Methods · Fifty-four patients who underwent MIS-TLIF were divided into treatment group (n=28) and control group (n=26). The control group received conventional rehabilitation treatment, while the treatment group received neurodynamic mobilization every day after the first post-operative day. The score of visual analogue scale (VAS) and Japanese Orthopaedic Association (JOA) score were evaluated before and after the treatment. Results · There was no significant difference in the score of VAS or JOA between two groups before the treatment or three months after surgery (P>0.05). The score of VAS was significantly lower (P<0.05), and the JOA score was significantly higher (P<0.05) in the treatment group than in the control group four days after surgery. Conclusion · The early neurodynamic mobilization is effective to decrease the recurrence rate of sciatica in patients underwent MIS-TLIF.

Key words: neurodynamic mobilization, lumbar, minimally invasive surgery-transforaminal lumbar interbody fusion, recurrence of sciatica