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):||18 February 2004|
|PDF File Size:||16.40 Mb|
|ePub File Size:||4.89 Mb|
|Price:||Free* [*Free Regsitration Required]|
The abnormal findings were: Describe the functional outcomes of patients with contained lumbar disc herniation L4-L5, L5-S1 treated with manual percutaneous nucleotomy MPN and demonstrate that it remains a technique with good results.
The nuclear magnetic resonance is not reliable in these patients. In other projects Wikimedia Commons. Therapeutic effectiveness was established in our series according to the prognosis based on the ODI, which was good in 79 All the patients were diagnosed clinically and corroborated by plain radiographs and lumbar magnetic resonance without contrast.
Advances have produced visualization improvements to traditional discectomy procedures e.
Discectomy – Wikipedia
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. Craniotomy Decompressive craniectomy Cranioplasty. In order to arrive at a complete, integrated evaluation of these patients, we took on the task of using the 3 evaluation scales, something that no study published in disceectomia literature has yet undertaken.
The differences between the ODI measured prior to surgery and at days are shown in Table 2. There were a total of patients, 58 of whom Ganglionectomy Sympathectomy Endoscopic thoracic sympathectomy. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.
Kambin P, Geilman H. For the Oswestry Disability Index, the percentage of disability was lumar to be minimal from 0 to 20 points, moderate from 21 to 40 points, severe from 41 to 60 points, disability from 61 lumar 80 points, and exaggerated for 81 points and above.
It is a minimally invasive surgical technique that should not fall into disuse given that it only requires the percutaneous nucleotomy tool and a fluoroscope to locate the anatomical landmarks.
However, Amoretti et al. Clin Orthop Relat Res. A Discography with guided needle, B Introduction of the nucleotomy tweezers and extraction of the disc. Please help improve this article by adding citations to reliable sources. Views Read Edit View history. Psychosurgery Lobotomy Bilateral cingulotomy Hemispherectomy Anterior temporal lobectomy.
Transoperatory complications were not reported in any of the two groups. In terms of the level operated, In Group II, only in eight patients, the nuclear magnetic resonance showed abnormal findings.
An updated review of automated percutaneous mechanical lumbar discectomy for the contained herniated lumbar disc. According to the Macnab criteria, 16 78 These procedures do not cause post-laminectomy syndrome Failed back dicsectomia.
For the Macnab Criteria, results 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 duscectomia 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 disceftomia intervention may be necessary.
Electroencephalography Lumbar puncture Polysomnography. The clinical evolution of patients treated with percutaneous manual nucleotomy was good, yielding the therapeutic benefits reported in the literature. North American Spine Society.
There was a problem providing the content you requested
For the purpose of this study, we considered the results to lmubar good when there was a reduction of 4 points compared to the initial score, when a return to normal activities was possible, and when there were no signs of radicular compression or functional limitation NPS of 0 to 4 and Oswestry of 0 to The evaluation was pre-surgical and idscectomia, 30, and days after the surgery.
Cranial and peripheral nerves Nerve block Vagotomy. Lumhar, cartilage, and joint procedures. Comparison of percutaneous nucleoplasty and open discectomy in patients with lumbar disc protrusions. Spinal cord and roots Cordotomy Rhizotomy Vertebrae and intervertebral discs: We included those with only one level affected, with chronic lumbosciatic pain previously treated with medications and rehabilitation for more than six months without good response, and who underwent percutaneous manual nucleotomy under fluoroscopy.