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首页> 外文期刊>Surgical neurology >Late postoperative results in 1000 work related lumbar spine conditions.
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Late postoperative results in 1000 work related lumbar spine conditions.

机译：术后晚期会导致1000例与工作有关的腰椎疾病。

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BACKGROUND: Poor results after lumbar spinal surgery have been recorded in compensation cases throughout the world medical literature. It seems that psychosocial factors play an important role in the delay in returning to gainful employment but that chronic postoperative lumbar and lower extremity pain is blamed for this state of affairs. The present series of late outcomes is based on actual physical examination by independent neurosurgical and orthopedic experts appointed by the Workman's Compensation Board, providing an impartial opinion as to the discrepancy between objective findings and failure to reintegrate into the work force. METHODS: One thousand workmen's compensation patients who had undergone lumbar spinal surgery were divided into two groups, one of 600 patients with single operations, evaluated on average 51 months after surgery, and the second of 400 with multiple operations, evaluated on average 38 months postoperatively.RESULTS: Seventy-one percent of the single operation group had not returned to work more than 4 years after the operation, and 95% of the multiple operations group. In none of these cases was there a neurological deficit that precluded gainful employment, the failure to return to work being blamed on chronic postoperative pain.CONCLUSIONS: Although motivational (that is, psychosocial) factors undoubtedly play a role in failure to return to work, the role of chronic pain cannot be ignored. Increased attention must be devoted to ascertaining the etiology of this pain and ways to prevent it.
机译：背景：腰椎手术后的不良结果已在世界医学文献中记录在赔偿案中。看来社会心理因素在延误返回有酬工作中起着重要作用，但是这种情况归咎于慢性术后腰椎和下肢疼痛。本系列的最新结果是基于由工人赔偿委员会任命的独立神经外科和骨科专家进行的实际身体检查得出的，对客观发现与未能重新融入劳动力之间的差异提供了公正的看法。方法：将接受腰椎手术的一千名工人补偿患者分为两组，其中600例单次手术患者，平均在术后51个月进行评估;第二例400例多次手术，平均在术后38个月进行评估。结果：单一手术组中有71％的人在手术后四年以上未恢复工作，而多重手术组中的95％。在所有这些案例中，没有神经系统的缺陷会阻止有酬的工作，而归咎于慢性术后疼痛是无法重返工作的原因。慢性疼痛的作用不容忽视。必须更加重视确定这种疼痛的病因和预防方法。

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