Guarnera F, Mancuso P, Augello G, Chiaramonte I, Carpinteri M
Neurosurgical Institute, University of Catania.
Zentralbl Neurochir. 1987;48(4):299-302.
The Authors report 8 cases of Failed Lumbar Disk Syndrome (FLDS), on 210 patients operated for slipped disk. Risk factors and the concept that an abnormality involving either neurons in the substantia gelatinosa or internucial fibers in Lissauer's tract is responsible for pain in patients with FLDS are discussed. Since iatrogenic deafferentation pain response to almost all current forms of therapy is generally poor, the most rational approach remains prevention.
作者报告了210例因椎间盘突出接受手术的患者中有8例发生腰椎间盘综合征失败(FLDS)的情况。文中讨论了风险因素以及一种观点,即涉及胶状质神经元或 Lissauer 束内联络纤维的异常是导致 FLDS 患者疼痛的原因。由于医源性去传入性疼痛对几乎所有当前治疗形式的反应通常都很差,最合理的方法仍然是预防。