Lee C K, Vessa P, Lee J K
Department of Orthopaedics, UMDNJ-New Jersey Medical School, Newark, USA.
Spine (Phila Pa 1976). 1995 Feb 1;20(3):356-61. doi: 10.1097/00007632-199502000-00018.
This study reviewed 62 consecutive patients with chronic disabling low back pain who were treated with disc excision and posterior lumbar interbody fusion. Outcomes of treatment results were evaluated by a follow-up evaluation.
To evaluate the efficacy of the surgical treatment of patients with chronic disabling low back pain resulting from internal disc derangements that does not respond to nonoperative treatments.
Chronic and disabling low back pain that persists for more than 6 months and does not respond to all known modalities of nonoperative treatment represents a difficult problem. No sufficient information exists in the literature regarding the efficacy of any specific treatment method for this group of patients.
During a 7-year period between 1984 and 1990, 62 consecutive patients were treated with disc excision and posterior lumbar interbody fusion. The clinical outcomes were evaluated by postoperative follow-up questionnaire, and the fusion result was evaluated by x-ray studies of the lumbosacral spine.
Approximately 87% of the 62 patients responded properly to the follow-up evaluation. Eighty-nine percent of the patients had satisfactory results, 93% returned to work, and a successful fusion was obtained in 94% of the patients.
本研究回顾了62例连续性慢性致残性下腰痛患者，这些患者接受了椎间盘切除术和后路腰椎椎间融合术。通过随访评估来评价治疗结果。
评估因椎间盘内部紊乱导致的慢性致残性下腰痛且非手术治疗无效的患者手术治疗的疗效。
持续超过6个月且对所有已知非手术治疗方式均无反应的慢性致残性下腰痛是一个难题。文献中没有足够的信息说明针对这类患者任何特定治疗方法的疗效。
在1984年至1990年的7年期间，62例连续性患者接受了椎间盘切除术和后路腰椎椎间融合术。通过术后随访问卷评估临床结果，通过腰骶部脊柱X线检查评估融合结果。
62例患者中约87%对随访评估反应良好。89%的患者结果满意，93%的患者恢复工作，94%的患者获得了成功融合。
