Saunders E A, Jacobs R R
South Med J. 1976 Jul;69(7):868-71.
This report reviews the outcome of surgery for back pain in 50 patients who had had previous back surgery. All were treated by exploration and posterolateral fusion of the spine. Those with nerve root irritation had thorough nerve root decompression including wide laminectomy when needed. Back pain was relieved in 44 of 50 patients, and sciatic pain was relieved in 38 or 43 patients. Postoperative functional activity (return to work) was regained in 24 of the 30 patients in whom this could be assessed. In six patients with back pain and in five patients with sciatic pain surgical benefits were insignificant; these were rated as poor results. In six patients the rehabilitation goal of satisfactory level of activity was not achieved.
本报告回顾了50例曾接受过背部手术的患者接受背部疼痛手术的结果。所有患者均接受了脊柱探查和后外侧融合术。伴有神经根刺激症状的患者接受了彻底的神经根减压，必要时包括广泛椎板切除术。50例患者中有44例背部疼痛得到缓解，43例患者中有38例坐骨神经痛得到缓解。在可评估的30例患者中，有24例恢复了术后功能活动（重返工作岗位）。6例背部疼痛患者和5例坐骨神经痛患者的手术获益不显著；这些被评定为效果不佳。6例患者未实现满意活动水平的康复目标。
