ABSTRACT
Background: clinical outcome data was analyzed for 100 patients withcontained disc herniation who underwent percutaneous discdecompression procedure using Coblation® technology,after failing to respond toconservative management
Patients and Methods: patients presented with clinicalsymptoms of discogenic low back pain and/or leg painFollow-up data was collected up to 12 months.Patient gender distribution was 68% female, 32% male, witha mean age of 39 years.With mean duration of back pain of 8.57 ,ranging from 3 to 17 month and mean duration of leg pain of 4.36 .ranging from 2 to 10 monthaccording to visual analogue scale for pain assessment.The mean pre-procedure pain level for all patients wasReported as 7.56 for back and 7.72 for leg while average pain level was 4.86 for back and 3.42 for leg at the 12-month follow-up post procedure period. And according to Oswestry disability index for functional assessment. The mean pre procedure index was 31.48 range from 23-40. It decreased after 12 month to 13.82 range from 5-32
Results: the results of this analysis indicated that PDD usingCoblation technology, isan effective procedure for patients presenting withdiscogenic back and/or leg pain who have failed conservativetherapies
ABSTRACT
The aim of this study was to compare the hypotensive effect of nicardipine versus Na nitroprusside on 40 adult patients undergoing lumbar fusion. An anesthetic technique was used in all patients. A significant difference was noted between the two groups in the amount of blood loss and restoration of mean arterial blood pressure after the discontinuation of infusion. A prolonged hypotension was recorded in the nicardipine group versus nitroprusside group. A statistical significant decrease in arterial oxygenation was observed in the nitroprusside patients. Meanwhile, there was no significant difference in both groups regarding the surgical outcome