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SA Orthopaedic Journal

versión On-line ISSN 2309-8309
versión impresa ISSN 1681-150X

SA orthop. j. vol.7 no.2 Pretoria abr./jun. 2008

 

CLINICAL ARTICLE

 

An approach to failed lumbar surgery

 

 

Prof JA Shipley

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

Correspondence

 

 


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.


 

 

“Full text available only in PDF format”

 

 

References

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4. Carragee EJ, Lincoln T, Parmar VS, Alamin T. A gold standard evaluation of the discogenic pain diagnosis as determined by provocative discography. Spine 2006 Aug 15;31(18):2115-23.         [ Links ]

5. Cooper RG, Mitchell WS, Illingworth KJ, et al. The role of epidural fibrosis and defective fibinolysis in the persistence of post laminectomy back pain. Spine 1991;16(9):1044-8.         [ Links ]

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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

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