Journal of Korean Neurosurgical Society
- 제29권6호
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- Pages.772-777
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- 2000
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- 2005-3711(pISSN)
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- 1598-7876(eISSN)
요추간판 미세 현미경 수술 후 재입원 환자의 분석
Analysis of Readmission Patients after Lumbar Microdiscectomy
- 지용철 (보강병원 신경외과) ;
- 손병길 (보강병원 신경외과) ;
- 최은석 (보강병원 신경외과) ;
- 이시우 (보강병원 신경외과) ;
- 신종현 (보강병원 신경외과) ;
- 차영훈 (보강병원 재활의학과)
- Chi, Yong-Chul (Department of Neurosurgery, Bokang Hospital) ;
- Son, Byung-Gil (Department of Neurosurgery, Bokang Hospital) ;
- Choi, Eun-Seok (Department of Neurosurgery, Bokang Hospital) ;
- Lee, Si-Ou (Department of Neurosurgery, Bokang Hospital) ;
- Shin, Jong-Hyun (Department of Neurosurgery, Bokang Hospital) ;
- Cha, Young-Hoon (Department of Rehabilitation Medicine, Bokang Hospital)
- 투고 : 1999.10.07
- 심사 : 1999.12.14
- 발행 : 2000.06.28
초록
Objectives : After lumbar microdiscectomy there are relatively higher incidence of readmission because of various postoperative discomfort. Analyzing these readmitted patients in our private hospital where the patients can be readmitted more easily, we expect to find out which factors are associated with improvement of the surgical outcome. Patients and Methoes : After discharge all significant patient's clinical data were registered to our computerized data bank system and periodic follow-up were performed. The authors analysed 651(97.7%) cases followed up over 2 years(average 3 years) out of 666 patients who underwent a initial lumbar microdiscectomy from May, 1994 to April, 1997. Among them, 63 patients(9.7%) were readmitted. Results : Among the patients readmitted, 29 patients(4.5%) were reoperated because of recurred disc herniation, 17 patients were myofascial pain syndrome, 4 patients were discitis, 3 patients were adhesion and one patient was epidural abscess. Treatment results of these readmitted patients showed that success rate of all readmitted patients was 68.3%, reoperation was 58.6% and myofascial pain syndrome was 82.4%. Conclusion : Treatment results of the patients readmitted because of a continuous lumbago or leg pain after microdiscectomy were acceptable through the careful analysis of the causes of the recurrent symptom. Therefore, the incidence of the chronic failed back syndrome can be reduced by efforting a more active management through readmission.