Percutaneous Lumbar Discectomy
H. Michael Mayer, Mario Brock
Springer-Verlag, Jan 1, 1989 - Discectomy - 218 pages
Percutaneous lumbar discectomy is a new surgical method for treating lumbar disc diseases. The goal of the procedure is decompression of the spinal nerve root by percutaneous removal of the nucleus pulposus under local anesthesia. Probably 20 % of all patients requiring lumbar disc surgery can be successfully treated by this method. During the past two years, percutaneous discectomy has spread rapidly, and it is now performed in most clinical departments engaged in spinal surgery. The first International Symposium on Percutaneous Lumbar Discectomy, held in Berlin in August 1988, covered all current procedures known as "percutaneous discectomy" and the entire range of percutaneous techniques, both clinical and experimental. Its publication is important because of the recency of this new surgical procedure, the outstanding experience of the speakers - including the Japanese, American, and European "pioneers" of the technique - and last but not least the gaps in the knowledge of physicians concerning this topic. This procedure opens up new perspectives in the surgical treatment of degenerative diseases of the lumbar spine.
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History of Surgical Treatment of Herniated Lumbar Discs P KAMBIN
The Posterolateral Approach J A MCCULLOCH With 24 Figures
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anatomy anesthesia annulus ﬁbrosus APLD automated percutaneous lumbar Berlin Heidelberg I989 Brock cannula chemonucleolysis chymopapain clinical computed tomography contraindications CT scan decompression degenerative disc degeneration disc disease disc herniation disc material disc protrusion disc removal disc space discal disco-CT discography discoscopy discotomy dorsal facet joint ﬁbers ﬁndings ﬁrst ﬂexible ﬂexion forceps H. M. Mayer herniated lumbar disc Hijikata intervertebral disc intervertebral space intradiscal Kambin laminectomy laser leg pain longitudinal ligament low back pain lumbalgia lumbar spine Magnetic resonance imaging method months myelogram myelography needle nerve root neurological nucleus pulposus Onik G operated pathological percutaneous discectomy Percutaneous lateral discectomy Percutaneous Lumbar Discectomy percutaneous nucleotomy performed position posterior posterolateral approach postoperative preoperative procedure prolapse radicular pain radiologic reduction Schreiber sciatica score segment Severe low back signiﬁcant spinal canal spinal stenosis Springer-Verlag Berlin Heidelberg subligamentous Suezawa surgery surgical symptoms Table technique tissue treatment trocar vertebral X-ray