TREATMENT OF HERNIATED LUMBAR DİSC W1TH LASER DISCECTOMY
Journal Title: Journal of Turkish Spinal Surgery - Year 1995, Vol 6, Issue 2
Abstract
Percutaneous intradiscal laser nucleotomy is a saf e, minimally invasive and short procedure for treatment of a selected group of patients with herniated lumbar inten/ertebral disc disease. We have been using ihis technique since March 1993. We operated283 cases untilAugust 1995. Among these, 132 patients whose foiiow-up periods were longer than one year was inciuded in this study. Patients seemed to be favoured better in the eariy postoper-ative period when compared with the late follow-up. Aithough 87.3% of the cases had negative Laseque test, the rate for complete reiief of complaints were 68.9%. 5%> of the cases were reoperated with laser nucleotomy, but two ofthem didn't favour and undervvent to laminotomy and disc removal. Open surgery have been proposed in 26 (19.6%,) and 16 of them were operated. Overall improvement in minör motor, sensorial and deep tendon reflex deficits were 70.9%, 67.6% and 48.8%, respectively. We recommend laser nucleotomy as an effect'ıve treatment modality, and it can be performed with a very low complication rate, especially, if the preoperative computerized tomographic seans showing the coordinates for the trajectory of the needle, are available.
Authors and Affiliations
Serhat ERBAYRAKTAR, Ünal KİRİŞOĞLU, Metin GÜNER, Ümit ACAR, Tansu MERTOL
Keywords
Related Articles
- EP ID EP676316
- DOI -
- Views 137
- Downloads 0
MYOCLONIC STATUS EPILEPSY SEEN SECONDARY TO IOHEXOL MYELOGRAPHY: A Case Report
Although it is accepted that iohexol is a contrast substance dissoiving in vvater, it is aiso reported that some rare complications like headache, vomiting, confusion, tonic-cionic convulsions which are associated with t...
DETERMINATION OF THE MORPHOMETRIC FEATURES OF THE L5 VERTEBRA IN THE TURKISH POPULATION
Objectives: The L5 vertebra is a vertebra which is located in the transitional zone between the lumbar and sacral vertebrae and can hold the morphometric features of both type of these vertebrae. Thus the L5 vertebra...
POSTERIOR VVEDGE OSTEOTOMY FOR TREATMENT OF SEGMENTARY KYPHOSIS
Segmentary kyphotic deformities, not uncommonly caused by Pott's disease, trauma, and congenital kyphos-coliosis, are clasically treatedby conventional surgical methods: i.e. combined anterior andposterior approaches. Fo...
VERTEBRANIN GRANÜLOMATÖZ ENFEKS‹YONLARI
Vertebral osteomiyelit; omurgada yer alan kemik dokular› ve ayn› zamanda intervertebral disk, epidural aral›k ve miyofasiyel doku gibi komßu yumußak dokular› da kapsayan bir enfeksiyon hastal›¤›d›r. Bu çal›ßman›n amac...
FOLLOW-UP RESULTS OF PATIENTS WITH SCOLIOSIS TREATED BY HARRINGTON SYSTEM
From 1980 to 1989, 110 scoliotic patients treated by Harrington system at llacettepe University were selected for this study. But, only 52 patients had satisfactory documents for study follow-up evaluations and were thus...