지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 143 - 148 (6page)
이용수
초록· 키워드
오류제보하기
Objective : We evaluated postoperative outcomes in patients who have lumbar foraminal or extraforaminal disc herniation (FELDH) and suggested the risk factors for poor outcomes. Methods : A total of 234 patients were selected for this study. Pre- and post-operative Visual Analogue Scale (VAS) and Korean version Oswestry Disability Index (KODI) were evaluated and the changes of both score were calculated. Outcome was defined as excellent, good, fair, and poor based on Mcnab classification. The percentage of superior facetectomy was calculated by using the Maro-view 5.4 Picture Archiving Communication System (PACS). Results : Paramedian lumbar discectomy was performed in 180 patients and combined lumbar discectomy was performed in 54 patients. Paramedian lumbar discectomy group showed better outcome compared with combined discectomy group. p value of VAS change was 0.009 and KODI was 0.013. The average percentage of superior facetectomy was 33% (range, 0-79%) and it showed negative correlation with VAS and KODI changes (Pearson coefficient : -0.446 and -0.498, respectively). Excellent or good outcome cases (Group I) were 136 (58.1%) and fair or poor outcome cases (Group II) were 98 (41.9%). The percentage of superior facetectomy was 26.5% at Group I and 42.5% at Group II. There was significant difference in superior facetectomy percentage between Group I and II (p=0.000). Conclusion : This study demonstrated that paramedian lumbar discectomy with preservation of facet joints is an effective and good procedure for FELDH. At least 60% of facet should be preserved for excellent or good outcomes.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Abdullah AF / 1974 / Extreme-lateral lumbar disc herniations. Clinical syndrome and special problems of diagnosis / J Neurosurg 41:229~234
Abdullah AF / 1988 / Surgical management of extreme lateral lumbar disc herniations : review of 138 cases / Neurosurgery 22:648~653
Baba H / 1996 / Microsurgical nerve root canal widening without fusion for lumbosacral intervertebral foraminal stenosis : technical notes and early results / Spinal Cord 34:644~650
Chang SB / 2006 / Risk factor for unsatisfactory outcome after lumbar foraminal and far lateral microdecompression / Spine 31:1163~1167
Cheng TM / 1994 / Pneumatic nerve root compression : epidural gas in association with lateral disc herniation. Report of two cases / J Neurosurg 81:453~458
Abdullah AF / 1988 / Surgical management of extreme lateral lumbar disc herniations : review of 138 cases / Neurosurgery 22:648~653
Baba H / 1996 / Microsurgical nerve root canal widening without fusion for lumbosacral intervertebral foraminal stenosis : technical notes and early results / Spinal Cord 34:644~650
Chang SB / 2006 / Risk factor for unsatisfactory outcome after lumbar foraminal and far lateral microdecompression / Spine 31:1163~1167
Cheng TM / 1994 / Pneumatic nerve root compression : epidural gas in association with lateral disc herniation. Report of two cases / J Neurosurg 81:453~458
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