CLINICAL ARTICLE

 

An approach to failed lumbar surgery

 

 

Prof JA Shipley

MMed(Orth). Department Orthopaedic Surgery, University of the Free State, Bloemfontein

Correspondence

 

 

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ABSTRACT

With the rising rate of spinal surgery, the need to manage cases of failed operations is on the increase. A systematic approach is essential to identify the causes of persistent or recurrent symptoms, and the first step is a detailed and thorough history and examination. MRI is often the most valuable special investigation. Further surgery is only justified when clinical findings are consistent with significant radiological pathology which can be treated surgically with a probability of success and little risk.

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Correspondence:
Prof JA Shipley
Department Orthopaedic Surgery
University of the Free State, Bloemfontein
Tel: (051) 405-2242; Fax: (051) 430-7101
legraner@fshealth.gov.za