Fragmentectomy versus Conventional Microdiscectomy in Single-Level Lumbar Disc Herniations : Comparison of Clinical Results and Recurrence Rates
| Autor: | Sang Kyu Kim, In Hwan Kim, Geum-Seong Baek, Yeon-Seong Kim, Min-Cheol Lee, Jae-Wook Song |
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| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Fragmentectomy Clinical Article medicine.diagnostic_test Visual analogue scale business.industry General Neuroscience Retrospective cohort study Intervertebral disc Magnetic resonance imaging Single level Surgery Lumbar disc medicine.anatomical_structure medicine Lumbar disc herniation Clinical results Recurrence rates Microdiscectomy Neurology (clinical) Neurosurgery business |
| Zdroj: | Journal of Korean Neurosurgical Society |
| ISSN: | 1598-7876 |
| Popis: | Objective : This retrospective study aimed to compare clinical outcomes in terms of pain relief and recurrence rate between fragmentectomies and conventional microdiscectomies in patients with lumbar disc herniation (LDH). Methods : Between January 2008 and May 2011, a total of 175 patients met the inclusion criteria of this study. The visual analogue scale (VAS) scores of back and radicular pains were recorded before surgery, 2 and 6 weeks after surgery. Recurrence was defined when a patient had the same pattern of preoperative symptoms and was confirmed with magnetic resonance imaging. Results : Seventy-four patients (42.3%) were suitable for fragmentectomy, and 101 patients underwent conventional microdiscectomy. There were no significant differences in VAS scores between the fragmentectomy and conventional microdiscectomy groups 2 and 6 weeks after surgery. Dur ing the follow-up period, 3 patients (4.05%) in the fragmentectomy group and 7 patients (6.93%) in the conventional microdiscectomy group relapsed. Conclusion : If patients are selected according to well-defined criteria, fragmentectomy can be a good surgical option for LDH, in the physiological aspect of preserving healthy intervertebral disc materials. |
| Databáze: | OpenAIRE |
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