腰部椎間板ヘルニアの観血的治療例における臨床的検討

抄録

234 cases of lumbar disc herniation were operated on by anterior approach (213 cases) and posterior approach (21 cases).
Of these operative cases 87 cases, which have elapsed over 1 year after surgery, were followed up and the results of clinical evaluation due to difference of surgical procedure are discussed.
[Results]
1) Over-all results in anterior approach (78 cases) revealed “Excellent” results in 55 cases (70.5%), Good” results in 21 (26.9%), “Fair” results in 2 (2.6%), in posterior approach (9 cases) “Excellent” results in 5 (55.6%), “Good” results in 4 (44.6%), “Fair” or “Poor” result in none.
2) Investigating these results from disc lesion level, anterior approach revealed “Excellent” results in 40 cases (74.4%) in L_4-5 disc lesion, on the other hand, posterior approach revealed “Excellent” results of 5 cases (83.3%) in L₅-S disc lesion.