Herron L D, Turner J
Clin Orthop Relat Res. 1985 Oct(199):145-52.
A revised objective rating system for patient selection for lumbar laminectomy and discectomy in the treatment of disc herniation is presented. Based on the severity of the findings within each of four categories (neurologic signs, root tension signs, myelogram or CT scan findings, and psychosocial environment), numerical scores are derived. A maximum score of 25 points is available in each category, for a total of 100 points. The objective rating score was determined prospectively in 106 patients who were treated by laminectomy for lumbar disc herniation and who were evaluated at least one year after surgery. The rating score was highly predictive of the surgical result. Application of this system for patient selection would reduce reliance on much of the subjective interpretation of physical and radiographic findings. With appropriate patient selection, improved surgical results are possible.
本文提出了一种用于腰椎间盘突出症治疗中腰椎椎板切除术和椎间盘切除术患者选择的修订客观评分系统。根据四个类别（神经体征、神经根张力征、脊髓造影或CT扫描结果以及社会心理环境）中各项发现的严重程度得出数值分数。每个类别最高可得25分，总计100分。对106例行腰椎间盘突出症椎板切除术且术后至少随访一年的患者进行前瞻性确定客观评分。该评分对手术结果具有高度预测性。应用该系统进行患者选择将减少对体格检查和影像学检查结果的大量主观解读的依赖。通过适当的患者选择，有可能改善手术结果。
