Evaluation of lumbar laser diskectomy

Laser discectomy is one of the less invasive methods in the treatment of lumbar disc problems. This work was done on 130 patients with prolapsed lumbar disc in order to evaluate and find out the efficacy of laser technique in the treatment of prolapse lumbar disc. These patients were divided according to their age into different groups. It was found out that percutaneous laser discectomy was effective in treating young patients with disc size 4 mm or less and in absence of spinal canal stenosis. The absence of complications, the minimal trauma, the immediate effect, the brief duration of the procedure, the least hospital stay and the limited sick leave would justify this procedure

Personal experience in stereotactic aspiration and evacuation of intracerebral hematoma

There is a debate about the surgical interference in the management of intracerebral hematoma. Stereotaxy has played a good role in this aspect. Patients with intracerebral hematoma had been operated on. Stereotactic aspiration of the hematoma was performed in 15 patients presented to them after 4 days of the onset of bleeding with a success rate 73%. Stereotactic guided open craniotomy and evacuation of the hematoma was performed in 8 patients presented in the first 2 days after the onset of bleeding with a success rate of 75%. Their total mortality rate was 8.3% due to the preoperative selection of patients

Early experience in the transpedicular screw plate fixation of the dorsolumbar area with VSP system

There is a multitude of techniques and materials which have been utilized to achieve spinal stability and to correct deformity of the dorso-lumbar area. The transpedicular screw plate fixation has become an important method for internal fixation of the dorso-lumbar area. This technique was applied on 35 patients presented to them with different clinical pictures as a result of trauma. They were divided into grades according to Frankel Grid Classification. There were 18 patients with postoperative good improvement and 17 patients without neurological recovery. The preoperative radiological planning and the intraoperative radiological assistance are mandatory to achieve proper trajectory of the screw through the pedicle and to avoid nerve root injury