요추간판탈출증 수술실패 증후군 환자의 임상 및 전기진단학적 소견

Other Titles
Clinical and Electrodiagnostic Findings of Failed Back Surgery Syndrome
Authors
박기영김종민
Department
Dept. of Rehabilitation Medicine (재활의학)
Issue Date
2003
Citation
대한재활의학회지, Vol.27(3) : 388-393, 2003
ISSN
1225-584X
Abstract
Objective: To analyze the clinical and electrodiagnostic findings of patients with failed back surgery syndrome after lumbar disc operation. Method: We investigated 28 patients with back and/or lower limb pain and weakness who were underwent lumbar spine operation. Seven patients who had undergone surgery due to spinal infection or fracture were excluded. Twenty-one patients included 7 female and 14 male patients with ages 20∼63 years, and the mean age was 44.4 years. The following data were evaluated: clinical symptoms, neurological examination, duration from operation to first visit, preoperative diagnosis, operation number and site, electrodiagnostic studies, radiologic studies (simple radiographs, epidurography, CT, MRI), and psychological evaluations (SCL-MPD). Results: The time of the visit after the operation varied between one month and 15 years (mean 48.5 months). Electrodiagnostic study revealed lumbar radiculopathy in 18 patients and the most common level was at the fifth lumbar root. All eight patients who undergone epidurography showed filling defect or indentation. Psychologic evaluations were performed on five patients and they revealed high scores in depression and somatization. Conclusion: Clinical and electrodiagnostic findings of lumbar radiculopathy, abnormal epidurographic findings and psychological results after lumbar disc operation were related to the causes of failed back surgery syndrome.
Keywords
Failed back surgery syndromeElectrodiagnostic studyEpidurography
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/39469
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학)
Keimyung Author(s)
박기영
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