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[决定腰椎背痛综合征外科治疗结果的因素]

[Factors determining the results of surgical treatment of backache syndromes in the lumbar spine].

作者信息

Kiwerski J

机构信息

Kliniki Rehabilitacji AM w Warszawie, Konstancin.

出版信息

Neurol Neurochir Pol. 1992 Jan-Feb;26(1):57-65.

PMID:1388253
Abstract

The therapeutic results were analysed in a group of 509 patients operated on for low back pain syndromes (after previous establishing of indications based on clinical examination and radiological investigations) with over 6 months of follow-up. The therapeutic results were compared with the observed symptoms and signs, neurological findings, age, duration of acute phase of the disease, surgical approach used, changes found during the operation, stability of the spine and type of its surgical immobilization. The therapeutic result depended mainly on the degree of neurological abnormalities before the operation, duration of the acute phase and operative findings as well as spinal stability. The operative approach and stabilization type, although influencing the result, were a consequence of the above factors.

摘要

对一组509例因下腰痛综合征接受手术治疗的患者(此前已根据临床检查和影像学检查确定适应症)进行了分析,随访时间超过6个月。将治疗结果与观察到的症状和体征、神经学检查结果、年龄、疾病急性期持续时间、所采用的手术入路、手术中发现的变化、脊柱稳定性及其手术固定类型进行了比较。治疗结果主要取决于术前神经功能异常的程度、急性期持续时间、手术所见以及脊柱稳定性。手术入路和固定类型虽然会影响结果,但却是上述因素的结果。

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