Lumbar Re-operation After Decompression with and without Fusion：A Clinical Analysis
Objective To analyze the causes and measures of lumbar re-operation, and to reduce the failure and improve the treatment effects. Methods 23 patients were undergone the second lumbar operation in our hospital from March 2011 to August 2013, They were divided into two groups according to the way of first operation. One group was decompression without fusion, and the other was decompression with fusion. we can summarise and analyze the reasons and measures, then compare with JOA assessment. To find out fusion or not and diversification of the height of intervertebral space. Intervertebral height index, JOA score, fusion rate were treated with statistical analysis between the two groups. Results 23 cases were followed up for 6 months year to 2 years, The marks of JOA assessment had significant difference at latest follow-up compared with preoperative. The intervertebral height index of decompression without fusion group had significant difference(P <0.01), but it had no significant difference for decompression with fusion group(P >0.05). All the 12 cases of fusion had successful lumbar fusion. Conclusion The reasons of Lumbar Re-operation After Decompression with and without Fusion are different, selecting the right surgical method is the key point to get effective results of operation.
NETL
NSTL
万方数据
维普
