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KMID : 0359819950240080916
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Journal of Korean Neurosurgical Society
1995 Volume.24 No. 8 p.916 ~ p.923
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Complication and Reoperation After Surgery for Lumbar Disc Herniation
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김용한
안경순/심영보/송준호/최선길/강선구
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Abstract
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retrospective analysis for reoperation and complication was made for 186 patients with lumbar herniated disc. The results showed complication rate of 7% (13 cases0 and reoperation rate of 10.2% (19 cases0. The primary complications were
infections
(9
cases), technical errors (2 cases), and sores (2 cases0. rate of discitis was 1.6% (3 cases). The outcomes of reoperation resulted in excellent recovery of 16% (3 cases) and good rcovery 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 management and complete discsctomy, adequate bleeding control and laminectomy were considered to be
essential in reducing the chance of complication and reoperation.
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KEYWORD
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