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[Lateral lumbar disk herniation]

A Deburge1, E Barre, P Guigui

  • 1Hôpital Beaujon, Service de Chirurgie orthopédique, Clichy.

Chirurgie; Memoires De L'Academie De Chirurgie
|January 1, 1994
PubMed
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This study on lateral discal hernias found surgery yielded better outcomes than nucleolysis. Surgical treatment for these specific hernias resulted in superior functional scores compared to chemonucleolysis.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Radiology

Background:

  • Lateral discal hernias are a subset of all treated discal hernias.
  • Understanding treatment efficacy for specific hernia types is crucial.

Purpose of the Study:

  • To evaluate and compare the outcomes of surgical treatment versus nucleolysis for lateral discal hernias.
  • To analyze the different types of lateral discal hernias and their treatment responses.

Main Methods:

  • Retrospective analysis of 41 lateral discal hernias treated between 1984 and 1991.
  • Diagnosis confirmed by CT scan, categorizing hernias into types: foraminal, extraforaminal, and mixed.
  • Treatment modalities included nucleolysis (58%) and surgical intervention (41%).

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Main Results:

  • Surgical treatment in 17 patients resulted in 100% good outcomes.
  • Nucleolysis in 24 patients showed 13 good/excellent, 4 average, and 7 poor results.
  • Five nucleolysis failures were later operated, with 3 good and 1 average outcome.

Conclusions:

  • Surgical intervention demonstrated superior outcomes for lateral discal hernias compared to chemonucleolysis in this series.
  • Indications for surgery were more frequent, correlating with better functional results.
  • Further investigation into optimal treatment strategies for specific lateral discal hernia presentations is warranted.