Clinical Study of Surgicaly Treated Lumbar Lumbar Disc Herniations. Clinical Evaluation of Cases Passed over 10 years after Operation from Anterior Approach (Vertebal Body Fusion) and Posterior Approach (Interlaminar Approach or Partial Laminectomy).:Clin

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Surgically treated lumbar disc herniations are 1747 cases for the past 13 years. Of these 161 cases (anterior approach; 100, posterior approach; 61) passed over 10 years after surgery were clinically investigated.The results are as follows;According to the postoperative evaluation using the JOA score, the results were, in anterior approah, Excellent: 69%, Good: 24%, Fair: 6%, Poor: 1%, and in posterior approach, E: 63.9% G: 23%, F: 13.1%, P: O. From these dresults, anterior approach was better than posterior approach. On the other hand, the degree of self-satisfaction was better in posterior approach. It seems to be a cause that in anterior approach, lots of cases were heavy wokers.
西日本整形・災害外科学会の論文