O3172 PROSPECTIVE RANDOMISED STUDY COMPARING ADCON-L AND AUTOLOGOUS FAT GRAFT IN THE CLINICAL OUTCOME AFTER REVISION SURGERY FOR RECURRENT DISC HERNIATION AND/OR EPIDURAL FIBROSIS

R. Willburger; H. Knorth; J. Ludwig; A. Senge; J. KrŠmer

doi:10.1302/0301-620X.86BSUPP_III.0860354b

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O3172 PROSPECTIVE RANDOMISED STUDY COMPARING ADCON-L AND AUTOLOGOUS FAT GRAFT IN THE CLINICAL OUTCOME AFTER REVISION SURGERY FOR RECURRENT DISC HERNIATION AND/OR EPIDURAL FIBROSIS

R. Willburger
H. Knorth
J. Ludwig
A. Senge
J. KrŠmer

O3172 PROSPECTIVE RANDOMISED STUDY COMPARING ADCON-L AND AUTOLOGOUS FAT GRAFT IN THE CLINICAL OUTCOME AFTER REVISION SURGERY FOR RECURRENT DISC HERNIATION AND/OR EPIDURAL FIBROSIS

Willburger R, Knorth H, Ludwig J, Senge A, KrŠmer J. O3172 PROSPECTIVE RANDOMISED STUDY COMPARING ADCON-L AND AUTOLOGOUS FAT GRAFT IN THE CLINICAL OUTCOME AFTER REVISION SURGERY FOR RECURRENT DISC HERNIATION AND/OR EPIDURAL FIBROSIS. Orthop Procs. 2004;86-B(SUPP_III):354-354. doi:10.1302/0301-620X.86BSUPP_III.0860354b

Willburger, R., et al. “O3172 PROSPECTIVE RANDOMISED STUDY COMPARING ADCON-L AND AUTOLOGOUS FAT GRAFT IN THE CLINICAL OUTCOME AFTER REVISION SURGERY FOR RECURRENT DISC HERNIATION AND/OR EPIDURAL FIBROSIS.” Orthopaedic Proceedings, vol. 86-B, no. SUPP_III, 2004, pp. 354-354., https://doi.org/10.1302/0301-620X.86BSUPP_III.0860354b

Willburger, R., Knorth, H., Ludwig, J., Senge, A., & KrŠmer, J. (2004). O3172 PROSPECTIVE RANDOMISED STUDY COMPARING ADCON-L AND AUTOLOGOUS FAT GRAFT IN THE CLINICAL OUTCOME AFTER REVISION SURGERY FOR RECURRENT DISC HERNIATION AND/OR EPIDURAL FIBROSIS. Orthopaedic Proceedings, 86-B(SUPP_III), 354-354. https://doi.org/10.1302/0301-620X.86BSUPP_III.0860354b

Willburger, R., Knorth, H., Ludwig, J., Senge, A. and KrŠmer, J. (2004) “O3172 PROSPECTIVE RANDOMISED STUDY COMPARING ADCON-L AND AUTOLOGOUS FAT GRAFT IN THE CLINICAL OUTCOME AFTER REVISION SURGERY FOR RECURRENT DISC HERNIATION AND/OR EPIDURAL FIBROSIS.” Orthopaedic Proceedings, 86-B(SUPP_III), pp. 354-354. Available at: https://doi.org/10.1302/0301-620X.86BSUPP_III.0860354b

Willburger, R., H. Knorth, J. Ludwig, A. Senge, and J. KrŠmer. “O3172 PROSPECTIVE RANDOMISED STUDY COMPARING ADCON-L AND AUTOLOGOUS FAT GRAFT IN THE CLINICAL OUTCOME AFTER REVISION SURGERY FOR RECURRENT DISC HERNIATION AND/OR EPIDURAL FIBROSIS.” Orthopaedic Proceedings 86-B, no. SUPP_III (2004): 354-354. https://doi.org/10.1302/0301-620X.86BSUPP_III.0860354b

Willburger R, Knorth H, Ludwig J, Senge A, KrŠmer J. O3172 PROSPECTIVE RANDOMISED STUDY COMPARING ADCON-L AND AUTOLOGOUS FAT GRAFT IN THE CLINICAL OUTCOME AFTER REVISION SURGERY FOR RECURRENT DISC HERNIATION AND/OR EPIDURAL FIBROSIS. Orthop Procs. 2004 Mar 1;86-B(SUPP_III):354-354. https://doi.org/10.1302/0301-620X.86BSUPP_III.0860354b

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Abstract

Aim: To investigate the effectiveness of Adcon-L in re-discectomy and/or surgical neurolysis compared to autologous fat graft. Methods: A total of 50 patients with recurrent disc herniation (n=30) and/or epidural þbrosis (n=20) were included. All had failed in conservative treatment and suffered from predominantly radicular pain. MRI scans proofed the re-herniation (same segment, same side) and/or epidural þbrosis. Standard preoperative and follow-up examinations were carried out. Follow-up examination was performed by an independend investigator. Data were analysed using the intention-to-treat principle. Result: The clinical outcome showed no statistically difference between both groups one year after revision surgery. Conclusion: Due to our results, and as we know that the rate of clinically relevant cerebrospinal ßuid leakage is increased after the application of Adcon-L, we prefer the use of autologous graft as an antiadhesive in revision surgery of the spinal canal.

Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.