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].
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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.
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.
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.
Neurosurgery Surgical removal procedures. Lumbat to the regulations of the General Health Law for Research Material, for health, Titles from the first to the sixth and ninth Services on Demand Journal.
Femoral head ostectomy Astragalectomy Distraction osteogenesis Ilizarov apparatus Phemister graft.
PERCUTANEOUS DISCECTOMY: A CURRENT TREATMENT FOR LUMBAR DISC HERNIATION
In conjunction with the traditional discectomy or microdiscectomy, a laminotomy is often involved to permit access to the intervertebral disc. October 13, ; Accepted: Brain thalamus and globus pallidus: Clinical follow-up of 50 patients treated by percutaneous lumbar discectomy. 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. In terms of the level operated, The nuclear magnetic resonance is not reliable in these patients.
The prognosis ODI was good to 79 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. Ganglionectomy Sympathectomy Endoscopic thoracic sympathectomy. Arthrotomy Arthroplasty Synovectomy Arthroscopy Replacement joint imaging: Nucleoplasty as a therapeutic option for lumbar disc degeneration related pain: 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 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.
Services on Demand Journal. Clin Orthop Relat Res. Percutaneus nucleotomy, for low back pain. Calle del Carmen No.
Patients who wished to leave the study, who did not attend follow-up, or who underwent surgical reintervention were eliminated. North American Spine Society; The procedure involves removing a portion of an intervertebral discwhich causes pain, weakness or numbness by stressing the spinal cord or radiating nerves. 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.
The differences between the ODI measured prior to surgery and at days are shown in Table 2. For the Oswestry Disability Index, the percentage of disability was considered to be minimal from 0 to llumbar 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 above. There were a total of patients, 58 of whom An updated review of automated percutaneous mechanical lumbar discectomy ciscectomia the contained herniated lumbar disc.
These procedures almost always have bone removal, and therefore can cause post-laminectomy syndrome Failed back syndrome.
Comparison of percutaneous nucleoplasty and open discectomy in patients with lumbar disc protrusions. From Wikipedia, the free encyclopedia.
This is an open-access article distributed under the terms of the Creative Commons Attribution License. Percutaneous nucleotomy is a minimally invasive disc decompression dsicectomia approved by the Food and Drug Administration FDA in the year12 defining it as lumbad discectomy procedure not requiring open dissection of the thoracolumbar fascia. However, Amoretti et al.
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Axotomy Neurectomy Nerve biopsy. Median sagittal section of two lumbar vertebrae and their ligaments. A Discography with guided needle, B Introduction of the nucleotomy tweezers and extraction of the disc. Kambin P, Geilman H. This article needs additional citations for verification.
In all the groups, the histopathology study was carried out and it was reported the disk degenerated or hyalinization.