title: [Long-term results in revision surgery following lumbar disk nucleotomy]].
abstract: In 6.26% of 846 patients with lumbar disc surgery a reoperation was necessary. A total of 93 patient had undergone a revision surgery inclusive a patient group with primary surgery performed elsewhere. 68 patient had 1 reoperation, 22 patients 2, 2 patients 3, and one patient had even 4 revisions. Follow-up ranged between 19 and 42 years with an average of 31 years. 53 patients were clinically examined at a time of follow up and another 15 patients answered a questionnaire. An excellent result with no complaints and patients able to work could be achieved in only 16%. A good result with no radicular pain, but some minor back pain and some loss of sensibility and ability to work was found in 24%. In 40% of the patients the result was only fair with some radicular pain and limited capability for work. 20% of the patients had only a poor result with unchanged symptoms and continued therapy. Those patients were not able to work. Young and female patients had a better prognosis. Another positive predictor was a short period of preoperative pain. Negative predictors were multiple prior operation as well as scar tissue at time of revision. Also spondylodesis according to Cloward correlated also with a negative clinical outcome.
authors.affiliation: Westfälische Wilhelms-Universität Münster.
authors.forename: J
authors.initials: J
authors.lastname: Jerosch
authors.forename: W H
authors.initials: WH
authors.lastname: Castro
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D012737:Sex Factors; D013997:Time Factors; D016896:Treatment Outcome
vernacular_title: Langzeitergebnisse von Reoperationen nach lumbalen Nukleotomien.