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The Use of a Dehydrated AmnionChorion Membrane Allograft in Patients Who Subsequently Undergo Reexploration after Posterior Lumbar Instrumentation
Joint Authors
Copay, Anne G.
Subach, Brian R.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-13
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background Context.
Products that can reduce development of epidural fibrosis may reduce risk for ongoing pain associated with development of scar tissue and make subsequent epidural reexploration easier.
Purpose.
To evaluate the use of dehydrated human amnion/chorion membrane (dHACM) on the formation of soft tissue scarring in the epidural space.
Study Design.
Case series.
Patient Sample.
Five patients having transforaminal lumbar interbody lumbar fusion (TLIF) with posterior instrumentation and implantation of dHACM in the epidural space and subsequent epidural reexploration.
Outcome Measures.
Degree of scar tissue adjacent to the epidural space at reexploration.
Intraoperative and postoperative complications related to dHACM and patient reported outcomes.
Methods.
The degree of scar tissue adjacent to the epidural space was assessed during the reexploration surgery.
Patients’ outcomes were collected using standard validated questionnaires.
Results.
Four of 5 cases had easily detachable tissue during epidural reexploration.
Angiolipoma of 10% was noted in 1 case and 5% in 2 cases.
Significant improvements in patient reported outcomes were observed.
No intraoperative or postoperative complications occurred.
Conclusions.
Our findings suggest that dHACM implant during TLIF may have favorable effects on epidural fibrosis and is well tolerated.
Further studies with larger cohorts are required to prove our results.
American Psychological Association (APA)
Subach, Brian R.& Copay, Anne G.. 2015. The Use of a Dehydrated AmnionChorion Membrane Allograft in Patients Who Subsequently Undergo Reexploration after Posterior Lumbar Instrumentation. Advances in Orthopedics،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1053810
Modern Language Association (MLA)
Subach, Brian R.& Copay, Anne G.. The Use of a Dehydrated AmnionChorion Membrane Allograft in Patients Who Subsequently Undergo Reexploration after Posterior Lumbar Instrumentation. Advances in Orthopedics No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1053810
American Medical Association (AMA)
Subach, Brian R.& Copay, Anne G.. The Use of a Dehydrated AmnionChorion Membrane Allograft in Patients Who Subsequently Undergo Reexploration after Posterior Lumbar Instrumentation. Advances in Orthopedics. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1053810
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1053810