Postoperative computed tomography three months after lumbar disc surgery. A prospective single-blind study

T T Jensen, S Overgaard, N O Thomsen, S Kramp, O F Petersen, J H Hansen

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

In a prospective single-blind study, 60 patients surgically treated for lumbar disc herniation underwent clinical examination and computed tomography preoperatively and 3 months after surgery. At follow-up (58 patients; median, 31 months; range, 21-37 months), 29 patients had an excellent outcome (51%), 20 improved (33%), and 9 were unchanged or worse (16%). Dural or radicular scar tissue was present by computed tomography in 88% of the patients, but the findings could not be correlated with the clinical outcome. Recurrent or persistent disc herniation was found in 9% of the patients. The clinical outcome of patients with abnormal computed tomography did not differ significantly from patients without this finding. A relation between facet joint degeneration and less successful clinical outcome was demonstrated. Computed tomography (without contrast) 3 months after surgery gave little information which could be correlated with the clinical outcome. Patients with an excellent outcome had all degrees of intraspinal scar tissue.

OriginalsprogEngelsk
TidsskriftSpine
Vol/bind16
Udgave nummer6
Sider (fra-til)620-2
Antal sider3
ISSN0362-2436
StatusUdgivet - jun. 1991

Fingeraftryk

Single-Blind Method
Zygapophyseal Joint

Citer dette

Jensen, T. T., Overgaard, S., Thomsen, N. O., Kramp, S., Petersen, O. F., & Hansen, J. H. (1991). Postoperative computed tomography three months after lumbar disc surgery. A prospective single-blind study. Spine, 16(6), 620-2.
Jensen, T T ; Overgaard, S ; Thomsen, N O ; Kramp, S ; Petersen, O F ; Hansen, J H. / Postoperative computed tomography three months after lumbar disc surgery. A prospective single-blind study. I: Spine. 1991 ; Bind 16, Nr. 6. s. 620-2.
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abstract = "In a prospective single-blind study, 60 patients surgically treated for lumbar disc herniation underwent clinical examination and computed tomography preoperatively and 3 months after surgery. At follow-up (58 patients; median, 31 months; range, 21-37 months), 29 patients had an excellent outcome (51{\%}), 20 improved (33{\%}), and 9 were unchanged or worse (16{\%}). Dural or radicular scar tissue was present by computed tomography in 88{\%} of the patients, but the findings could not be correlated with the clinical outcome. Recurrent or persistent disc herniation was found in 9{\%} of the patients. The clinical outcome of patients with abnormal computed tomography did not differ significantly from patients without this finding. A relation between facet joint degeneration and less successful clinical outcome was demonstrated. Computed tomography (without contrast) 3 months after surgery gave little information which could be correlated with the clinical outcome. Patients with an excellent outcome had all degrees of intraspinal scar tissue.",
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Jensen, TT, Overgaard, S, Thomsen, NO, Kramp, S, Petersen, OF & Hansen, JH 1991, 'Postoperative computed tomography three months after lumbar disc surgery. A prospective single-blind study', Spine, bind 16, nr. 6, s. 620-2.

Postoperative computed tomography three months after lumbar disc surgery. A prospective single-blind study. / Jensen, T T; Overgaard, S; Thomsen, N O; Kramp, S; Petersen, O F; Hansen, J H.

I: Spine, Bind 16, Nr. 6, 06.1991, s. 620-2.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Postoperative computed tomography three months after lumbar disc surgery. A prospective single-blind study

AU - Jensen, T T

AU - Overgaard, S

AU - Thomsen, N O

AU - Kramp, S

AU - Petersen, O F

AU - Hansen, J H

PY - 1991/6

Y1 - 1991/6

N2 - In a prospective single-blind study, 60 patients surgically treated for lumbar disc herniation underwent clinical examination and computed tomography preoperatively and 3 months after surgery. At follow-up (58 patients; median, 31 months; range, 21-37 months), 29 patients had an excellent outcome (51%), 20 improved (33%), and 9 were unchanged or worse (16%). Dural or radicular scar tissue was present by computed tomography in 88% of the patients, but the findings could not be correlated with the clinical outcome. Recurrent or persistent disc herniation was found in 9% of the patients. The clinical outcome of patients with abnormal computed tomography did not differ significantly from patients without this finding. A relation between facet joint degeneration and less successful clinical outcome was demonstrated. Computed tomography (without contrast) 3 months after surgery gave little information which could be correlated with the clinical outcome. Patients with an excellent outcome had all degrees of intraspinal scar tissue.

AB - In a prospective single-blind study, 60 patients surgically treated for lumbar disc herniation underwent clinical examination and computed tomography preoperatively and 3 months after surgery. At follow-up (58 patients; median, 31 months; range, 21-37 months), 29 patients had an excellent outcome (51%), 20 improved (33%), and 9 were unchanged or worse (16%). Dural or radicular scar tissue was present by computed tomography in 88% of the patients, but the findings could not be correlated with the clinical outcome. Recurrent or persistent disc herniation was found in 9% of the patients. The clinical outcome of patients with abnormal computed tomography did not differ significantly from patients without this finding. A relation between facet joint degeneration and less successful clinical outcome was demonstrated. Computed tomography (without contrast) 3 months after surgery gave little information which could be correlated with the clinical outcome. Patients with an excellent outcome had all degrees of intraspinal scar tissue.

KW - Adult

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Intervertebral Disc Displacement/diagnostic imaging

KW - Lumbar Vertebrae/diagnostic imaging

KW - Male

KW - Middle Aged

KW - Prospective Studies

KW - Recurrence

KW - Single-Blind Method

KW - Time Factors

KW - Tomography, X-Ray Computed

M3 - Journal article

VL - 16

SP - 620

EP - 622

JO - Spine

JF - Spine

SN - 0362-2436

IS - 6

ER -