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Journal of Korean Neurosurgical Society > Volume 22(3); 1993 > Article
Journal of Korean Neurosurgical Society 1993;22(3): 358-363.
Clinical Analysis of Failed Back Surgery Syndrome.
Eun Seok Choi, Yong Chul Chi, Sam Kyu Ko, Oh Lyong Kim, Soo Ho Cho
Department of Neurosurgery, College of Medicine, Yeungnam University, Taegu, Korea.
ABSTRACT
One hundred thirty-five patients undergone microdiscectomy of lumbar disc disease were analysed with soft-ware program which designed for effective analysis for spinal in-patients since February, 1990. Owing to that program, all the patients could be easily analyzed and get a regular follow-up. The surgical result was evaluated by our own score rating system which consists of 4 items:1) Frequency of medication, 2) Degree of social activity, 3) Post-operative symptom compared to pre-operative state and 4) Patient's satisfaction with the operation. According to that system, 21 patients(15.6%) were estimated with failure following microdiscectomy. Among them 6 patients of psychosocial problem, 4 patients of technical errors and 2 patients of recurrence were an important causes of failure. For the purpose of effective surgery for lumbar disc surgery, a careful analysis of the cases of surgical failure should be attempted and also a regular follow-up can be importment factor for more accurate estimation of surgical result.
Key Words: Microdisectomy; Regular follow-up; Score rating system; Causes of failure
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