36-207
Cirugía de revisión de la columna lumbar.
Revision surgery of the lumbar spine.
F.E. NAVARRETE FAUBEL, I. ESCRIBÁ ROCA, L.A. PÉREZ MILLÁN. SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL UNIVERSITARIO "LA FE". VALENCIA.
Recepción:
16/09/2008
Aceptación:
16/09/2008
Publicación:
16/09/2008
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Resumen (ES)
Objective: To analyse the causes of failure in lumbar surgery
and the results with revision surgery.
Patients: Between 1995-1998, 39 patients were seen in our
Spine Unit for a revision of their lumbar spine surgery. Most
common diagnosis of the revision were spinal stenosis and
peridural fibrosis. The principal treatment employed was nerve
decompression and instrumentation with vertebral fusion.
Minimum follow up: 12months.
Results: We did an economic-functional evaluation with the
modified scale of Prolo, and noticed an increase of 0.5 points at
the economic side and of 1.5 points at the functional side; which
meant that the patients could return to their usual work and do
all the diary activities except sports. 72% of the patients were
satisfied or very satisfied with the results.
Conclusions: The succes of the revision surgery is based on an
accurate analysis of the failure of the first surgery. The worst
results of the revision surgery were caused by treatment of
peridural fibrosis, while the best results were found in reoccurrence
of discal herniation.
and the results with revision surgery.
Patients: Between 1995-1998, 39 patients were seen in our
Spine Unit for a revision of their lumbar spine surgery. Most
common diagnosis of the revision were spinal stenosis and
peridural fibrosis. The principal treatment employed was nerve
decompression and instrumentation with vertebral fusion.
Minimum follow up: 12months.
Results: We did an economic-functional evaluation with the
modified scale of Prolo, and noticed an increase of 0.5 points at
the economic side and of 1.5 points at the functional side; which
meant that the patients could return to their usual work and do
all the diary activities except sports. 72% of the patients were
satisfied or very satisfied with the results.
Conclusions: The succes of the revision surgery is based on an
accurate analysis of the failure of the first surgery. The worst
results of the revision surgery were caused by treatment of
peridural fibrosis, while the best results were found in reoccurrence
of discal herniation.
Palabras clave (ES):
Canal
Fibrosis
Hernia
Disco
Discal
Estenosis
Secuelas
Complicaciones
Revisión
Cirugía
Columna
Raquis
Resumen (EN)
Objective: To analyse the causes of failure in lumbar surgery
and the results with revision surgery.
Patients: Between 1995-1998, 39 patients were seen in our
Spine Unit for a revision of their lumbar spine surgery. Most
common diagnosis of the revision were spinal stenosis and
peridural fibrosis. The principal treatment employed was nerve
decompression and instrumentation with vertebral fusion.
Minimum follow up: 12months.
Results: We did an economic-functional evaluation with the
modified scale of Prolo, and noticed an increase of 0.5 points at
the economic side and of 1.5 points at the functional side; which
meant that the patients could return to their usual work and do
all the diary activities except sports. 72% of the patients were
satisfied or very satisfied with the results.
Conclusions: The succes of the revision surgery is based on an
accurate analysis of the failure of the first surgery. The worst
results of the revision surgery were caused by treatment of
peridural fibrosis, while the best results were found in reoccurrence
of discal herniation.
and the results with revision surgery.
Patients: Between 1995-1998, 39 patients were seen in our
Spine Unit for a revision of their lumbar spine surgery. Most
common diagnosis of the revision were spinal stenosis and
peridural fibrosis. The principal treatment employed was nerve
decompression and instrumentation with vertebral fusion.
Minimum follow up: 12months.
Results: We did an economic-functional evaluation with the
modified scale of Prolo, and noticed an increase of 0.5 points at
the economic side and of 1.5 points at the functional side; which
meant that the patients could return to their usual work and do
all the diary activities except sports. 72% of the patients were
satisfied or very satisfied with the results.
Conclusions: The succes of the revision surgery is based on an
accurate analysis of the failure of the first surgery. The worst
results of the revision surgery were caused by treatment of
peridural fibrosis, while the best results were found in reoccurrence
of discal herniation.
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