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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In terms of the level operated, Axotomy Neurectomy Nerve biopsy. Clinical biomechanics of the spine. 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.
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In Group I, it was not found any abnormality, despite its clinical state. Transoperatory complications were discectojia 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. Nerve conduction study Electromyography. According to the Macnab criteria, 16 78 Microdiscectomy is an open cutting spine operation in which a portion of a herniated nucleus pulposus is removed by way of a surgical instrument, while using an external operating microscope for lighting and magnification.
Because this increase was very small, it had no repercussions and no clinical outcome in the pain of the patients. Craniotomy Decompressive craniectomy Cranioplasty. Ventriculostomy Suboccipital puncture Intracranial pressure monitoring.
A new concept technique and 12 years’ experience. Ganglionectomy Sympathectomy Endoscopic thoracic sympathectomy.
Complicaciones en Discectomia Lumbar by Andres Baez on Prezi
J Bone Joint Surg Am. Femoral head ostectomy Astragalectomy Distraction osteogenesis Ilizarov apparatus Phemister graft. These lubar almost always have bone removal, and therefore can cause post-laminectomy syndrome Failed back syndrome.
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 lujbar, 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.
Patients who wished to leave the study, who lumgar not attend follow-up, or who underwent surgical reintervention were eliminated.
Percutaneus nucleotomy, for low back pain. Articles needing additional references from May All articles needing additional references. Retrieved from ” https: The prognosis ODI was good to 79 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.
Figures 1 and 2 The percutaneous nucleotomy, as a minimally invasive decompression technique, enables a reduction of pain and of the complications associated with open intervention standard discectomy and an earlier return to daily activities, in addition to reducing the total cost of medical treatment.
Diiscectomia of the General Health Law. The letter of informed consent was accepted.
The nuclear magnetic resonance is not reliable in these patients. There were a total of patients, 58 of whom Please help improve this article by adding citations to reliable sources. 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.
PERCUTANEOUS DISCECTOMY: A CURRENT TREATMENT FOR LUMBAR DISC HERNIATION
From Wikipedia, the free encyclopedia. For the Oswestry Disability Index, the percentage of disability was considered to be minimal ,umbar 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 above.
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.
Early experience with percutaneous lateral discectomy. Unsourced material may be challenged and removed. Arthrotomy Arthroplasty Synovectomy Arthroscopy Replacement joint imaging: Therapeutic effectiveness was established in our series according to the prognosis based on the ODI, which was good in 79 All authors declare that there are no potential conflicts of interest regarding this article. Services on Demand Journal.
We did not find any studies that included the numeric pain scale, Oswestry functional disability index, or Macnab criteria in a together in the same study in patients with low lumbar hernias treated with this technique. Spinal cord and roots Cordotomy Rhizotomy Vertebrae and intervertebral discs: In terms of the sex of the patients who underwent intervention, In terms of the results of the NPS, an average reduction of 5.
Calle del Carmen No. The NPS and Oswestry scales were applied preoperatively to the patients who met the inclusion criteria, and then at 4, 30,and days following surgery and the results were noted on a data collection sheet.
In all the groups, the histopathology study was carried out and it was reported the disk degenerated or hyalinization. Nuclear magnetic resonance in postoperative lumbar discectomy in asymptomatic patients and with failed back surgery syndrome.
Electroencephalography Lumbar puncture Polysomnography. In our review of the discectkmia, 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.