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[Results of the disk microsurgery of lumbar herniated nucleus pulposus]
1Katedra i Klinika Neurochirurgii, Akademia Medyczna w Gdańsku.
Abstract:
Results of microsurgical discectomy (MSD) carried out in 151 patients with lumbar disc herniations are presented. The advantage of microsurgical discectomy is reduction of surgical trauma, better differentiation of anatomical structures, gentler manipulation around nerve roots and the dural sac, and the possibility of a meticulous hemostasis preventing profuse bleeding. Further advantages of MSD are: possibility of direct insight in intervertebral space, limited risk of peri- and postoperative complications and infection, reduction of nursing care, favourable psychological and cosmetic effects. Also possibility of improving microsurgical technique be performing these frequent in neurosurgical practice procedures is not insignificant. Final results were evaluated 6 months after MSD using the Functional Economic Rating Scale developed by Prolo et al. Very good outcome (score 8-10) was achieved in 129 patients (85.4%), good (score 6-7) in 18 (11.9%) and unsatisfactory only in 4 (2.7%).
Insights
Microsurgical discectomy (MSD) offers reduced trauma and improved outcomes for lumbar disc herniations. This study found 85.4% of patients achieved very good results after MSD, highlighting its effectiveness.
Area of Science:
- Neurosurgery
- Minimally Invasive Surgery
Context:
- Lumbar disc herniations are a common cause of back pain and neurological deficits.
- Traditional discectomy can involve significant surgical trauma and complications.
Purpose:
- To evaluate the outcomes of microsurgical discectomy (MSD) in patients with lumbar disc herniations.
- To assess the benefits of MSD in terms of surgical trauma, patient recovery, and functional outcomes.
Summary:
- Microsurgical discectomy was performed on 151 patients with lumbar disc herniations.
- Advantages include reduced surgical trauma, enhanced visualization, gentler manipulation, and meticulous hemostasis.
- Outcomes were evaluated using the Prolo Functional Economic Rating Scale, with 85.4% achieving very good results (score 8-10) at 6 months.
Impact:
- Microsurgical discectomy demonstrates a high success rate for treating lumbar disc herniations.
- The technique offers significant advantages over traditional methods, leading to improved patient recovery and reduced complications.
- This approach contributes to advancing neurosurgical techniques and patient care.