بررسی ریسک فاکتورهای عود هرنی دیسکال کمری در بیماران مراجعه کننده به بیمارستانهای وابسته به دانشگاه آزاد مشهد طی سالهای 83-90

Subject Areas : علوم پزشکی

Khosro shayan ¹ ()
Saeed rahighi ² ()
Sahar Sedigh zadeh Tabasi ³ ()

Received: 2017-06-05 Accepted : 2017-06-05 Published : 2014-11-22

Keywords: Risk Factors, recurrence, lumbar disk hernia,

Abstract :

Background and aim: Despite improving therapeutic methods of lumbosacral disc herniation , open surgery is still the conventional method . this study was aimed to investigate the risk factors of recurrent lumbar disc herniation in patients referred for second surgery between 1383 – 1390 at hospitals of Mashhad Azad university of medicine. Methods: 60 patients , 30 with repeated discal hernia ( case group ) and 30 without recurrence (control group) were enrolled.in this retrospective case-control study . case group included those who were candidate for second surgery at the same level of both sides which was confirmed by CT scan or MRI . all their medical records were extracted and registered., also some information collected by telephone calls. Then risk factors related to recurrence of hernia were evaluated by comparing two groups. Results: there were 62.5 % men in recurrent lumbar disk hernia and 37.5 % women in group without recurrence . mean age of patients in first and second groups were 35 to 56 and 33 to 60 years respectively. Although there was no significant relationship between age , sex , work load , history of trauma , diabetes mellitus and smoking with recurrence of disk protrusion (p>0.05) but most of recurrences seen in foraminectomy method and in level of L1 _ L2 . Macnab scale was excellent ion 13.3 % ,good in 36.7 % , intermediate in 10 % and weak in 40 % . Conclusion : as distal hernia is a prevalent disease in our country , suitable policies in educating common health to prevent this disorder and recurrence of it seems necessary .    

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