Puncture laser microdiscectomy in treatment of large lumbar spinal hernias
Journal Title: Медичні перспективи - Year 2013, Vol 18, Issue 2
Abstract
Degree of hernia size influence on final result of PLME in 34 patients with discogenic neurocompressive lumbar spinal syndrome was detected. In medical center "Endoscopic Neurosurgery" from 2006 to 2010 we examined and treated 34 patients with hernia size from 6 to 8 mm by CT data. Patients were from 19 to 49 years of age. Average age was 35.9 ± 1.5 years. Males – 16 (47.1%), females – 18 (52.9%). Disease duration – 5.53 ± 0.44 months with duration of last exacerbation – 1.87 ± 0.21 months. Duration of conservative therapy is 4.6 ± 2.1 weeks. During survey and objec¬tive examination we determined pain syndrome intensity, pain location, degree of spinal static – dynamic function disorder. Neurological examination determined severity of sensory and motor disorders. Pain syndrome intensity, quality of life in patients before and after surgery, surgery effectiveness were determined by common scales: VAS, OSWESTRY, Roland - Morris, McNab. Before PLME we evaluated preoperative spondylograms performed with functional load. Height of intervertebral fissure was determined by these images. By SCT and MRI data we measured hernia size, its shape and location as well as intervertebral disk dehydration degree. For PLME performance we used neodymium laser with aluminum garnet (Dorinyer Fibertom Medilas 4060) with wave-length of 1.06 micrometers. In the next period of observation after PLME its effectiveness was 79%, and in 3-5 years - 76%. At the same time it must be emphasized that 75% of patients with discogenic neurocompressive lumbar spinal syndrome significantly and for a long time improved their life quality avoiding more traumatic surgery. Satisfactory results with PLM use in the nearest future could be obtained in 79% of patients, in the remote term - in 76% of patients with large hernia size.
Authors and Affiliations
M. Zorin
Keywords
Related Articles
- EP ID EP162262
- DOI -
- Views 82
- Downloads 0
Адипокіни резистин та ліпокалін-2 і їх роль у патогенезі синдрому полікістозних яєчників та метаболічного синдрому
Гормоны жировой ткани, в частности резистин и липокалин-2, играют важную роль в регуляции липидного и углеводного метаболизмов, воспалении и иммунных нарушениях, механизмах рождаемости и репродукции. Ожирение и избыточны...
Микробиологические и иммунологические критерии диагностики начальной степени генерализованного пародонтита на стадии дорентгенологического проявления
У статті наведені результати порівняльного вивчення особливостей мікробного пейзажу та порушень місцевого імунітету у хворих на генералізований пародонтит на доклініко-рентгенологічній стадії розвитку у 60 хворих. Виявле...
Squamous cell carcinoma of unknown primary localization: isolated lesion of cervical lymph nodes
Cancers of unknown primary localization (CUPL) are a heterogeneous group of metastatic neoplasias for which a standardized diagnostic examination did not determine the primary localization of the origin. In 5% of histolo...
Organic hallucinosis at pituitary macroadenoma (case report)
The article describes the clinical case of organic hallucinosis, the beginning of which is definitely associated with pituitary macroadenoma. Complex hallucinations (visual, auditory, olfactory, tactile) with zoological...
Поведінкові розлади у щурів на фоні експериментальної хронічної міокардіальної дисфункції
Наблюдение кардиологов и психиатров свидетельствуют о том, что сердечно-сосудистые заболевания и депрессия являются наиболее распространенными и часто коморбидными состояниями. Поэтому целью исследования стало выявление...