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KMID : 0359819930220030358
Journal of Korean Neurosurgical Society
1993 Volume.22 No. 3 p.358 ~ p.363
Clinical Analysis of Failted Back Surgery Syndrome
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Abstract
One hundred thirty-five patients undergone microdiscectomy of lumbar disc disease were analysed with soft-ware program which designed for effective analysis for spinal in-patients sine February, 1990. Owing to that program all the patients could
be
easily analyzed and get a regular follow-up.
The surgical result was evaluated by our own score rating system which consists of 4 items : 1) Frequency of medication, 2) Degree of social activity, 3) Post-operative symptom compared to pre-operative state and 4) Patient's satisfaction with
the
operation. According to that system, 21 patients (15.6%) were estimated with failure following microdiscectomy. Among them 6 patients of psychosocial problem, 4 patinets of technical enors and 2 patients of recurrence were an important causes of
failure. For the purpose of effective surgery for lumbar disc surgery, a careful anaylysis of the csuses of surgical failure should be attempted and also a regular follw-up can be important factor for more accurate estimation of surgical result.
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