Abstract:
:In a prospective single-blind study, 60 patients surgically treated for lumbar disc herniation underwent clinical examination and computed tomography preoperatively and 3 months after surgery. At follow-up (58 patients; median, 31 months; range, 21-37 months), 29 patients had an excellent outcome (51%), 20 improved (33%), and 9 were unchanged or worse (16%). Dural or radicular scar tissue was present by computed tomography in 88% of the patients, but the findings could not be correlated with the clinical outcome. Recurrent or persistent disc herniation was found in 9% of the patients. The clinical outcome of patients with abnormal computed tomography did not differ significantly from patients without this finding. A relation between facet joint degeneration and less successful clinical outcome was demonstrated. Computed tomography (without contrast) 3 months after surgery gave little information which could be correlated with the clinical outcome. Patients with an excellent outcome had all degrees of intraspinal scar tissue.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Jensen TT,Overgaard S,Thomsen NO,Kramp S,Petersen OF,Hansen JHdoi
10.1097/00007632-199106000-00004subject
Has Abstractpub_date
1991-06-01 00:00:00pages
620-2issue
6eissn
0362-2436issn
1528-1159journal_volume
16pub_type
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