A discectomy is the surgical removal of abnormal disc material that presses on a nerve root or the spinal cord. The procedure involves removing a portion of an. DISCECTOMÍA PERCUTÁNEA: UN TRATAMIENTO VIGENTE PARA LA HERNIA Describe the functional outcomes of patients with contained lumbar disc. Nuclear magnetic resonance in postoperative lumbar discectomy in asymptomatic patients and with failed back surgery syndrome. Coluna/Columna [ online].
|Published (Last):||27 July 2009|
|PDF File Size:||13.77 Mb|
|ePub File Size:||18.37 Mb|
|Price:||Free* [*Free Regsitration Required]|
L4-L5 in 63 In all the patients, postoperative fibrosis data was found in four cases, and residual disk root was compressed in five patients. In the numeric pain scale we considered zero to be without pain, 1 to 4 points as mild pain, 5 and 6 points as moderate pain, and 7 to 10 points as severe pain.
Ventriculostomy Suboccipital puncture Intracranial pressure monitoring. Advances have produced visualization improvements to traditional discectomy procedures e.
From Lummbar, the free encyclopedia. All the patients were diagnosed clinically and corroborated by plain radiographs and lumbar magnetic resonance without contrast. How to cite this article. Articular cartilage repair Microfracture surgery Knee cartilage replacement therapy Autologous chondrocyte implantation.
North American Spine Society; However, no correlation with sex has been established. These procedures do not cause post-laminectomy syndrome Failed back syndrome. Percutaneus nucleotomy, for low back pain. Ganglionectomy Sympathectomy Endoscopic thoracic sympathectomy. Percutaneous nucleotomy is a minimally invasive disc decompression technique approved by the Food and Drug Administration FDA in the year12 defining it as any discectomy procedure not requiring open dissection of the thoracolumbar fascia.
Psychosurgery Lobotomy Bilateral cingulotomy Hemispherectomy Anterior temporal lobectomy. The objective of our study is to describe the functional outcomes of patients with contained lumbar disc hernia L4-L5, L5-S1 treated with percutaneous manual nucleotomy PMN after one year of evolution and to demonstrate that it continues to be a viable technique with good results.
We excluded lymbar patients with changes in behavior, calcified or non-contained hernias, narrow lumbar canal, spondylolisthesis, congenital deformities, and instability.
PERCUTANEOUS DISCECTOMY: A CURRENT TREATMENT FOR LUMBAR DISC HERNIATION
Lumbqr the Oswestry Disability Index, the percentage of disability was considered to be minimal from 0 to 20 points, moderate from 21 to 40 points, severe from 41 to 60 points, disability from 61 to 80 points, and exaggerated for 81 points and discectomiaa. Because this increase was very small, it had no repercussions and no clinical outcome in the pain of the patients. Laminotomy means a significant amount of typically normal bone the lamina is removed from the vertebra, allowing the surgeon to better see and access the area of disc herniation.
However, today it is not widely practiced and whether or not there is clear evidence presented about the superiority of this minimally invasive technique as compared to others is still being debated. This difference is most likely because in our environment the population begins to work at an early age, making our average age lower 14 years.
Magnetic resonance imaging; Failed back surgery syndrome; Spine [surgery]. Clinical guidelines for diagnosis and treatment of lumbar disc herniation with radiculopathy. In our study, the average age of the patients was Transoperatory complications were not reported in any of the two groups. However, other authors have used this for this type of patient, but with percutaneous nucleotomy guided by laser under fluoroscopy, endoscopy, or with dehydration of the intervertebral discs using chemical substances, making a comparison of these studies difficult.
Percutaneous lateral discectomy of the lumbar spine.
Clinical follow-up of 50 patients treated by percutaneous lumbar discectomy. Craniotomy Decompressive craniectomy Cranioplasty. In our review of the literature, we found no studies that evaluated the Oswestry disability index, the numeric pain scale, or the Macnab criteria in patients who underwent mechanical percutaneous nucleotomy for lumbar disc hernia.
Cranial and peripheral nerves Nerve block Vagotomy. The results obtained in the nuclear magnetic resonance image were analyzed, emitting a diagnosis with external evaluation without knowledge of the clinical status of patients, and a correlation with clinical status in both groups was performed.
Arthrotomy Arthroplasty Synovectomy Arthroscopy Replacement joint imaging: Services on Demand Journal.
Given that the studies were conducted in different countries, we could say that in the case of Mexico most women of working age perform not only the physical activities related to their trade or profession, but they also take on other activities such as housework. For the Macnab Criteria, ljmbar were considered to be excellent when the patient presented no pain or restriction of activity, good when there was occasional pain in the lower back or legs sufficient enough to interfere with the patient’s daily life activities or their ability to enjoy leisure time, normal with improved functional capacity but with intermittent pain severe enough to limit or modify work or leisure activities, and poor when there was no improvement or the improvement was not enough to permit increased activity and a new surgical intervention may be necessary.
Early experience with percutaneous lateral discectomy.
Discectomy – Wikipedia
The procedure involves removing a portion of an intervertebral discwhich causes pain, weakness or numbness by stressing the spinal cord or radiating nerves. Shoulder surgery Shoulder replacement Bankart repair Weaver—Dunn procedure Ulnar collateral ligament reconstruction Hand surgery Brunelli procedure. The proper selection of the patient will no doubt allow the maximum benefit to be obtained from the technique and for this reason we conclude that it continues to be a viable technique.
The evaluation was pre-surgical and 4, 30, and days after the surgery. We did not find any studies that included the numeric pain scale, Oswestry functional disability index, or Macnab criteria in a together in discectomka same study in patients discecto,ia low lumbar hernias treated with this technique.
Group I, five patients with satisfactory evolution and asymptomatic. Regulations of the General Health Law. Patients who wished to leave the study, who did not attend follow-up, or who underwent surgical reintervention were eliminated. A new concept technique and 12 years’ experience. Small or ultra-small endoscopic discectomy called Nano Endoscopic Discectomy does not have internal cutting or bone removal and, due to the small size, is not called “open”.
Nerve conduction study Electromyography.