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[Percutaneous lumbar diskectomy]

J A Zwart1, E Helseth, K O Skaanes

  • 1Nevrokirurgisk avdeling, Regionsykehuset i Trondheim.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|October 10, 1994
PubMed
Summary
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Percutaneous lumbar discectomy offers a minimally invasive option for sciatica. Patient selection is crucial, as those with stress-dependent radicular pain and mild deficits showed the best outcomes.

Area of Science:

  • Neurosurgery
  • Minimally Invasive Procedures

Context:

  • Low back pain and sciatica are common debilitating conditions.
  • Surgical intervention is considered for persistent symptoms.

Purpose:

  • To evaluate the efficacy of percutaneous lumbar discectomy for treating low back pain and sciatica.
  • To identify patient characteristics associated with successful outcomes.

Summary:

  • 17 patients underwent percutaneous lumbar discectomy under local anesthesia, with same-day discharge.
  • Complete recovery was observed in 7 patients, partial improvement in 4, and no change in 6.
  • Successful outcomes were linked to pre-operative stress-dependent radicular pain and mild neurological deficits.

Impact:

Related Experiment Videos

  • Percutaneous lumbar discectomy can be an effective treatment for selected patients with sciatica.
  • Thorough pre-operative evaluation and patient selection are critical for optimizing surgical results.