Clinical Results of Multiply Operated Back of Same Level for Lumbar Disk Herniation

• Published in: Orthopedics & Traumatology Vol. 49; no. 3; pp. 968 - 971
• Main Authors: Kanesaki, Katsuya, Imoto, Hiroki, Hieda, Hiroshi, Sonoda, Kyosuke, Mashima, Takeshi, Nishida, Toshiharu, Goto, Hiroshi, Takamiya, Takaaki, Nagata, Kensei, Yoshimatsu, Hiroki, Inoue, Akio
• Format: Journal Article
• Language: English
• Published: West-Japanese Society of Orthopedics & Traumatology 2000
• Subjects: lumbar disk herniation; multiply operated back; operetive result
• ISSN: 0037-1033; 1349-4333
• DOI: 10.5035/nishiseisai.49.968

Thirty-four patients who had received previous lumbar disk surgery underwent multiply operated back of the same level for lumbar disk herniation. The leading primary causes were adhesion (35%), relapse (24%), and degeneration (23%). The case showing the worst multiply operated back had adheisin that did not improve as much as in the other cases (average improvement 23%) and the most unstable results. Factors related to unsuccessful multiphy operated back were scar formation, adhesive arachinoditis, nerve root injury at yhe previous operation, multiple operation, and psychogenic factor. Multiply operated back of the same level for lumbar disk herniation was adequately treated by repeat ed discectomy using a microscope. It is important to understand signs, such as symptoms, and take into consideration opinions and portraits that indicate the necessity of surgery in individual cases.