Friedrich M, Tilscher H
Wien Klin Wochenschr. 1980 Jan 4;92(1):27-31.
This investigation presents the findings in 105 patients after disc operations who required renewed in-patient treatment mainly because of their resistance to therapy and/or recurrence of the lumbar syndrome. A number of factors were found to be implicated in providing a reason for unsatisfactory results after operations for prolapsed lumbar intervertebral discs. It must be postulated that interfering factors like ligamental pain, restricted movement, participation of the hip, psychological aspects, polyneuropathics and focal occurrence have to be taken into consideration already preoperatively in the diagnosis, indication for operation and therapy. Also with post-operative complaints special alteration must be paid during rehabilitation to those factors quoted above, as well as to direct post-operative complications like inflammation and scar.
本研究呈现了105例椎间盘手术后患者的调查结果，这些患者主要因治疗抵抗和/或腰椎综合征复发而需要再次住院治疗。研究发现，腰椎间盘突出症手术后效果不理想存在诸多因素。必须假定，诸如韧带疼痛、活动受限、髋关节参与、心理因素、多神经病和局部病变等干扰因素在术前诊断、手术指征和治疗时就必须加以考虑。对于术后的主诉，在康复过程中也必须特别关注上述因素，以及像炎症和瘢痕等直接的术后并发症。
