TREATMENT OF HERNIATED LUMBAR DİSC W1TH LASER DISCECTOMY
Journal Title: Journal of Turkish Spinal Surgery - Year 1995, Vol 6, Issue 2
Abstract
Percutaneous intradiscal laser nucleotomy is a saf e, minimally invasive and short procedure for treatment of a selected group of patients with herniated lumbar inten/ertebral disc disease. We have been using ihis technique since March 1993. We operated283 cases untilAugust 1995. Among these, 132 patients whose foiiow-up periods were longer than one year was inciuded in this study. Patients seemed to be favoured better in the eariy postoper-ative period when compared with the late follow-up. Aithough 87.3% of the cases had negative Laseque test, the rate for complete reiief of complaints were 68.9%. 5%> of the cases were reoperated with laser nucleotomy, but two ofthem didn't favour and undervvent to laminotomy and disc removal. Open surgery have been proposed in 26 (19.6%,) and 16 of them were operated. Overall improvement in minör motor, sensorial and deep tendon reflex deficits were 70.9%, 67.6% and 48.8%, respectively. We recommend laser nucleotomy as an effect'ıve treatment modality, and it can be performed with a very low complication rate, especially, if the preoperative computerized tomographic seans showing the coordinates for the trajectory of the needle, are available.
Authors and Affiliations
Serhat ERBAYRAKTAR, Ünal KİRİŞOĞLU, Metin GÜNER, Ümit ACAR, Tansu MERTOL
Keywords
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