RESUMEN
The paper provides outcomes of treatment in 37 patients with cervical diskal hernias, operated on by endoscopic portal microsurgery. Surgery involved the use of video endoscopic techniques, microsurgery under fluoroscopic control. The duration of an operation was 22 +/- 2.7 min. Hospital stay was not more than 24 hours. Fair early and late outcomes were noted in 94.1% of the patients.
Asunto(s)
Endoscopía/métodos , Desplazamiento del Disco Intervertebral/cirugía , Microcirugia/métodos , Vértebras Cervicales/cirugía , Humanos , Complicaciones Posoperatorias , Periodo Posoperatorio , Resultado del Tratamiento , Cirugía Asistida por Video/métodosRESUMEN
The paper presents early and late outcomes of treatment in 62 patients undergone paracentetic laser "diskectomy" for discogenic compressed syndromes of the neck. It shows the efficiency of surgery for radicular (92.9%) and myelopathic (92.8%) syndromes. Patients were selected for these interventions on the basis of clinical and neurological examinations, spondylography, MRI, and electric neuromyography. The main stages of an operation were as follows: local anesthesia, right-sided anterolateral access, X-ray guidance of the position of a needle, one-stage removal of herniated disks during multi-levelled injury during an intervention. The operation lasted 18 +/- 2.4 minutes. The mean hospital stay was 12 +/- 1.4 hours. The interventions were performed in 16 of 62 cases in the outpatient setting.