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The Clinical Study of Reoperative Lumbar Disc Herniation

Author: LiYingChao
Tutor: YeJunJian
School: Fujian Medical
Course: Surgery
Keywords: Lumbar disc Reoperation Reason Surgical methods
CLC: R687.3
Type: Master's thesis
Year: 2008
Downloads: 108
Quote: 0
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Abstract


Objective: To investigate lumbar disc herniation surgery causes and surgical methods . Methods: retrospective study of 58 patients with complete follow-up data disc herniation reoperation , the analysis of general information , the initial surgery and reoperation discectomy possible causes of recurrence after surgery , the indications of the various treatments . Results: The lumbar disc herniation surgery unrelated to sex ( P = 0.334 gt ; 0.05 ) , may be relevant with age ( P = 0.009 lt ; 0.05 ) . Surgery interval from 0.5 to 240 months , a larger span . X-ray changes before reoperation lumbar spine bone hyperplasia, the lumbar lordosis straight surgical space narrowing , lumbar scoliosis , degenerative spondylolisthesis , spondylolysis . Then pre-operative CT scan or MRI changes include the original surgical clearance the prominent ipsilateral or contralateral prominent , other prominent gap , spinal stenosis, yellow ligament hypertrophy , lumbar intervertebral disc calcification . Non - fixation group and re-operation of the internal fixation group , the difference of the amount of bleeding and surgical results were statistically significant . According to the reoperation lumbar pathological changes , this group of 58 patients divided into simple and complex reoperation simplex cases internal fixation group and non- fixation group difference was not statistically significant effect of surgery , the complex between the two groups surgery The effect of the difference was statistically significant . Surgical patients after the initial surgery on self-protection the Notes and rehabilitation knowledge to understand the situation worse . Conclusion: lumbar disc surgery risk factors for young , less self-protection precautions and rehabilitation knowledge about the pathological type of disc herniation initial surgery and after the initial surgery . Iatrogenic aspects of multi-gap highlights omissions, intraoperative positioning errors and discectomy is not complete, not handle narrow neural tube , postoperative bleeding , nerve root adhesions and lumbar segmental instability . Correct choice of the reoperation ways to get more satisfactory results .

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CLC: > Medicine, health > Surgery > Orthopaedic Surgery ( movement system diseases,orthopedic surgery ) > Orthopedic surgery and surgery > Bone surgery
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