整形外科と災害外科
Online ISSN : 1349-4333
Print ISSN : 0037-1033
ISSN-L : 0037-1033
下垂足を呈した腰椎椎間板ヘルニア, 腰部背柱管狭窄症12例の検討
有村 一盛高良 健福山 紘松岡 正敏前川 清継平良 誠園田 英器栄 輝巳原 賢一
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1984 年 32 巻 4 号 p. 1014-1020

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Twelve patients with the drop-foot associated with lumbar disc lesion and lumbar canal stenosis who underwent spinal surgery were evaluated 3 months to 6 years and a holf postoperatively. There were 5 males and 7 females, ranging in age from 30 to 74 years (mean, 55.5 years). The interval between the onset of symptoms and operative procedure ranged from 14 days to 6 years with an average of 36.6 weeks. Ten patients received laminectomy, one hemilaminecomy (Love's method) and one anterior spinal fusion. The results classified as good in 4 cases, fair in 2 and no change in 6. Two of 6 cases who had no improvement underwent second operative procedure (transfer of posterior tibial tendon) for drop-foot. It seems reasonable to conclude from the results that the most important factor in predicting improvement with treatment is a short interval between onset of symptom and treatment.

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