MICRODISCECTOMY AND 2ND OPERATION FOR LUMBAR DISC HERNIATION

被引：47

作者：

HIRABAYASHI, S

KUMANO, K

OGAWA, Y

AOTA, Y

MAEHIRO, S

机构：

[1] Department of Orthopaedic Surgery, Kantoh Rosai Hospital, Kawasaki

[2] Maehiro Orthopaedic Clinic, Yokohama

来源：

SPINE | 1993年 / 18卷 / 15期

关键词：

MICRODISCECTOMY; LUMBAR DISC HERNIATION; 2ND OPERATION; CT; MRI;

D O I：

10.1097/00007632-199311000-00010

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

To prevent recurrence and avoid the second operation, the authors analyzed the clinical features and surgical outcome of 214 patients (157 males and 57 females) who underwent lumbar microdiscectomy, 16 of whom required second operation. The mean age was 34.6 years (range, 12-62 years). The average follow-up period was 4 years 5 months. The overall incidence of second operation was 7.5%. Second operation was performed because of recurrence of herniation in nine patients, and residual bony compression at the lateral recess in two. The incidence of second operation was significantly higher in teenagers than in patients in other age decades (P < 0.01), and in patients with protrusion-type herniation than in those with extrusion-type or sequestration-type herniation (P < 0.01). To prevent the necessity for second operation, careful and thorough discectomy, especially deep to the posterior longitudinal ligament, and decompression at the lateral recess are useful.

引用

页码：2206 / 2211

页数：6

共 13 条

[1]

Caspar W., A new surgical procedure for lumbar disc herniation causing less tissue damage through a microsurgical approach, Adv Neurosurg, 4, pp. 74-77, (1977)

[2]

Caspar W., Campbell B., Barbier D.D., Kretschmmer R., Gotfried Y., The Caspar microsurgical discectomy and comparison with a conventional standard lumbar disc procedure, Neurosurgery, 28, pp. 78-87, (1991)

[3]

Coventry M.B., Glorrley P.K., Kerrohan J.W., The intervertebral disc: Its microscopic anatomy and pathology: Part II, changes in the intervertebral disc correlation with age, J Bone Joint Surg, 27, pp. 233-247, (1945)

[4]

Fukuoka M., Suzuki N., Microlumbar discectomy, Chuu- Buseisaishi, 34, pp. 240-241, (1991)

[5]

Hanakita J., Suwa H., Nishihara K., Iihara K., Sakaida H., Nishi S., Neurological Surgery (Tokyo), 19, pp. 429-434, (1991)

[6]

Hasegawa T., Watanabe R., Yamano Y., Hayashida T., Namba Y., Evaluation for microlumbar discectomy, Seikeigeka, 42, pp. 1501-1504, (1991)

[7]

Kawabata M., Yamazaki N., Nihei R., Clinical Results for Lumbar Disc Herniation —long Term Results of Love’s Method — Seikeigeka, 24, pp. 875-880, (1973)

[8]

Kumano K., Manohji T., Yokoe K., Kaneko K., Ohkubo F., Terauchi Y., Microsurgical excision of lumbar disc herniation, Kanto Seikeisaigaigeka Gakkai Zasshi, 15, pp. 13-17, (1984)

[9]

Nystrom B., Experience of microsurgical compared with conventional technique in lumbar disc herniation, Acta Neurol Scand, 76, pp. 129-141, (1987)

[10]

Silvers H.R., Microsurgical versus standard lumbar discectomy, Neurosurgery, 22, pp. 837-841, (1988)

← 1 2 →