| Autor: |
Oon-ki Baek, Dongho Seo, Ki-Hyoung Moon |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
Laser Spine Surgery ISBN: 9789811622052 |
| Popis: |
Lumbar intervertebral disc herniation (LDH) is a clinically symptomatic condition caused by compression of the spinal nerve root by protruded disc material. LDH can be treated with various endoscopic procedures. Recently, trans-sacral epiduroscopic laser decompression (SELD) using epiduroscopy and laser is one of the preferred options for minimally invasive treatment in lumbar disc diseases. Epiduroscopy has been employed because of the smaller diameter of the access portal and the flexible fiber when compared with transforaminal endoscopic lumbar discectomy. It allows treatment of a symptomatic herniated disc that has failed to respond to conservative treatment. SELD showed rapid improvement of back pain and radiculopathy with significant differences in the visual analog scale (VAS) and Oswestry Disability Index (ODI) scores between preoperative and postoperative data in the present study. The advantages of the SELD are direct decompression by laser and targeted mechanical adhesiolysis through direct visualization and very low complication rates. SELD is a safe and effective treatment for lower back and leg pain which arise from a herniated lumbar disc. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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