REPEAT LUMBAR SPINE SURGERY - FACTORS INFLUENCING OUTCOME

被引：54

作者：

BERNARD, TN

机构：

[1] Hughston Clinic, Columbus, GA

来源：

SPINE | 1993年 / 18卷 / 15期

关键词：

LUMBAR SURGERY; REPEAT LUMBAR SURGERY; RADIOGRAPHIC IMAGING OF THE LUMBAR SPINE; LUMBAR FUSION;

D O I：

10.1097/00007632-199311000-00008

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Forty-five patients who had residual symptoms after lumbar spine surgery were re-evaluated and underwent additional surgery. After a minimum of 2 years' follow-up, these patients' results were reviewed to determine what variables might predict long-term outcome. Age, number of previous operations, and psychological diagnosis were not statistically significant, but a noncompensable injury, ability to return to work after surgery, a negative history of litigation, and achieving a solid fusion were statistically significant in predicting a good outcome. In this study of 45 patients who had repeat surgery, 82% were improved at an average follow-up of 28.2 months. Intrathecally enhanced computed tomography, magnetic resonance imaging, discography, and computed tomography-discography are required to thoroughly evaluate the previously operated lumbar spine, because a single imaging study showed surgical abnormalities in only 61% of the patients in this study.

引用

页码：2196 / 2200

页数：5

共 33 条

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