Saal J A
San Francisco Spine Institute, Seton Medical Center, Daly City, California.
Orthop Rev. 1990 Aug;19(8):691-700.
The results of a three-year study of patients with herniated nucleus pulposus and radiculopathy are presented. Nonoperative treatment options for these lumbar disorders, ie, an aggressive physical rehabilitation program, pain control methods, exercise training designed to eliminate repetitive intervertebral disc or facet joint injury, and dynamic muscular lumbar stabilization techniques, were utilized. Successful outcomes were achieved in 50 of the 52 (96%) nonoperatively treated patients. A subcategory of patients with extruded nuclear fragments had an 87% success rate. Ninety-two percent of the overall study population was able to return to work.
本文呈现了一项针对腰椎间盘突出症和神经根病患者的为期三年的研究结果。针对这些腰椎疾病采用了非手术治疗方案，即积极的身体康复计划、疼痛控制方法、旨在消除重复性椎间盘或小关节损伤的运动训练以及动态肌肉腰椎稳定技术。52例接受非手术治疗的患者中有50例（96%）取得了成功的治疗效果。核碎片突出患者亚组的成功率为87%。整个研究人群中有92%能够重返工作岗位。
