摘要
Clinical analysis of residual low back pain and recurrent herniation after standard discectomy for lumbar disc herniation;Comparative study of microsurgical lumbar discectomy and microendoscopic discectomy;The total spondylectomy and reconstruction in the treatment of cervicothoracic spinal tumors;Late kyphosis secondary to operation on thoracolumbar fractures：risk factors and posterior transpedicular vertebral osteotomy with spinal shortening; Anterior decompression, internal fixation and fusion for treatment of thoracolumbar fractures com- bined with spinal cord injuries;
3.1 Lumbar dorsal spine 206203 Clinical analysis of residual low back pain and recurrent herniation after standard discectomy for lumbar disc herniation/Qian Lie(钱列,Dept Orthop Surg,Changzheng Hosp,2nd Mil Med Univ,Shanghai 200003)…∥Orthop J Chin.-2006,14(5).-337～339Objective To investigate residual low back pain and recurrent herniation after standard discectomy for lumbar disc herniation.Methods The long-term folow-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.Results (1) Residual low back pain was found in 79.8% of the patients,of which 14.3% has 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.5 refs,4 figs,1 tab.
