Nearest and remote results of lumbar intervertebrate disk herniation“ of marginal dimensions surgical treatment
Keywords:
microsurgical discectomy, endoscopic discectomy, laser vaporization, conservative treatment, hernia border sizes, lumbar intervertebral discsAbstract
The analysis of nearest and remote results of 120 patients with lumbar intervertebrate disks“ herniations of marginal dimensions (5–8 mm) surgical treatment was performed. Primary patients“ condition was the same. Patients with slight clinical symptoms and severe radiculo- and polyradiculopathias were excluded. Patients were divided into 4 clinical groups (30 persons in each) due to treatment method: microsurgery microdiskectomy, endoscopic microdiskectomy, laser vaporization and conservative treatment (controls). The best nearest results were observed in microsurgical and endoscopic microdiskectomy groups, but remote results were better in laser vaporization group. In the group was the smallest amount of temporary invalidity days during first 3 years. Conservative treatment demonstrated minimal effectiveness.
References
Гельфенбейн М.С. Международный конгресс, посвященный лечению хронического болевого синдрома после операций на поясничном отделе позвоночника “Pain management ‘98” (Failed back surgery syndrome) // Нейрохирургия. — 2000. — №1—2. — С.65.
Мусалатов Х.А., Аганесов А.Г., Хорева Н.Е. О показаниях к хирургическому лечению грыжи межпозвонкового диска при поясничном остеохондрозе
// Нейрохирургия. — 1999. — №2. — С.29—30.
Некрасов А.Д. Использование специализированного двигательного стереотипа при лечении пациентов с резко выраженными поясничными болями // Научн.-практ. конф. — Новосибирск,1998. — С.51—52.
Певзнер К.Б., Гельфенбейн М.С., Васильев С.А. Микродискэктомия в лечении дискогенного радикулита // Нейрохирургия. — 1999. — №3. — С.59—64.
Хирургическое лечение при дискогенных пояснично-крестцовых радикулитах — выбор метода, результаты и перспективы / Педаченко Е.Г., Косинов А.Е., Хижняк М.В., Танасейчук А.Ф. // Укр. журн. малоинвазив. и эндоскоп. хирургии. — 1997. — Т.2, №1. — С.46—52
Хирургическое лечение при дискогенных пояснично-крестцовых радикулитах — выбор метода, результаты и перспективы. Педаченко Е.Г., Косинов А.Е., Хижняк М.В., Танасейчук А.Ф. // Укр. журн.малоинвазив. и эндоскоп. хирургии. — 1997. — Т.1, №1. — С.86—88.
Шустин В.А., Панюшкин А.И. Клиника и хирургическое лечение дискогенных пояснично-крестцовых радикуломиелоишемий. — Л., 1985. — С.148—153.
Ефективність хірургічних втручань при патології міжхребцевих дисків / Поліщук М.Є., Михайловський В.С., Косинов А.Е. и др. // Укр. журн. малоинвазив. и эндоскоп. хирургии. — 1997. — Т.2. — №1. — С.94—99.
Юмашев Г.С., Фурман М.Е. Остеохондрозы позвоночника. — М.: Медицина. — 1984. — С.382.
Castro W.H.M., Jerosch J., Hepp R. et al. Restrictions of indication for automated percutaneous lumbar discectomy based on computed tomographic discography // Spine. — 1992. — V.17. — P.1239—1243.
Castro W.H.M., Jerosch J., Schilgen M. et al. Automated percutaneous nucleotomy. Restricted indications based on CT scan appearance // Neurosurg. Clin. North. Am. — 1996. — V.7. — P.43—47.
Choy D.S.J., Ascher P.W., Saddekni S. Percutaneous laser disc decompression // Spine. — V.17. — P.949—956.
Davis J.K. Early experience with laser disc decompression // J. Fla. Med. Assoc. — 1992. — V.79. — P.37—39.
Davis R.A. A long-term outcome analysis of 984-surgically treated herniated lumbar discs // J. Neurosurg. — 1994. — V.80. — P.415—421.
Destandau J. Endoscopic surgery of lumber disc herniation/ 3th International congress on Minimally invasive neurosurgery. — 1997. — P.23.
Dowd G.C. Rusich G.P., Connolly E.S. Herniated lumbar disc evaluation and management // Neurosurg. Quart. — 1998. — V.8, №2. — P.140—160.
Finneson B.E. Lumbar Disc Excision in Operative Neurosurgical Techniques / ed. Schmidek H.H., Sweet W.H. Third Edition. — 1995. — V.2. — P.1095—1923.
Frank E. Removal of lateral disc herniation with malleable endoscopic forceps: technical note // Neurosurgery. — 1997. — V.41, №1. — Р.311—313.
Greenberg M.S. Intervertebral disc herniation/ Handbook of Neurosurgery. Third edition. — 1994. — P.467—486.
Junge A., Dvorak J., Ahrens S. Predictors of bad and goodoutcomes of lumbar disc surgery. A prospective clinical study with recommendations for screening to avoid bad outcomes // Spine. — 1995. — V.15, №20(4). — P.460—468.
Kotilainen E., Valtonen S., Carlson CA. Microsurgical treatment of lumbar disc herniation: follow—up of 237 patients //Acta Neurochir. — Wien, 1993. — V.120. — №3–4. — P.143—149.
Koutrouvelis P.G., Lang E. Stereotactic lumbar microdiscectomy // Neurosurg. Clin. North. Am. — 1996. — V.7. — P.49—57.
Lewis P.J., Weir B.K., Broad R. Long—term Prospective Study of Lumbosacral Discectomy // J. Neurosurg. — 1987. — V.67. — P.49—53.
Manucher J.J. A 1- to 4-years follow-up review of treatment of sciatica using chemonucleolysis or laminectomy // J. Neurosurg. — 1992. — V.76. — P.184—190.
Mayer H.M., Brock M. Percutaneous endoscopic discectomy: Surgical technique and preliminary results compared to microsurgical discectomy // J. Neurosurg. — 1993. — V.78. — P.216—225.
McCulloch J.A. Principles of microsurgery for lumbar disc disease. — Raven Press, New York, 1989. — P.226—228.
Nathews H.H. Transforaminal endoscopic lumbar microdiscectomy // Neurosurg. Clin. North. Am. — 1996. — V.7. — P.59—63.
Pople I. Thoraco-lumbar disc disease // Neurosurgery. — 1996. — P.134—136.
Sachdev V.P. Microsurgical lumbar discectomy: A personal series of 300 patients with at least 1 year of follow-up // Microsurgery. — 1986. — V.7. — P.55—62.
Williams R.W. Microlumbar discectomy: A conservative surgical approach to the virgin herniated lubar disc // Spine. — 1978. — V.3. — P.175—182.
Wilson D.H., Harbaugh R. Microsurgical and standard removal of the protruded lumbar disc: A comparative study // Neurosurgery. — 1981. — V.8. — P.422—427.
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