Clinical analysis of residual low back pain and recurrent herniation after standard discectomy for lumbar disc herniation
- VernacularTitle:腰椎间盘突出症术后下腰痛及再突出的临床分析
- Author:
Lie QIAN
;
Lianshun JIA
;
Xiongsheng CHEN
- Publication Type:Journal Article
- Keywords:
Herniation;
Low back pain;
Herniation recurrent
- From:
Orthopedic Journal of China
2006;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To investigate residual low back pain and recurrent herniation after standard discectomy for lumbar disc herniation.[Method]The long-term follow-up was analyzed in 84 patients who were selected randomly from 200 patients during a minimum of 5 years after standard discectomy,which was based on the rating of JOA and image methodology on both before and after the operations.[Result](1)Residual low back pain was found in 79.8% of the patients,of which 14.3% had severe low back pain(JOA 1).The majority of the patients with severe low back pain were under age of 35 at time of operation.(2)Twelve patients had operations again because of herniation and 1 patient had operation again because of the unstable of lumbar,who were mainly male adults under age of 50.[Conclusion]It is easier for young man to have severe low back pain and herniation recurrence.When conducting the operation for those young patients for the first time,we can consider fusion of spine properly according to their condition.
