{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,2,14]],"date-time":"2023-02-14T08:34:25Z","timestamp":1676363665907},"reference-count":32,"publisher":"FapUNIFESP (SciELO)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Coluna\/Columna"],"published-print":{"date-parts":[[2011]]},"abstract":"<jats:p>OBJETIVOS: No tratamento da recidiva de h\u00e9rnia discal lombar, em particular no \u00e2mbito cir\u00fargico, v\u00e1rios aspectos se mant\u00eam controversos. O presente trabalho pretende contribuir para definir caracter\u00edsticas pr\u00e9-operat\u00f3rias que influenciem os resultados subjetivo e objetivo da cirurgia. M\u00c9TODOS: Foram selecionados doentes submetidos \u00e0 interven\u00e7\u00e3o cir\u00fargica por h\u00e9rnia discal lombar recidivada em um per\u00edodo de dez anos; foram revistos os processos cl\u00ednicos e reavaliados os pacientes, de forma subjetiva (grau de satisfa\u00e7\u00e3o, Pain Visual Analogue Scale, Score de Stanford) e objetiva (\u00cdndice de Incapacidade de Oswestry, Question\u00e1rio de Zurich). Foi realizada uma an\u00e1lise estat\u00edstica desses dados. RESULTADOS: O n\u00famero total foi de 55 doentes, com predom\u00ednio do sexo masculino. A taxa de complica\u00e7\u00f5es foi de 7,3%. Onze doentes (20%) necessitaram de terceira interven\u00e7\u00e3o cir\u00fargica. A grande maioria (91,5%) dos doentes afirma-se satisfeita com o tratamento cir\u00fargico. Houve uma varia\u00e7\u00e3o m\u00e9dia favor\u00e1vel pelo \u00cdndice de Oswestry (-46,27%), confirmada pelas restantes escalas; 81,6% dos pacientes ativos retomaram a atividade laboral pr\u00e9via. Foram encontrados preditores significativos do resultado funcional, e a necessidade de terceira cirurgia para o retorno \u00e0 atividade laboral. CONCLUS\u00d5ES: O tratamento cir\u00fargico da recidiva de h\u00e9rnia discal lombar permite resultados favor\u00e1veis no controle sintom\u00e1tico e funcional, em todos os testes aplicados. Algumas vari\u00e1veis pr\u00e9-operat\u00f3rias podem ajudar a prever os pacientes menos suscept\u00edveis \u00e0 melhoria.<\/jats:p>","DOI":"10.1590\/s1808-18512011000100001","type":"journal-article","created":{"date-parts":[[2017,2,4]],"date-time":"2017-02-04T14:46:11Z","timestamp":1486219571000},"page":"14-19","source":"Crossref","is-referenced-by-count":1,"title":["Tratamento cir\u00fargico de recidivas de h\u00e9rnias discais lombares: que resultados?"],"prefix":"10.1590","volume":"10","author":[{"given":"Pedro Alberto Pinto da","family":"Silva","sequence":"first","affiliation":[{"name":"Universidade do Porto"}]},{"given":"Paulo Miguel Silva","family":"Pereira","sequence":"additional","affiliation":[{"name":"Universidade do Porto"}]},{"given":"Patr\u00edcia Maria Pol\u00f3nia","family":"Pinto","sequence":"additional","affiliation":[{"name":"Universidade do Porto"}]},{"given":"Rui Manuel Cardoso","family":"Vaz","sequence":"additional","affiliation":[{"name":"Universidade do 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