The Role of Percutaneous Discectomy in Lumbar DiscHerniations
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ZAPUHLÎH, Grigore, PREGUZA, Ion, SULA, Maxim, BOSTAN, Alexandru, DOROŞENCO, Stanislav. The Role of Percutaneous Discectomy in Lumbar DiscHerniations. In: Turkish Neurosurgery, 2017, vol. 27, supl. nr. 1, p. 235. ISSN 1019-5149.
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Turkish Neurosurgery
Volumul 27, Supliment nr. 1 / 2017 / ISSN 1019-5149 /ISSNe 2651-5032

The Role of Percutaneous Discectomy in Lumbar Disc
Herniations

CZU: 617.546-089.444

Pag. 235-235

Zapuhlîh Grigore1, Preguza Ion2, Sula Maxim2, Bostan Alexandru1, Doroşenco Stanislav2
 
1 Diomid Gherman Institute of Neurology and Neurosurgery,
2 ”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
 
Disponibil în IBN: 23 noiembrie 2023


Rezumat

Background: The primary goal of the surgical treatment of nerve root compression from a disc protrusion continues to be the relief of compression through the removal of the herniated nuclear material with open discectomy. In recent years, a number of minimally invasive nuclear decompression techniques for lumbar disc prolapse, protrusion, and/or herniation have been described. These methods, by sparing the paravertebral musculature, do notrequire general anesthesia; the early mobilization of patients and short hospitalization timesmake these methods very attractive. The efficacy of several alternative techniques has been described, but the results are not convincing. Method: We present our study of 33 non-selected, consecutive patients with various degrees of disc compression in thelumbar spine, treated in our hospital over the last year with percutaneous discectomy. pain relief was the primary outcome measure (VaS scale). other outcome measures were functional improvement, improvement of psychological status, analgesic intake, return to work (Denis scale), and overall satisfaction from the procedure. Results: In our study thepercutaneous discectomy was effective in 61% of patients. These patients showed statistic significant improvement in VaS and Denis scales, returned earlier to their work and daily activities, reduced their analgesic intake and remained satisfied with the procedure. We didn’t have any infection-related complications. Conclusion: performing percutaneous discectomy may provide appropriate relief in properly selected patients with lumbar disc herniation. This is a safe and effective method with acceptable rates of accuracy. percutaneous discectomy is not replacing microsurgery. It’s just another useful technique available to us to offer satisfaction to our patients.

Cuvinte-cheie
Disc protrusion, percutaneous discectomy, lumbar spine