Summary
The results from two matched operative groups with proven lumbar disc degeneration, who underwent full laminectomy or true fenestration have been compared. Two factors determine post operative prognosis in terms of back ache; the length of time between onset of symptoms and operation after a period of conservative care, and the presence of hypermobility at the operative level. The method of exposure of the affected level has no effect on the outcome of the removal of prolapsed disc material.
Résumé
Les auteurs ont étudié les résultats de deux groupes comparables de patients porteurs d'une discopathie lombaire dégénérative certaine, opérés les uns par laminectomie complète, les autres par simple fenestration. Deux facteurs conditionnent le pronostic postopératoire en ce qui concerne la lombalgie: la durée de l'intervalle séparant le début des symptômes de l'opération, après une période de traitement médical, et la présence d'une hypermobilité au niveau opéré. La voie d'abord ne modifie en rien le résultat de l'ablation de la hernie discale.
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References
Allbrook, D.: Posterior protrusion of the lumbar intervertebral disc. J. Bone Joint Surg. 23, 444 (1941)
Barr, J. S.: The late results of laminectomy for lumbar disc prolapse. J. Bone Joint Surg. 56B, 17 (1974)
Connolly, R. C., Newman, P. H.: Lumbar spondylotomy. J. Bone Joint Surg. 53B, 575 (1971)
Froning, E. C., Frohman, B.: Motion of the lumbosacral spine after laminectomy and spinal fusion. J. Bone Joint Surg. 50A, 897 (1968)
Hamblen, D. L., Yotis, C. L.: The morbidity following hemilaminectomy and the fenestration procedure for prolapsed intervertebral disc. J. Bone Joint Surg. 51B, 568 (1969)
Jackson, R. K.: The long term effects of wide laminectomy for lumbar disc. excision. J. Bone Joint Surg. 53B, 17 (1971)
Naylor, A.: The late results of laminectomy for lumbar disc prolapse. J. Bone Joint Surg. 56B, 17 (1974)
Young, H. H., Love, J. G.: End results of removal of protruded lumbar intervertebral discs with and without Fusion. Am. Acad. Orthop. Surg. Instructional Course Lectures 16, 213 (1959)
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Jenkins, D.H.R., Verow, P., Broughton, R. et al. Back ache following operation for lumbar disc prolapse. International Orthopaedics 2, 219–222 (1978). https://doi.org/10.1007/BF00266081
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DOI: https://doi.org/10.1007/BF00266081