Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
839 9 |
Ultima descărcare din IBN: 2023-01-03 14:31 |
SM ISO690:2012 BODIU, Aurel. Minimally invasive lumbar disk surgery: technique and results. In: Curierul Medical, 2013, nr. 3(56), pp. 57-63. ISSN 1875-0666. |
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Curierul Medical | ||||||
Numărul 3(56) / 2013 / ISSN 1875-0666 | ||||||
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Pag. 57-63 | ||||||
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We report the technique, outcome and complications seen in 100 cases of prolapsed lumbar disc in patients who have undergone the minimally invasive endoscopic discectomy. Radicular and lumbar pain has been assessed via Visual Analog Scale of pain. The outcome assessment of the surgical treatment has been done by EQ-5D and Oswestry Disability Index criteria. Results: 100 patients (52 males, 48 females) have undergone the minimally invasive endoscopic discectomy of prolapsed lumbar disc. The catamnesis period has ranged from 1 to 5 years with a mean value of 1.4 years. Seventy four patients (74.0%) have had an excellent outcome, 20 (20.0%) patients – a good outcome, 5 (5.0%) patients – an average outcome and one patient (1.0%) – a poor outcome. No cases of subfascial infection complications have been registered. Intraoperative complications have included 4 cases of minor damage of the Dura nerve without any clinical complications in postoperative period as well as a temporary impairment of sensitivity in the area of nerve root innervation in 3 patients and a temporary motor deficit in 2 patients. All the patients have recovered during the catamnesis period. There have been 4 cases of recurrent disc prolapses at the same levels, where they were operated before. Conclusions: Minimally invasive endoscopic discectomy is a safe and effective procedure for the treatment of a prolapsed lumbar disc. |
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