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[Arachnoiditis after lumbar spine surgery (author's transl)]
Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete
|August 1, 1981
Summary
Postoperative lumbar spine surgery can lead to intradural scarring, specifically arachnoiditis, which is identified through myelography. This scarring may correlate with persistent patient complaints following the procedure.
Area of Science:
- Neurosurgery
- Radiology
- Spinal Surgery
Background:
- Lumbar spine surgery can result in complications.
- Intradural scarring, such as arachnoiditis, is a potential postoperative issue.
Purpose of the Study:
- To analyze postoperative myelograms for signs of intradural scarring.
- To investigate the relationship between myelographic findings and patient complaints after lumbar spine surgery.
Main Methods:
- Retrospective analysis of 21 postoperative myelograms.
- Evaluation for roentgenological features indicative of arachnoiditis.
- Correlation of myelographic findings with clinical symptoms.
Main Results:
- 13 out of 21 cases (approximately 62%) demonstrated roentgenological evidence of arachnoiditis.
- Postoperative complaints were found to be related to the myelographic findings.
Conclusions:
- Arachnoiditis is a significant finding on postoperative myelography after lumbar spine surgery.
- The presence of intradural scarring, specifically arachnoiditis, may explain persistent postoperative symptoms.