POSTOPERATIVE COMPUTED-TOMOGRAPHY 3 MONTHS AFTER LUMBAR-DISK SURGERY - A PROSPECTIVE SINGLE-BLIND STUDY

被引：13

作者：

JENSEN, TT ^{[1
]}

OVERGAARD, S ^{[1
]}

THOMSEN, NOB ^{[1
]}

KRAMP, S ^{[1
]}

PETERSEN, OF ^{[1
]}

HANSEN, JH ^{[1
]}

机构：

[1] SONDERBORG HOSP,ORTHOPAED SURG SECT,DK-6400 SONDERBORG,DENMARK

来源：

SPINE | 1991年 / 16卷 / 06期

关键词：

POSTOPERATIVE LUMBAR CT SCAN; HERNIATED DISK; CLINICAL OUTCOME;

D O I：

10.1097/00007632-199106000-00004

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

In a prospective single-blind study, 60 patients surgically treated for lumbar disc herniation underwent clinical examination and computed tomography preoperatively and 3 months after surgery. At follow-up (58 patients; median, 31 months; range, 21-37 months), 29 patients had an excellent outcome (51%), 20 improved (33%), and 9 were unchanged or worse (16%). Dural or radicular scar tissue was present by computed tomography in 88% of the patients, but the findings could not be correlated with the clinical outcome. Recurrent or persistent disc herniation was found in 9% of the patients. The clinical outcome of patients with abnormal computed tomography did not differ significantly from patients without this finding. A relation between facet joint degeneration and less successful clinical outcome was demonstrated. Computed tomography (without contrast) 3 months after surgery gave little information which could be correlated with the clinical outcome. Patients with an excellent outcome had all degrees of intraspinal scar tissue.

引用

页码：620 / 623

页数：4

共 24 条

[1]

Braun I.F., Lin J.P., Benjamin M.V., Kricheff I.I., Computed tomography of the asymptomatic postsurgical spine: Analysis of the physiologic scar, AJR, 142, pp. 149-152, (1984)

[2]

Bundschuh C.V., Modic M.T., Ross J.S., Masaryk T.J., Bohlman H., Epidural fibrosis and recurrent disc herniation in the lumbar spine: MR imaging assessment, AJNR, 150, pp. 923-932, (1988)

[3]

Burton C.V., Kirkaldy-Willis W.H., Yonk-Hing K., Heithoff K.B., Causes of failure of surgery on the lumbar spine, Clin Orthop, 157, pp. 191-199, (1981)

[4]

Cerveliinni P., Curri D., Volpin L., Et al., Computed tomography of epidural fibrosis after discectomy: A comparison between symptomatic and asymptomatic patients, Neurosurgery, 23, pp. 710-713, (1988)

[5]

Dorwart R.H., Vogler J.B., Helms C.A., Spinal stenosis, Radiol Clin North Am, 21, pp. 395-420, (1983)

[6]

Firooznia H., Kricheff I.I., Rafii M., Golimbu C., Lumbar spine after surgery: Examination with intravenous contrast-enhanced CT, Radiology, 163, pp. 221-226, (1987)

[7]

Hitelberger W.E., Witten R.M., Abnormal myelograms in asymptomatic patients, J Neurosurg, 28, pp. 204-206, (1968)

[8]

Hueftle M.O., Modic M.T., Ross J.S., Et al., Lumbar spine: Postoperative MR imaging with Gd-DTPAl, Radiology, 167, pp. 817-824, (1988)

[9]

Irstam L., Differential diagnosis of recurrent lumbar disc herniation and postoperative deformation by myelography: An impossible task, Spine, 9, pp. 759-763, (1984)

[10]

Jacobs R.R., McClain O., Neff J., Control of postoperative scar formation: An experimental and clinical study, Spine, 5, pp. 223-229, (1980)

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