Lumbar disc herniation minimally invasively treated by percutaneous discectomy
EANS Academy. Eugeniu MN. 09/25/19; 275715; EP02032
Dr. Mindrigan Eugeniu
Dr. Mindrigan Eugeniu

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Background: Lumbar radiculopathy is characterized by compression of the roots of the nerve. When conservative treatment fails and symptoms persist or increase in severity, surgical treatment is considered. The primary goal of the surgical treatment of nerve root compression by the disc material continues to be the relief of compression through the removal of the herniated nuclear material with open discectomy. Recently, there is an evolving trend in spinal surgery towards less invasive techniques.These methods, by sparing the paravertebral musculature, do not require general anesthesia. Moreover, the early mobilization of patients and short hospitalization time make these methods very attractive. The efficacy of several alternative techniques has been described, but the results are not convincing.
Objectives: The main aim of the study was to assess the efficacy of percutaneous discectomy in the relief of pain (VAS Scale) in patients with lumbar disc herniations.
Methods: We present our study of 33 non-selected, consecutive patients with various degrees of disc compression in the lumbar spine, treated in our hospital over the last year with percutaneous discectomy. Pain relief was the primary outcome measure (VAS scale). Other outcome measures were functional improvement, improvement of psychological status, analgesic intake, return to work (Denis scale), and overall satisfaction from the procedure.
Result: In our study the percutaneous discectomy was effective in 61% of patients. These patients showed statistical significant improvement in VAS and Denis scales, returned earlier to their work and daily activities, reduced their analgesic intake and remained satisfied with the procedure. We didn't have any infection-related complications.
Conclusion: Performing percutaneous discectomy may provide appropriate relief in properly selected patients with lumbar disc herniation. This is a safe and effective method with acceptable rates of accuracy.
Keyword: disc protrusion, percutaneous discectomy, lumbar spine.
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