Gautschi Oliver P, Corniola Marco V, Schaller Karl
Service de Neurochirurgie, Hôpitaux Universitaires de Genève et Faculté de Médecine, Université de Genève.
Praxis (Bern 1994). 2014 Jun 18;103(13):775-9. doi: 10.1024/1661-8157/a001694.
A lumbar disc herniation is a frequent pathology. The incidence of a postoperative recurrence is between 1-18%. According to the current literature, a large anular defect and a limited perioperative microdiscectomy leads to an increased risk of recurrence. In contrast, a generous perioperative microdiscectomy comes along with an accelerated postoperative disc height loss and a progressive degenerative disc disease. The present work discusses the position of an anular-closure-device in respect of the problem risk of recurrence versus postoperative degenerative disc disease.
腰椎间盘突出症是一种常见的病症。术后复发率在1%至18%之间。根据当前文献，较大的纤维环缺损和有限的围手术期显微椎间盘切除术会导致复发风险增加。相比之下，广泛的围手术期显微椎间盘切除术会伴随着术后椎间盘高度加速丢失和椎间盘退变疾病进展。本研究探讨了纤维环闭合装置在复发风险与术后椎间盘退变疾病问题方面的作用。
