[Clinical polymorphism of recurrent pain syndromes after surgical intervention in compressive radiculopathy of lumbosacral level].
The results of the clinical study of 254 patients with recurrent pain syndromes of lumbar osteochondrosis after surgical removal of disk herniation over the period of 1993-2002 have been analyzed. Based on differential diagnosis of pains in the lumbar area and the leg, 2 groups of patients were singled out: patients with post surgical vertebrogenic pain syndromes of non-root genesis (45 patients) and patients with clinical presentations of recurrent compressive lumbosacral radicular syndromes (209 patients). The features of the clinical presentations of recurrent pain syndromes, which reflect the main role of commissural compression of vascular formations of the spinal canal in the disease genesis, are shown. The results allow to optimize clinical diagnosis of recurrent pain syndromes of post surgical period with a following choice of the rational scheme for further examination and therapy policy.
Shuvaeva
O B
OB
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000601:surgery; D008161:Lumbosacral Region; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D010146:Pain / Q000175:diagnosis / Q000209:etiology*; D011183:Postoperative Complications; D012008:Recurrence; D013117:Spinal Cord Compression / Q000209:etiology / Q000601:surgery*