The New Operation Technic of the Lesions of Lumbar Intervertebral Discs

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概要

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• While the question as to wheather the lumbosacral spine should be fused operatively following the removal of the herniated disc by posterior approach is still a controversial one, there is a coincidental opinion among most authors that the added vertebral fixation operation is necessary to get a good result for those cases in which the marked degeneration of one or more intervertebral discs, or obvious instability exists.Several problems have been pointed out as disadvantageous for these previous methods of vertebral fixation. These are as follows:1. Fusion of span is frequently found to be incomplete.2. Vertebral is necessary in principle and secondary spondylolysis is apt to occur above the fixed vertebrae as the postoperative complication.3. Fixation is necessary for a moderately long time.4. Affection of operation is not slight.To resolve these problems, we have altered the method of vertebral fixation after Langenskiöld (1967) and we consider this new method as a reliable one to recommend, because of the possibility of early rehabilitation and the rather slight operative affection. Combined method of lumbar disc hernia enucleation followed with posterior vertebral fixation.

• 西日本整形・災害外科学会の論文

著者

• 清水 正章

  清水整形外科病院

• 浜崎 〓男

  清水整形外科病院

• 福島 明

  清水整形外科病院

• 高田 晃平

  清水整形外科病院

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