The surgical treatment assessment depending on the lower lumbar intervertebral disc hernias location

Authors

  • N. Ye. Polischuk Romodanov Neurosurgery Institute, Kiev, Ukraine
  • E. I. Slinko Romodanov Neurosurgery Institute, Kiev, Ukraine
  • I. S. Brinkach Romodanov Neurosurgery Institute, Kiev, Ukraine

Abstract

The results of surgical treatment of 100 consecutively selected patients suffering on ruptured discs at LIV—LV and LV—SI levels operated on from 1999 to 2001 in the institute of neurosurgery have been analyzed. Conventional microdiscectomy and interlaminectomy have been used. The causes of disc rupture were excessive physical loading (lifting), forced sport occupations, and trauma (fall). Till the operation was used the main complaints were lumbar pain, pain in the radicular distribution of cauda equina, leg pain, and sensetive and motor disturbances at the interested in roots zones. The results of operative treatment assessment were fullfilled according to the scale, we worked out, included the most objective criterions that allow to assess the adequacy and effectiveness of surgical intervention. Fifty eight percent of patients had an excellent result, 41% - good, and 1% — satisfactory. Obtained data suggest the practical value of the used scale that allows to assess the surgical approaches applied to the ruptured discs of the lower lumbar spine objectively and compare the possible outcomes of surgical interventions depended on intervertebral disc hernias location variants in axial plane and as regard to the radicular parts.

References

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How to Cite

Polischuk, N. Y., Slinko, E. I., & Brinkach, I. S. The surgical treatment assessment depending on the lower lumbar intervertebral disc hernias location. Ukrainian Neurosurgical Journal, (4), 82–89. Retrieved from https://theunj.org/article/view/94575

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Original articles