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首页> 外文期刊>Open Journal of Modern Neurosurgery >Surgical Outcome of Fusion in Recurrent Lumbar Disc Herniation
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Surgical Outcome of Fusion in Recurrent Lumbar Disc Herniation

机译：复发性腰椎间盘突出症融合术的手术效果

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Background Data: Recurrent lumbar disc herniation means re-herniation of disc on the same site and at the same level where a previous discectomy had been performed: recurrent lumbar disc herniation occurs in 7% to 24% of patient underwent discectomy. Tow mean surgical options after reherniated lumbar disc are revision discectomy alone or revision discectomy with fusion discectomy alone in recurrent lumbar disc herniation may not be an efficient treatment without fusion. Objective: To evaluate the efficacy and safety of revision discectomy with fusion in management of recurrent lumbar disc. Study Design: Retrospective study reviewed all patient underwent revision discectomy with fusion, they were 40 patients operated for recurrent lumbar disc from September 2014 to April 2018 in Al-Azhar University Hospital Damietta. Pre- and post-operative data collection and analysis of the outcome were completed based on the “Japanese Orthopedic Association score” (JOAs), and radiographic follow-up. Patients and Methods: 40 patients (30 male and 10 female) underwent revision discectomy with fusion as surgical management for reherniated lumbar disc from September 2014 to April 2018. All patients presented with low back pain and radicular pain with mean duration of 18 months. The patients were investigated by standard plain X-ray CT SCAN and MRI of the lumbar spine. All patients had a discectomy and postero-lateral fusion in revision surgery. These patients followed post operatively clinically for improving pain and neural function, and radiologically for disc removal stability and fusion. Results: The age ranged from 30 to 60 years, mean age was 45 years, male to female ratio 3:1. Follow-up ranged from 18 - 30 months with a mean follow-up 24 months. 30 patients had an excellent outcome, 6 patients had a good outcome, 2 patients had a fair outcome, and 2 patients had a poor outcome. Conclusion: Recurrent lumbar disc herniation occurs in 7% to 24% of patient underwent discectomy. Revision surgery when indicated can be done by various techniques. Revision discectomy with fusion for reherniated lumbar disc is effective and safe with confident results.
机译：背景资料：复发性腰椎间盘突出症是指在先前进行过椎间盘切除术的同一部位，在同一水平上再次进行椎间盘突出症：接受椎间盘切除术的患者中，有7％至24％的患者发生腰椎间盘突出症。腰椎间盘突出症后的两种术式选择是单独的椎间盘切除术或单独的融合椎间盘切除术进行修订性椎间盘切除术在复发性腰椎间盘突出症患者中如果不进行融合可能不是一种有效的治疗方法。目的：评价融合椎间盘翻修术治疗复发性腰椎间盘突出的疗效和安全性。研究设计：回顾性研究回顾了2014年9月至2018年4月在Al-Azhar大学医院达米埃塔（Damietta）进行腰椎间盘突出手术的40例复发性椎间盘切除术的所有患者。根据“日本骨科协会评分”（JOAs）和影像学随访结果，完成了手术前后的数据收集和结果分析。患者与方法：2014年9月至2018年4月，对40例患者（男30例，女10例）行椎间盘突出症融合术作为腰椎间盘突出症的手术治疗。所有患者均出现腰痛和神经根痛，平均病程为18个月。通过标准的X线平片CT扫描和腰椎MRI检查对患者进行检查。所有患者在翻修手术中均进行了椎间盘切除术和后外侧融合术。这些患者在术后进行了临床随访，以改善疼痛和神经功能，并在放射学方面进行了椎间盘摘除的稳定性和融合。结果：年龄为30至60岁，平均年龄为45岁，男女之比为3：1。随访时间为18-30个月，平均随访24个月。 30例患者的预后良好，6例患者的预后良好，2例患者的预后良好，2例患者的预后差。结论：接受椎间盘切除术的患者中有7％至24％发生复发性腰椎间盘突出症。可以通过多种技术进行翻修手术。融合椎间盘突出症腰椎间盘摘除术是行之有效，安全，结果可靠的方法。

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