[Effect of surgery on neurological involvement caused by a lumbosacral radicular syndrome].
Results of neurological assessment one year after surgical treatment of herniated lumbar intervertebral disc and lumbar stenosis are reported in 443 patients. Follow-up was performed during one year after operation. Preoperatively, surgeons found motor loss more frequently than patients, (28 and 12% respectively) and, postoperatively, motor loss was still present in 25% and 24%, respectively, of these cases. The operation had caused motor loss in 5% and aggravated motor loss in 3%. Sensibility was reported as abnormal one year after surgery by both patients and surgeons in one-third of the cases. Sensory loss, considered by the patient to have been caused or aggravated by the operation, occurred in 15% of the cases and in 12% of these the surgeons agreed. Preoperatively, unilaterally diminished knee and Achilles tendon reflexes were found in 9% and 42% respectively; one year after surgery, these had recovered in 65% and 57%, respectively. Surgery caused or aggravated unilaterally diminished knee or ankle jerks in 3% and 10%, respectively.
Braakman
R
R
Blaauw
G
G
Gelpke
G J
GJ
Singh
R
R
Slebus
F G
FG
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000150:complications / Q000601:surgery*; D009460:Neurologic Examination; D009468:Neuromuscular Diseases / Q000175:diagnosis / Q000209:etiology*; D013126:Spinal Nerve Roots; D013130:Spinal Stenosis / Q000150:complications / Q000601:surgery
Effect van operatie op neurologische uitval door een lumbosacraal radiculair syndroom.