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Reasons for failure of L5-S1 intervertebral disc excisions

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Summary

This study reviews 247 patients who still had preoperative complaints six months to two years after disc excision. In over half, spondylosis of the L5-S1 facets was present, concurrently associated with a pelvic obliquity. A number of other organic causitive factors were identified in 18% of the patients. Nonorganic reasons accounted for failure in only 13%. Over 70% of patients with associated spondylosis were improved by treatment directed at this condition.

Résumé

Cette étude concerne 247 patients qui continuaient à souffrir six mois à deux ans après ablation d'une hernie discale. Plus de la moitié d'entre eux présentaient une arthrose des articulations intervertébrales postérieures L5-S1, habituellement associée à une obliquité du bassin. D'autres causes organiques furent mises en évidence chez 18% des patients. L'échec n'était dû à une cause inorganique que dans 13% des cas. Plus de 70% des patients présentant une arthrose des articulaires postérieures furent améliorés par le traitement de cette affection.

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Correspondence to E. L. Radin.

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Radin, E.L. Reasons for failure of L5-S1 intervertebral disc excisions. International Orthopaedics 11, 255–259 (1987). https://doi.org/10.1007/BF00271458

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Key words

  • Low back pain
  • Spondylosis
  • Disc excision
  • Intervertebral facet syndrome
  • Ruptured intervertebral disc