Pecar Dzemal, Masić Izet, Karić Mediha, Kulenović Husein, Pecar Muris, Mujić Muzafer
Centar za fizikalnu medicinu i rehabilitaciju Sarajevo.
Med Arh. 2003;57(2):97-100.
In this paper is valoriziaed the successfulness of the treatment of 1,431 patients with the verification disc hernia (CT, MRI) in the surgery for the physical medicine and the rehabilitation in the period from 1966 till 2000 year, by "Praxis method". It is established that in the structure of the treated patients by the structure of the treated patients by the application of this method the best results were achieved by disc hernia in the level L4-L5 without the motor deficiency (567 patients), with the average treatment length 24.38 days and the average estimation of the results 4.06 and then in patients with the disc hernia L5-S1. In disc hernia without diagnostic verified disorder of the motorics, the result of the physical therapy and the rehabilitation was better. This can be observed from the treatment successfulness estimation and the treatment length and number of days of the treatment. The longest treatment was by hernia L5-S1 with the motor disorderly (43.10 days), and the shortest in the disc lesion at the level L4-L5 (24.38 days). Among the patients with disc hernia which in this period were treated was operated only 58 or 4.05%. The age structure of the treated patients with disc hernia amounted averagelly 49.95 years, and the greatest number of the treated belonged to the age group 35 to 44 years.
本文评估了1966年至2000年期间，采用“实践方法”对1431例经计算机断层扫描（CT）和磁共振成像（MRI）证实为椎间盘突出症的患者进行物理医学与康复手术治疗的成功率。结果表明，在采用该方法治疗的患者结构中，L4 - L5水平无运动功能障碍的椎间盘突出症患者（567例）取得了最佳治疗效果，平均治疗时长为24.38天，平均疗效评分为4.06，其次是L5 - S1椎间盘突出症患者。在无经诊断证实的运动功能障碍的椎间盘突出症患者中，物理治疗与康复的效果更佳。这一点可以从治疗成功率评估、治疗时长以及治疗天数中观察到。治疗时间最长的是L5 - S1伴有运动功能障碍的椎间盘突出症患者（43.10天），最短的是L4 - L5水平的椎间盘病变患者（24.38天）。在此期间接受治疗的椎间盘突出症患者中，仅58例（4.05%）接受了手术。接受治疗的椎间盘突出症患者的年龄结构平均为49.95岁，其中接受治疗人数最多的年龄组为35至44岁。
