Complication and Reoperation after Surgery for Lumbar Disc Herniation.
- Author:
Yong Han KIM
1
;
Kyung Soon AHN
;
Young Bo SIM
;
Jun Ho SONG
;
Sun Kil CHOI
;
Seung Koo KANG
Author Information
1. Department of Neurosurgery, School of Medicine, Hallym University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Lumbar disc herniation;
Complication;
Reoperation
- MeSH:
Discitis;
Diskectomy;
Fibrosis;
Hemorrhage;
Humans;
Intervertebral Disc Displacement;
Laminectomy;
Reoperation*;
Retrospective Studies
- From:Journal of Korean Neurosurgical Society
1995;24(8):916-923
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Retrospective analysis of reoperation and complication was made for 186 patients with lumbar herniated disc. The results showed complication rate of 7%(13 cases) and reoperation rate of 10.2%(19 cases). The primary complications were infections(9 cases), technical errors(2 cases), and scores(2 cases). Rate of discitis was 1.6%(3 cases). The outcomes of reoperation resulted in excellent recovery of 16%(3 cases) and good recovery of 58%(11 cases). The most common intraoperative findings of reoperation were inadequate disectomy or missed disc fragments 31.6% or 6 cases;epidural fibrosis 26.3% or 5 cases;and new herniation at other level 15.8% or 3 cases. Excellent and good results could be achieved in patients operated within 1 month or more than 6 months after while the patients who underwent reoperation between 1 month and 6 months showed poor results. The delicate perioperative menagement and complete discectomy, adequate bleeding control and laminectomy were considered to be essential in reducing the chance of complication and reoperation.
