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Journal of Korean Neurosurgical Society 1995;24(8): 916-923. |
| Complication and Reoperation after Surgery for Lumbar Disc Herniation. |
| Yong Han Kim, Kyung Soon Ahn, Young Bo Sim, Jun Ho Song, Sun Kil Choi, Seung Koo Kang |
| Department of Neurosurgery, School of Medicine, Hallym University, Seoul, Korea. |
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| ABSTRACT |
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Retrospective analysis of reoperation and complication was made for 186 patients with lumbar herniated disc. The results showed complication rate of 7%(13 cases) and reoperation rate of 10.2%(19 cases). The primary complications were infections(9 cases), technical errors(2 cases), and scores(2 cases). Rate of discitis was 1.6%(3 cases). The outcomes of reoperation resulted in excellent recovery of 16%(3 cases) and good recovery of 58%(11 cases).
The most common intraoperative findings of reoperation were inadequate disectomy or missed disc fragments 31.6% or 6 cases;epidural fibrosis 26.3% or 5 cases;and new herniation at other level 15.8% or 3 cases. Excellent and good results could be achieved in patients operated within 1 month or more than 6 months after while the patients who underwent reoperation between 1 month and 6 months showed poor results. The delicate perioperative menagement and complete discectomy, adequate bleeding control and laminectomy were considered to be essential in reducing the chance of complication and reoperation. |
| Key Words:
Lumbar disc herniation; Complication; Reoperation |
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