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Undiagnosed Peripheral Nerve Disease in Patients with Failed Lumbar Disc Surgery
Asian Spine Journal ; : 720-725, 2018.
Artigo em Inglês | WPRIM | ID: wpr-739272
ABSTRACT
STUDY

DESIGN:

Retrospective study (level of evidence=3).

PURPOSE:

We examine the relationship between residual symptoms after discectomy for lumbar disc herniation and peripheral nerve (PN) neuropathy. OVERVIEW OF LITERATURE Patients may report persistent or recurrent symptoms after lumbar disc herniation surgery; others fail to respond to a variety of treatments. Some PN neuropathies elicit symptoms similar to those of lumbar spine disease.

METHODS:

We retrospectively analyzed data for 13 patients treated for persistent (n=2) or recurrent (n=11) low back pain (LBP) and/or leg pain after primary lumbar discectomy.

RESULTS:

Lumbar re-operation was required for four patients (three with recurrent lumbar disc herniation and one with lumbar canal stenosis). Superior cluneal nerve (SCN) entrapment neuropathy (EN) was noted in 12 patients; SCN block improved the symptoms for eight of these patients. In total, nine patients underwent PN surgery (SCN-EN, n=4; peroneal nerve EN, n=3; tarsal tunnel syndrome, n=1). Their symptoms improved significantly.

CONCLUSIONS:

Concomitant PN disease should be considered for patients with failed back surgery syndrome manifesting as persistent or recurrent LBP.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Nervos Periféricos / Nervo Fibular / Coluna Vertebral / Síndrome do Túnel do Tarso / Estudos Retrospectivos / Dor Lombar / Discotomia / Doenças do Sistema Nervoso Periférico / Síndrome Pós-Laminectomia / Perna (Membro) Tipo de estudo: Estudo observacional Limite: Humanos Idioma: Inglês Revista: Asian Spine Journal Ano de publicação: 2018 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Nervos Periféricos / Nervo Fibular / Coluna Vertebral / Síndrome do Túnel do Tarso / Estudos Retrospectivos / Dor Lombar / Discotomia / Doenças do Sistema Nervoso Periférico / Síndrome Pós-Laminectomia / Perna (Membro) Tipo de estudo: Estudo observacional Limite: Humanos Idioma: Inglês Revista: Asian Spine Journal Ano de publicação: 2018 Tipo de documento: Artigo