Schüwer U, Roosen K
Neurochirurgische Universitätsklinik.
Neurochirurgia (Stuttg). 1988 Sep;31 Suppl 1:192-5. doi: 10.1055/s-2008-1053933.
During the period from 1980 to 1985 we performed 1957 lumbar disc operations. In 1720 (87.9%) first operations and 237 patients (12.1%) with reoperation we found 127 complications (6.5%). General complications occurred in 1.6%, infection in 2.8%, mechanical complications in 1.6% and neurological complications in 0.5%. The rate was, except for general complications much higher in reoperation (16%) than in first operation (5.2%). We found 1.1% postoperative irreversible neurological complications. Further operative treatment because of complications was necessary in 2.3%. The types and causes of complications are discussed and compared with the results in the literature.
1980年至1985年期间,我们共进行了1957例腰椎间盘手术。在1720例(87.9%)初次手术和237例(12.1%)再次手术的患者中,我们发现了127例并发症(6.5%)。全身并发症发生率为1.6%,感染率为2.8%,机械性并发症发生率为1.6%,神经并发症发生率为0.5%。除全身并发症外,再次手术的并发症发生率(16%)远高于初次手术(5.2%)。我们发现术后不可逆神经并发症的发生率为1.1%。因并发症而需要进一步手术治疗的比例为2.3%。本文讨论了并发症的类型和原因,并与文献中的结果进行了比较。