RESUMEN
There were analyzed the results of observation in 642 patients with hernia of low-lumbar vertebral column, who were examined and operated on using microdiscectomy in the Department of endoscopic and laser spinal neurosurgery of Institute of Neurosurgery of Academy of Medical Sciences of Ukraine. There were delineated the indications for the methods of treatment, their efficacy was estimated, the immediate and late follow-up results of treatment were studied up. In one year after the medial hernia correction the persistent elimination of radicular compression syndrome was achieved in 86.5% of observations, after paramedian one--in 88.7% and postero-lateral--in 95.7%.
Asunto(s)
Discectomía/métodos , Desplazamiento del Disco Intervertebral/cirugía , Vértebras Lumbares/cirugía , Microcirugia , Síndromes de Compresión Nerviosa/cirugía , Humanos , Desplazamiento del Disco Intervertebral/complicaciones , Síndromes de Compresión Nerviosa/complicaciones , Resultado del TratamientoRESUMEN
Discogenic diseases of lumbo-sacral area are revealed in 38-44% of population. In the depertment of laser and endoscopic neurosurgery in the Institute of Neurosurgery n. after academician A. P. Romodanov AMSc of Ukraine intralaminar methodics in modification with use of laser was implemented in 1995. The aim of the study comprised in comparison of remote results of intralaminar interventions with and without use of laser in patients with compressive discogenic lesion in lumbo-sacral area. The obtained results demonstrated that implementing of laser technologies in patients of young age group increases the effectiveness of treatment compared with traditional methodics. The use of intralaminar methodics with the laser allows decreasing the risk of disk herniation recurrence.
Asunto(s)
Discectomía/métodos , Desplazamiento del Disco Intervertebral/cirugía , Terapia por Láser/métodos , Adolescente , Adulto , Anciano , Femenino , Estudios de Seguimiento , Humanos , Región Lumbosacra , Masculino , Persona de Mediana Edad , Resultado del TratamientoRESUMEN
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.
Asunto(s)
Vértebras Cervicales/cirugía , Osteocondritis/cirugía , Vértebras Cervicales/diagnóstico por imagen , Vértebras Cervicales/patología , Discectomía Percutánea/métodos , Electromiografía , Estudios de Seguimiento , Humanos , Terapia por Láser , Imagen por Resonancia Magnética , Osteocondritis/diagnóstico por imagen , Osteocondritis/patología , Tomografía Computarizada por Rayos XRESUMEN
On the basis of studies on concentration and mobility of ions in the solution (conductometry technique) an individual selection is suggested of the total dose of laser energy during the percutaneous laser disk nucleotimy sessions. The conductometry technique permits arriving at an objective decision on both completion/continuation of the operation and change in the laser energy rate.
Asunto(s)
Discectomía Percutánea/métodos , Terapia por Láser , Discectomía Percutánea/instrumentación , Relación Dosis-Respuesta en la Radiación , HumanosRESUMEN
In 144 patients with discogenic lumbosacralic radiculitis the puncture laser discectomy was performed on several levels independently or in combination with open operative intervention. High efficacy of treatment was noted.
Asunto(s)
Discectomía/métodos , Desplazamiento del Disco Intervertebral/cirugía , Terapia por Láser/métodos , Adolescente , Adulto , Anciano , Femenino , Herniorrafia , Humanos , Región Lumbosacra , Masculino , Persona de Mediana Edad , Punción Espinal/métodosRESUMEN
Percutaneous laser discectomy (PLD) was performed in 273 patients with herniated disc-induced lumbosacral radiculitis. Indications for PLD were based on clinical and neurological findings and results of MR tomography: no benefit from conservative treatment, pain syndrome in the lumbago stage and sciatica not presenting with severe paresis and with herniated intervertebral discs down to 6 mm in size across.