Evaluation of Conservative Treatment of Lumbar Disc Lesion Using the Water Soluble Contrast Myelography

概要

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The purpose of this study is to clarify the extent of conservative treatment for the lumbar disc lesion.For 117 cases which were clinically diagnosed as lumbar disc lesions, water soluble contrast myelographies were performed, and the findings of them were classified according to Kawazoe's method.The relationship between the type of myelogram and the results of the treatment was discussed.The cases of "normal type" were mainly treated conservatively and 70% showed an improvement.50 percent of cases of "root type", in which myelograms show the defect of the root sleeve, were conservatively treated and the rest were surgically treated.There were no significant differences in the results of the treatments between these methods.70 percent of the cases of "lateral type", in which myelograms show narrowing of the contrast column, were treated surgically. Follow-up results showed that the cases of this type should be treated surgically.
西日本整形・災害外科学会の論文