Clinical Analysis Of 39 Patients With Reoperation After Lumbar Disc Herniation Surgery

Objective: To analysis the causes of reoperation and countermeasures for lumbar disc herniation.Methods: 39 reoperation cases for lumbar disc herniation were investigated retrospectively. The data were collected about the history, physical examination, image, first operation, reexploration and treatment protocols.Results: The causes of reoperation for lumbar disc herniation were as follows: l)disc herniation; 2)secondary lumbar instability; 3)spinal stenosis; 4)cicatrization in vertebral canal; 5)missed diagnosis and/or misdiagnosis. 39 were followed up for 3-36 months. The outcome was evaluated according to the standard of HOU Shu-xun's: excellent in 23 cases, good in 8, fair in 5, and poor in 1 cases; 1 case with cervical operation got JOA scores of 17 points with excellent efficacy; 1 case with thoracic spinal surgery got Beaujon-Lassale function scores of 20 points with excellent efficacy.Conclusions: There are many reasons for recurrency or unrelief and aggravation of backleg pain after the operation of lumbar disc herniation, while most of them are iatrogenic origin. Surgical indications should be strictly controlled, and personal reoperation programme should be developed for different causes of the patients.