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].

Author: Mugis Tajin
Country: Gabon
Language: English (Spanish)
Genre: Literature
Published (Last): 14 October 2012
Pages: 234
PDF File Size: 17.43 Mb
ePub File Size: 19.81 Mb
ISBN: 263-6-44300-930-7
Downloads: 12445
Price: Free* [*Free Regsitration Required]
Uploader: Tut

The nuclear magnetic resonance is not reliable in these patients. In our study, the average age of the patients was The prognosis ODI was good to 79 All the patients were diagnosed clinically and corroborated by plain radiographs and lumbar magnetic discectojia without contrast. In other projects Wikimedia Commons. Femoral head ostectomy Astragalectomy Distraction osteogenesis Ilizarov apparatus Phemister graft.

Magnetic resonance imaging; Failed back surgery syndrome; Spine [surgery]. Ganglionectomy Sympathectomy Endoscopic thoracic sympathectomy. Percutaneous nucleotomy is a minimally invasive disc decompression technique approved by the Food and Drug Administration FDA in the year12 defining it as any discectomy procedure not requiring open dissection of the thoracolumbar fascia.

Unsourced material may be challenged and removed.

Discectomy – Wikipedia

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.

Therapeutic effectiveness was established in our series according to the prognosis based on the ODI, which was good in 79 In Group I, it was not found any abnormality, despite its clinical state.

Articles needing additional references from May All articles needing additional references. In all the patients, postoperative fibrosis data was found in four cases, and residual disk root was compressed in five patients.

North American Spine Society. The traditional open discectomy, or Love’s technique, was published by Ross and Love in Descriptive, longitudinal, prospective, cohort study including patients selected from the outpatient service with low back pain secondary to lumbar disc hernia of L4-L5 and L5-S1. 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.


Neurosurgery Surgical removal procedures. This page was last edited on 2 Octoberat In terms of the level operated, Arthrotomy Arthroplasty Synovectomy Arthroscopy Replacement joint imaging: We included those with only one level affected, with chronic lumbosciatic pain previously treated with medications and rehabilitation for more than six months without good response, and who underwent percutaneous manual nucleotomy under fluoroscopy.

The differences between the NPS values measured prior to surgery and at days are shown in Table 1. A Discography with guided needle, B Introduction of the nucleotomy tweezers and extraction of the disc. Another Mexican series 3 reported an average age of Please help improve this article by adding citations to reliable sources.

May Learn how and when to remove this template message. October 13, ; Accepted: 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. However, no correlation with sex has been established. 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.

An updated review of automated percutaneous mechanical lumbar discectomy for the contained herniated lumbar disc.

The effectiveness of the percutaneous discectomy in the treatment of pain secondary to disc herniation. This article needs additional citations for verification. In our review of the literature, 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.


Kambin P, Geilman H. Patients who wished to leave the study, who did not attend follow-up, or who underwent surgical reintervention were eliminated. In Group II, only in eight patients, the nuclear magnetic resonance showed abnormal findings.

Median sagittal section of two lumbar vertebrae and their ligaments. These procedures almost always have bone removal, and therefore can cause post-laminectomy syndrome Failed back syndrome. Descriptive and inferential statistics for differences. An analysis of the causes of nerve-root involvement in sixty-eight patients.

The abnormal findings were: Given that the studies were conducted in different countries, we could say that in the case of Mexico most women of working lumba perform not only the physical activities related to their trade or profession, but they also take on other activities such as housework.

Describe the discectpmia outcomes of patients with contained lumbar disc herniation L4-L5, L5-S1 treated with manual percutaneous nucleotomy MPN and demonstrate that it remains a technique with good results.

Complicaciones en Discectomia Lumbar by Andres Baez on Prezi

These procedures do not cause post-laminectomy syndrome Failed back syndrome. Transoperatory complications were not reported in any of the two groups.

Clinical biomechanics of the spine. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License.

There was a problem providing the content you requested

Percutaneus nucleotomy, for low back pain. This is an open-access article distributed under the terms of the Creative Commons Attribution License. The evaluation was pre-surgical and 4, lumbra, and days after the surgery. In Mexico, intervertebral disc disease is a highly prevalent socio-economic problem. Nucleoplasty as a therapeutic option for lumbar disc degeneration related pain: