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Titolo:
Anterior lumbar microdiscectomy and interbody fusion for the treatment of recurrent disc herniation
Autore:
Vishteh, AG; Dickman, CA;
Indirizzi:
St Josephs Hosp & Med Ctr, Barrow Neurol Inst, Div Neurol Surg, Phoenix, AZ USA St Josephs Hosp & Med Ctr Phoenix AZ USA iv Neurol Surg, Phoenix, AZ USA
Titolo Testata:
NEUROSURGERY
fascicolo: 2, volume: 48, anno: 2001,
pagine: 334 - 337
SICI:
0148-396X(200102)48:2<334:ALMAIF>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
DISKECTOMY; SURGERY;
Keywords:
anterior lumbar interbody fusion; herniated disc; lumbar disc; lumbar interbody fusion; microdiscectomy; recurrent disc herniation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Dickman, CA Barrow Neurol Inst, Neurosci Publicat Off, 350 W Thomas Rd, Phoenix, AZ 85013 USA Barrow Neurol Inst 350 W Thomas Rd Phoenix AZ USA 8501313 USA
Citazione:
A.G. Vishteh e C.A. Dickman, "Anterior lumbar microdiscectomy and interbody fusion for the treatment of recurrent disc herniation", NEUROSURGER, 48(2), 2001, pp. 334-337

Abstract

OBJECTIVE: To demonstrate the feasibility of anterior lumbar microdiscectomy in patients with recurrent, sequestered lumbar disc herniations. METHODS: Between 1997 and 1999, six patients underwent a muscle-sparing "minilaparotomy" approach and subsequent microscopic anterior lumbar microdiscectomy and fragmentectomy for recurrent lumbar disc extrusions at L5-S1 (n= 4) or L4-L5 (n = 2). A contralateral distraction plug permitted ipsilateral discectomy under microscopic magnification. Effective resection of the extruded disc fragments was accomplished by opening the posterior longitudinal ligament. Interbody fusion was performed by placing cylindrical threaded titanium cages (n = 4) or threaded allograft bone dowels (n = 2). RESULTS: There were no complications, and blood loss was minimal. Follow-up magnetic resonance imaging revealed complete resection of all herniated disc material. Plain x-rays revealed excellent interbody cage position. Radicular pain and neurological deficits resolved in all six patients (mean follow-up, 14 mo). CONCLUSION: Anterior lumbar microdiscectomy with interbody fusion providesa viable alternative for the treatment of recurrent lumbar disc herniations. Recurrent herniated disc fragments can be removed completely under direct microscopic visualization, and interbody fusion can be performed in the same setting.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 09/07/20 alle ore 23:21:39