Herter T, König H J
Landesversorgungsamt NRW, Westfälischen Wilhelms-Universität Münster.
Neurochirurgia (Stuttg). 1992 Sep;35(5):137-44. doi: 10.1055/s-2008-1052266.
Although lumbar disc surgery (discectomy) definitely improves the overall situation of the patient in most cases, it does create problems of a hitherto absent kund in about 6% of the patients. Expertising of uncomplicated cases should not be too difficult. However, modulated by individual disposition, a syndrome may develop known as "failed back surgery syndrome" caused by intersegmental loosening, crumbling or fusing and scarification. The pain it causes is decisive for its assessment, not so much any motor or other neurological deficits. In mild cases the loss in capacity for gainful employment may be assessed at between 20% to at the most 30%, but the severely handicapped are unable to cope with their daily life without assistance, their incapacitation amounting to as much as 100%. If the patient concerned is on a job that places stress on this spine, he may be unfit for work even if the affliction is relatively mild.
尽管腰椎间盘手术（椎间盘切除术）在大多数情况下确实能改善患者的总体状况，但在约6%的患者中确实会引发一种前所未有的问题。处理不复杂的病例应该不会太难。然而，受个体体质影响，可能会出现一种综合征，称为“腰椎手术失败综合征”，其由节段间松动、碎裂或融合以及瘢痕形成引起。它所导致的疼痛对其评估起决定性作用，而不是任何运动或其他神经功能缺损。在轻度病例中，丧失从事有酬工作能力的程度可能评估为20%至最多30%，但严重残疾者在没有帮助的情况下无法应对日常生活，其失能程度高达100%。如果相关患者从事的工作会给脊柱带来压力，那么即使病情相对较轻，他也可能无法工作。
