Badawy Walid Salah, El Masry M A, Radwan Y A, El Haddidi T T
Department of Trauma & Orthopaedic Surgery, Cairo University, Cairo, Egypt.
Int Orthop. 2006 Aug;30(4):305-8. doi: 10.1007/s00264-006-0081-3. Epub 2006 Apr 25.
The success rate following revision surgery for failed back surgery is inherently low. However, a general consensus for a satisfactory surgical intervention after failed disc surgery has not yet been reached. We present a cohort study of 25 adult cases treated by instrumented posterolateral fusion with or without nerve root exploration/decompression for recurrence or persistence of symptoms after previous disc surgery. The average age at surgery was 47 years (range 39-56 years). Complications were seen in four patients in the form of intraoperative dural tears. A satisfactory clinical outcome was seen in 80% of the patients, and the overall fusion rate was 93%.
腰椎手术失败后翻修手术的成功率本来就很低。然而，对于椎间盘手术失败后令人满意的手术干预措施，尚未达成普遍共识。我们进行了一项队列研究，纳入了25例成年病例，这些病例接受了后路器械辅助融合术，部分病例还进行了神经根探查/减压术，用于治疗既往椎间盘手术后症状复发或持续存在的情况。手术时的平均年龄为47岁（范围39 - 56岁）。4例患者出现了术中硬脊膜撕裂的并发症。80%的患者获得了满意的临床结果，总体融合率为93%。
