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Journal of Korean Neurosurgical Society 1994;23(1): 97-102.
Clinical Analysis of Recurrent Lumbar Disc Herniation.
Byung Gwan Moon, Seong Hoon Oh, Young Soo Kim, Yong Ko, Suk Jun Oh, Nam Kyu Kim, Kwang Myung Kim
Department of Neurosurgery, College of Medicine, Hanyang University, Seoul, Korea.
ABSTRACT
Recurrent lumbar disc herniation after standard lumbar discectomy was the mostcommon complication among the failed back surgery syndrome. Clinical manifestations and radiologic findings were analyzed in 56 paients who were proved to have recurrent lumbar disc herniation. Comparative analysis with Lumbar Disc Surgery Predictive Score(LDSPS) between 160 patients of failed back surgery syndrome and 56 patients of recurrent disc herniation was performed. LDSPS of the recurrent disc herniation was 81.3. The interval of the reoperation after onset of symptom was considered to be one ofthe major factors in the prognosis of the recurrent disc herniation. The patient must be educated how to prevent lumbar disc herniation. When recurrency was suspected one must diagnose precisely with the help of MRI andreoperate as soon as possible.
Key Words: Recurrent Lumbar Disc Herniation; Failed Back Surgery Syndrome; Lumbar Disc Surgery Predictive Score
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