Rish B L
Spine (Phila Pa 1976). 1984 Jul-Aug;9(5):500-4. doi: 10.1097/00007632-198407000-00016.
The magnitude of the lumbar disc problem is reviewed and a profile of medical and surgical therapeutic expectations is presented. A study of a 5-year epoch of a neurosurgical practice indicated that 64% of all patients requiring disc surgery had satisfactory results and 12% were frank failures. The younger patients with single level disc rupture had the best results, and 18% of all patients required further surgery for recurrent disc problems. The complication rate was 4%. The bias of compensation invalidates any critique of a therapy mode and creates a tremendous economic impact. The need for improvement in the surgical management of lumbar disc disease is established.
本文回顾了腰椎间盘问题的严重程度，并介绍了医学和手术治疗预期的概况。一项对神经外科实践5年时期的研究表明，所有需要进行椎间盘手术的患者中，64%取得了满意的结果，12%为明显失败。单节段椎间盘破裂的年轻患者结果最佳，所有患者中有18%因复发性椎间盘问题需要进一步手术。并发症发生率为4%。赔偿偏差使对治疗模式的任何批评都无效，并产生了巨大的经济影响。腰椎间盘疾病手术管理的改进需求已得到确立。
