Percutaneous discectomy in lumbar disc herniation treatment
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616.721-007.43-072.1-089.819 (1)
Patologia organelor de locomoţie. Sistemul osos şi locomotor (469)
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MINDRIGAN, Eugeniu, MORARU, Vladimir, GALEARSCHI, Vasile, ZAPUHLÎH, Grigore. Percutaneous discectomy in lumbar disc herniation treatment. In: 7th Congress of the Society of Neurologists Issue of the Republic of Moldova, Ed. 7, 16-18 septembrie 2021, Chişinău. Chişinău: Revista Curier Medical, 2021, Vol.64, p. 51. ISSN 2537-6381 (Online).
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7th Congress of the Society of Neurologists Issue of the Republic of Moldova
Vol.64, 2021
Congresul "7th Congress of the Society of Neurologists Issue of the Republic of Moldova"
7, Chişinău, Moldova, 16-18 septembrie 2021

Percutaneous discectomy in lumbar disc herniation treatment

CZU: 616.721-007.43-072.1-089.819

Pag. 51-51

Mindrigan Eugeniu12, Moraru Vladimir12, Galearschi Vasile12, Zapuhlîh Grigore12
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 Diomid Gherman Institute of Neurology and Neurosurgery
 
 
Disponibil în IBN: 28 septembrie 2021


Rezumat

Background: Multiple surgical treatment methods of a disc herniation are known our days but some controversies may occur in the individual selection of the operation type. In spite of the registered successes in degenerative pathology treatment, the term of “Failed back syndrome” was established. This in turn has imposed the development and implementation of minimally invasive techniques, such as percutaneous discectomy (PD). The main goal of current study was the evaluation of the efficiency of PD in pain syndrome reduction (by VAS scale) at lumbar disc herniation (LDH) treatment. Material and methods: The study was based on the analysis of 100 cases with LDH, that were operated in 2016 – 2020 through PD. The results of the treatment were appreciated according to the pain relief, neurological deficit reduction, the psycho-emotional state improvement, decrease of analgesic intake, length of hospitalization and the return to daily activity (Denis scale). Results: PD proved to be a convenient method of treatment. Out of 100 patients, 78 showed the disappearance of pain and the reduction of the neurological deficit after the procedure, 12 patients showed improvements over 3 months according to the Denis Scale. 10 patients underwent microsurgical treatment due to the absence of improvement in syndromes. Conclusions: The results of the study showed an effectiveness of 78% of the total, with the improvement of the VAS and Denis Scales criteria and a fast and early recovery of patients. At the same time, their hospital stay was reduced by only 24 hours.

Cuvinte-cheie
disc herniation, percutaneous discectomy, Denis scale