Naslov
FAILED BACK SURGERY SINDROME &#8211 ; CLINICAL REPORT

Autori
Heinrich, Zdravko ; Pirker, Ninoslav ; Paladino, Josip ; Štern, Ranka

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
3. Kongres Hrvatskog neurokirurškog društva-Knjiga sažetaka / Negovetić Lucijan - Zagreb, 2002

Skup
3. kongres hrvatskoh neurokirurškog društva

Mjesto i datum
Zagreb, Hrvatska, 06.06.2002. - 08.06.2002

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Nije recenziran

Ključne riječi
herniated lumbar disc; microdiscectomy; failed back surgery syndrome

Sažetak
Introduction: Results of surgery for lumbar herniated disc, in terms of pain relief and capacity to work, are good ranging from 80% to 95% of cases. Still, there are patients who after lumbar disc surgery have persistent low-back and radicular pain &#8211 ; Failed Back Surgery Syndrome. Patients and Methods: We retrospectively reviewed 1620 patients surgically treated (microdiscectomy) in 5-years period (01.01.1995-01.01.2000) to determine rate of reoperations and causes for reoperation. Results: Out of 1620 operated patients during follow up ranged from 6 to 66 months, 155 were reoperated (9, 56%) because of FBSS.40 of reoperated patients were operated in other neurosurgical institutions which means that FBSS rate in our Department was 7, 27% in given period. Causes for reoperation were defined intraoperatively: residual disc (41.29%), adhesions (13, 54%), previous operation at the wrong level (4, 51%) and herniated disc at the new level (27, 1%). Rare causes for reoperations (13, 54%) were lateral recessus stenosis, spinal stenosis, pseudomeningocoelae and infections. True recurrence rate was 3, 3%. Conclusion: Results in this series are comparable with other reported in literature, and they not only depend on skill of the neurosurgeon but also on proper patient selection. Better neuroimaging and introduction of new techniques such as endoscopically assisted microdiscectomy could improve results.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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