Points for attention in surgical treatment of German PT-C fibrous ring repair therapy

First, infection: after surgical treatment, surgical incision infection may also occur intervertebral space infection. The main manifestations are: the original symptoms of neuralgia and low back pain disappeared, and severe low back pain occurred after 5 ~ 14 days, accompanied by hip or lower abdomen pain and muscle spasm, and it was very painful to be unable to turn over.

Second, nerve injury: epidural or epidural space is likely to damage nerve roots during operation.

Third, the injury of large blood vessels: surgical injury to the abdominal posterior wall is common.

Adhesion and scar: After nerve root and laminectomy, adhesion and scar often occur in the exposed part of dura mater, which will leave low back pain or nerve root radiation pain. Scar tissue hyperplasia and adhesion at the bone defect of the posterior wall of spinal canal lead to postoperative restenosis; Hematoma is organized, adhered and calcified, which often leads to nerve root canal stenosis again.

The risk of surgical treatment of lumbar disc herniation: the risk of surgical treatment of lumbar disc herniation, and some patients have unstable spine, disappeared verb pain and persistent low back pain after operation.

Organ damage: When blood vessels are damaged, it may be accompanied by other organ damage, such as bladder, ureter or small intestine.

Seven, cerebrospinal fluid leakage or spinal pseudocyst symptoms: cerebrospinal fluid leakage mostly occurs in the third to fourth days after surgical treatment; Most dural pseudocysts have low back and leg pain within a few months after surgical treatment, and there are spherical cysts attached to the dura mater at the surgical scar or lumbosacral region. Compression of cystic tumor can cause sciatica.

Surgery is risky, and treatment needs to be cautious! !