REVISION SURGERY FOR FAILED BACK SURGERY SYNDROME

被引：126

作者：

KIM, SS

MICHELSEN, CB

机构：

[1] St. Croix Institute for Orthopaedic Research, West Stillwater, MN, 55082-1894

[2] New York Orthopaedic Hospital Associates, Inc., Columbia-Presbyterian Medical Center, New York, NY

来源：

SPINE | 1992年 / 17卷 / 08期

关键词：

PSEUDOARTHROSIS; FAILED BACK SURGERY; FUSION;

D O I：

10.1097/00007632-199208000-00015

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Results of surgical treatment in 50 failed back surgery patients were retrospectively reviewed to determine what factors influenced surgical outcome. Before surgery, all patients had disabling pain and limited function. Overall significant improvement in pain and function was obtained in 66% of the patients. Thirteen of 16 patients (81%) who had successful fusion of pseudarthrosis had a satisfactory outcome, whereas only 3 of 13 patients (23%) who had failed pseudarthrosis repair had a satisfactory outcome. Successful pseudarthrosis repair is the key to a high clinical success rate in revision surgery for failed back surgery syndrome. Pseudarthrosis repair by conventional posterolateral fusion with postoperative lumbosacral corset immobilization showed a high failure rate. The success rate of reoperation on failed back surgery syndrome patients is low.

引用

页码：957 / 960

页数：4

共 12 条

[1]

Burton C.V., Kirkaldy-Willis W.H., Yong-Hing K., Heithoff K.B., Causes of failure of surgery on the lumbar spine, Clin Orthop, 157, pp. 191-199, (1981)

[2]

Depalma A.F., Rothman R.H., The nature of pseudarthrosis, Clin Orthop, 59, pp. 113-118, (1968)

[3]

Depalma A.F., Rothman R.H., The Intervertebral Disc, (1970)

[4]

Fager C.A., Freiberg S.R., Analysis of failures and poor results of lumbar spine surgery, Spine, 5, pp. 87-94, (1980)

[5]

Finnegan W.J., Fenlin J.M., Marrel J.P., Nardini R.J., Rothman R.H., Results of surgical intervention in the symptomatic multiply- operated back patient, J Bone Joint Surg, 61A, pp. 1077-1082, (1979)

[6]

Kim S.S., Denis F., Lonstein J.E., Winter R.B., Factors Affecting Fusion Rate in Adult Spondylolisthesis. Presented at the Annual Meeting of the Scoliosis Research Society, Amsterdam, (1989)

[7]

Kornblatt M.D., Casey M.P., Jacobs R.R., Internal fixation in lumbosacral spine fusions, Clin Orthop, 203, pp. 141-150, (1986)

[8]

Law J.D., Lehman R., Kirsch W.M., Reoperation after lumbar intervertebral disc surgery, J Neurosurg, 48, pp. 259-263, (1978)

[9]

Lehman T.R., Larocca H.S., Repeat lumbar surgery, Spine, 6, pp. 615-619, (1981)

[10]

Spangfort E.V., The lumbar disc herniation: A computer aided analysis of 2504operations, Acta Orthop Scand, 142, pp. 1-95, (1972)

← 1 2 →