Re-operation after lumbar disc surgery: Results in 85 cases

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KAYAOĞLU Ç. R., Calikoglu C., BİNLER S.

JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, cilt.31, sa.4, ss.318-323, 2003 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 31 Sayı: 4
  • Basım Tarihi: 2003
  • Doi Numarası: 10.1177/147323000303100410
  • Dergi Adı: JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.318-323
  • Anahtar Kelimeler: lumbar disc surgery, failed back surgery, re-operation, FAILED-BACK SYNDROME, FOLLOW-UP, SURGICAL FINDINGS, PERIDURAL SCAR, HERNIATION, DISKECTOMY, DISCECTOMY, SPINE, PAIN, ASSOCIATION
  • Atatürk Üniversitesi Adresli: Evet

Özet

In this retrospective study, 85 patients previously operated on for lumbar disc herniation who had undergone reoperation due to persistent pain or recurrence of the symptoms were investigated. The surgical findings were: recurrent herniation (20%), epidural fibrosis alone (36.4%), small recurrent herniation with epidural fibrosis (28.2%), herniation at another level (10.6%), spinal stenosis (2.4%), lumbar pseudomeningocele (1.2%) and adhesive arachnoiditis (1.2%). The overall success rate of re-operation was 60%. The best results were obtained in recurrent disc herniation (47.1% excellent and 35.3% good results) and in herniation at another level (77.8% excellent and 22.2% good). Re-operation in epidural fibrosis had less-satisfactory results (29.1% excellent and 12.9% good).