POSTOPERATIVE COMPUTED-TOMOGRAPHY 3 MONTHS AFTER LUMBAR-DISK SURGERY - A PROSPECTIVE SINGLE-BLIND STUDY

被引：13

作者：

JENSEN, TT ^{[1
]}

OVERGAARD, S ^{[1
]}

THOMSEN, NOB ^{[1
]}

KRAMP, S ^{[1
]}

PETERSEN, OF ^{[1
]}

HANSEN, JH ^{[1
]}

机构：

[1] SONDERBORG HOSP,ORTHOPAED SURG SECT,DK-6400 SONDERBORG,DENMARK

来源：

SPINE | 1991年 / 16卷 / 06期

关键词：

POSTOPERATIVE LUMBAR CT SCAN; HERNIATED DISK; CLINICAL OUTCOME;

D O I：

10.1097/00007632-199106000-00004

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

In a prospective single-blind study, 60 patients surgically treated for lumbar disc herniation underwent clinical examination and computed tomography preoperatively and 3 months after surgery. At follow-up (58 patients; median, 31 months; range, 21-37 months), 29 patients had an excellent outcome (51%), 20 improved (33%), and 9 were unchanged or worse (16%). Dural or radicular scar tissue was present by computed tomography in 88% of the patients, but the findings could not be correlated with the clinical outcome. Recurrent or persistent disc herniation was found in 9% of the patients. The clinical outcome of patients with abnormal computed tomography did not differ significantly from patients without this finding. A relation between facet joint degeneration and less successful clinical outcome was demonstrated. Computed tomography (without contrast) 3 months after surgery gave little information which could be correlated with the clinical outcome. Patients with an excellent outcome had all degrees of intraspinal scar tissue.

引用

页码：620 / 623

页数：4

共 24 条

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