An analysis of multiply operated back.

概要

論文の詳細を見る
Between April 1978 and December 1982, 14 patients were re-operated for treatment of lumber spinal lesion.At the time of initial operation, nine of these patients were diagnosed as lumbar disc hernia (LDH) and five as lumbar spinal canal stenosis (LSCS). The initial operations were performed using Love's Method on all the LDH patients, whereas four of the LSCS patients were operated by laminectomy and one by spinal canal enlargement method. On the average, the time period preceding the re-operation was 1.4 years with LDH and 3.1 years with LSCS.The re-operations were performed by laminectomy plus postero-lateral fusion (PLF) on the LDH patients, as well as on the LSCS patients except for one instance. Causes leading to the re-operation included the inadequate cleaing (four cases), recurrence (two cases), adhesion (two cases), and ligament fiavum kinking plus adhesion (one case) with LDH, and the adhesion (two cases), instability (one case), LDH plus adhesion (one case), and oppression by lamina (one case) with LSCS.When judged in accordance with kônoo's Classification Method, the post-operation recovery was rated excellent or good in five cases (55.0%) of LDH and in three cases (60%) of LSCS. Studies of the causes for re-operation and the post-operation recovery performance showed that the inadequate cleaning and recurrence tended to be more prevalent than the adhesion. In terms of degree of satisfaction, "Satisfactory" accounted for 57.1% and "Unsatisfactory" for 42.9%, with the re-operations being performed within a short period of the initial operations at Nagasaki Mitsubishi Hospital.88.9% of the LDH patients and 80% of the LSCS patients were found to have successfully reported back to work.
西日本整形・災害外科学会の論文

An analysis of multiply operated back.

スポンサーリンク

概要

著者

関連論文

スポンサーリンク