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[Microsurgery in lumbar nucleus prolapse].

R Juul1, J Cappelen, G Unsgård

  • 1Nevrokirurgisk avdeling, Regionsykehuset i Trondheim.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|June 10, 1990
PubMed
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Microsurgical discectomy for lumbar herniated discs yielded good outcomes in 83% of patients. This minimally invasive technique offers a viable alternative for lateral disc herniations, with a mean recovery time of just over two months.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Minimally Invasive Procedures

Context:

  • Lumbar herniated discs are a common cause of low back pain and sciatica.
  • Traditional discectomy can be effective but carries risks.
  • Microsurgical techniques offer potential advantages in precision and recovery.

Purpose:

  • To evaluate the efficacy and outcomes of microsurgical discectomy for lumbar herniated discs.
  • To compare microsurgery as an alternative to standard discectomy for lateral herniations.

Summary:

  • Eighty-three patients underwent microsurgical lumbar discectomy.
  • Good outcomes (no symptoms) were achieved in 69 patients (83%).
  • Ten patients (12%) improved but remained symptomatic; four (5%) showed no improvement.

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Impact:

  • Microsurgery demonstrates high success rates for lumbar herniated discs.
  • The procedure offers a viable alternative for lateral disc herniations.
  • Patients experienced a mean hospital stay of 5 days and were off work for approximately 2 months.