外伤性脊髓压迫症
外伤性脊髓损伤之后复发可能性估计为 2% 至 5%,无论是由于脊柱不稳定还是因为患者可能继续高危活动。[104]Kaufmann CR, Branas CC, Brawley ML. A population-based study of trauma recidivism. J Trauma. 1998 Aug;45(2):325-31.http://www.ncbi.nlm.nih.gov/pubmed/9715190?tool=bestpractice.com 大约 30% 的轻截瘫患者和 5% 的截瘫患者可有望保留或恢复行走能力;45% 的患者需要在治疗前插导尿管,并且这些患者中只有 21% 后来可以脱离导管。[105]Bach F, Larsen BH, Rohde K, et al. Metastatic spinal cord compression. Occurrence, symptoms, clinical presentations and prognosis in 398 patients with spinal cord compression. Acta Neurochir (Wien). 1990;107(1-2):37-43.http://www.ncbi.nlm.nih.gov/pubmed/2096606?tool=bestpractice.com[106]Findlay GF. Adverse effects of the management of spinal cord compression. J Neurol Neurosurg Psychiatry. 1984 Aug;47(8):761-8.http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1027935/pdf/jnnpsyc00124-0005.pdfhttp://www.ncbi.nlm.nih.gov/pubmed/6470717?tool=bestpractice.com
恶性脊髓压迫症
恶性脊髓压迫症的复发率范围是 7% 至 9%。 出现多处转移的患者风险最高。
椎间盘疾病(马尾综合征)
据报告复发率是 5% 至 15%,但不存在单一因素与相同平面的复发相关。[107]Babar S, Saifuddin A. MRI of the post-discectomy lumbar spine. Clin Radiol. 2002 Nov;57(11):969-81.http://www.ncbi.nlm.nih.gov/pubmed/12409106?tool=bestpractice.com[108]Carragee EJ, Han MY, Suen PW, et al. Clinical outcomes after lumbar discectomy for sciatica: the effects of fragment type and anular competence. J Bone Joint Surg Am. 2003 Jan;85-A(1):102-8.http://www.ncbi.nlm.nih.gov/pubmed/12533579?tool=bestpractice.com[109]Suk KS, Lee HM, Moon SH, et al. Recurrent lumbar disc herniation: results of operative management. Spine. 2001 Mar 15;26(6):672-6.http://www.ncbi.nlm.nih.gov/pubmed/11246384?tool=bestpractice.com
感染
即使是在治疗后,复发也不罕见。[110]Darouiche RO. Spinal epidural abscess. N Engl J Med. 2006 Nov 9;355(19):2012-20.http://www.ncbi.nlm.nih.gov/pubmed/17093252?tool=bestpractice.com