Persistent radiculopathy after surgical treatment for lumbar disc herniation: causes and treatment options

被引：134

作者：

Rogerson, Ashley ^{[1
]}

Aidlen, Jessica ^{[2
]}

Jenis, Louis G. ^{[2
,3
]}

机构：

[1] Tufts Med Ctr, Dept Orthopaed Surg, Boston, MA 02111 USA

[2] Newton Wellesley Hosp, Dept Orthoped Surg, Div Spine Surg, Newton, MA 02462 USA

[3] Newton Wellesley Hosp, 2014 Washington St, Newton, MA 02458 USA

来源：

INTERNATIONAL ORTHOPAEDICS | 2019年 / 43卷 / 04期

关键词：

Chronic radiculopathy; Lumbar disc herniation; Prevalence; LOW-BACK-PAIN; RADICULAR PAIN; DOUBLE-BLIND; ACTIVITY RESTRICTIONS; WORKERS-COMPENSATION; EPIDURAL FIBROSIS; NITRIC-OXIDE; OUTCOMES; DISKECTOMY; INJECTIONS;

D O I：

10.1007/s00264-018-4246-7

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

PurposeLumbar disc surgery is a common procedure in the USA. It is frequently performed with good or excellent results in most patients. This article reviews common causes of persistent radiculopathy after surgical intervention.MethodsWe performed an extensive review of the literature as well as applying our own experience.ResultsCommon causes of persistent leg pain following operative intervention include re-herniation, epidural fibrosis, biochemical/physiologic changes in the nerve root, and psychosocial issues.ConclusionsPatients with persistent leg pain after surgical treatment of lumbar disc herniation can pose a challenging clinical problem. Summary of these topics and available treatment options are reviewed.

引用

页码：969 / 973

页数：5

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