최소 침습 척추 수술 - 화학적 수핵용해술과 자동수핵절제술의 임상적 분석-
Minimaly Invasive Spinal Surgery -Clinical Analysis of Chemonucleolysis & Percutaneous Automated Lumbar Discectomy-
소속 상세정보
오남훈
유수일/김진만/황달성/하인선/이용성
KMID : 0359819960250051010
Abstract
The authors retrospectively analized the radiographs and medical records of 135 consecutive patients who underwent minimaly invasive spinal surgery from January. 1990 to December. 1994 at our institution. Among these. 72 patients have had
chemonucleolysis and others percutaneous automated lumbar discectomy (PALD). The success rate was similar in both groups. ie. 75% in chemonucleolysis and 74.6% in PALD by Machab's criteria.
The higher success rate could be obtained in 1) younger age below 30. 2) predominant sciatica than lower back pain. 3) eccentric bulged disc with minimal degeneration. 4) abscent or minimal neurologic deficits.
In conclusion provided patients are carefully screened. minimal invasive spinal surgery is more preferable over conventional surgery. providing a safe and effective therapeutic alternative to many patients suffering from herniated lumbar disc.
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