Clinical Outcomes of Percutaneous Endoscopic Laser Lumbar Discectomy / 대한통증학회지
The Korean Journal of Pain
; : 34-38, 2005.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-117890
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND:
Over the years, disc surgery has progressively evolved in the direction of decreasing trauma and its invasiveness. Conventional open surgery has many complications, such as scarring, instability, bleeding and a relative high mortality rate. Minimally invasive spinal surgery is now an alternative to a traditional discectomy. Herein, we present an operative technique, and the early results, for a percutaneous endoscopic lumbar discectomy in herniated lumbar disc disease.METHODS:
43 patients, including 27 men and 16 women, with ages ranging from 18 to 66 years, were enrolled in this study. All the patients showed a protruded or extruded soft disc herniation at the lumbar level on magnetic resonance imaging and computed tomography. A percutaneous endoscopic lumbar discectomy was applied to the patients, and clinical responses evaluated using MacNab's criteria.RESULTS:
40 patients were regarded as showing successful responses (93.1%), and there were no severe complications, such as a hematoma, nerve injury, postoperative dysesthesia or death. One patient underwent fusion surgery for remnant back pain six month later.CONCLUSIONS:
We conclude that, in properly selected patients, a percutaneous endoscopic lumbar discectomy is a safe, noninvasive and effective treatment modality for herniated lumbar intervertebral disc disease.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Meta 3.4 Reduzir as mortes prematuras devido doenças não transmissíveis
Problema de saúde:
Doenças Musculoesqueléticas e Reumáticas
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Parestesia
/
Imageamento por Ressonância Magnética
/
Mortalidade
/
Cicatriz
/
Dor nas Costas
/
Discotomia
/
Endoscopia
/
Hematoma
/
Hemorragia
/
Disco Intervertebral
Tipo de estudo:
Estudo prognóstico
Limite:
Feminino
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
The Korean Journal of Pain
Ano de publicação:
2005
Tipo de documento:
Artigo