Feild J R, McHenry H
Spine (Phila Pa 1976). 1980 May-Jun;5(3):264-78. doi: 10.1097/00007632-198005000-00010.
The lumbar shield is a silicone implant designed to prevent postoperative perineural adhesions, indicate a recurrent intervertebral disc rupture, facilitate further surgery at that level, and aid in the postoperative management of the patient. Over three years it has been implanted in 123 experimental patients. There are 83 control patients. Statistical analysis of the results indicates that for the first three months, those patients with the lumbar shield had less postoperative pain. The diagnosis of a recurrent lumbar disc rupture on lateral lumbar spine radiographs is illustrated. The ease of secondary surgery for a recurrent lumbar disc rupture is emphasized. The value of the lumbar shield in postoperative management is discussed, especially in the workmen's compensation/medicolegal groups. One conclusion is that the frequency of multiple secondary surgical procedures on patients with unsatisfactory initial results could be reduced by the use of the lumbar shield.
腰椎护罩是一种硅胶植入物，旨在防止术后神经周围粘连，提示复发性椎间盘破裂，便于在该节段进行进一步手术，并辅助患者的术后管理。三年来，它已被植入123例实验患者体内。有83例对照患者。结果的统计分析表明，在最初的三个月里，使用腰椎护罩的患者术后疼痛较轻。文中展示了腰椎侧位X线片上复发性腰椎间盘破裂的诊断。强调了复发性腰椎间盘破裂二次手术的简便性。讨论了腰椎护罩在术后管理中的价值，特别是在工伤赔偿/法医学群体中的价值。一个结论是，使用腰椎护罩可以减少初始结果不理想的患者进行多次二次手术的频率。
