Document Detail


Arthroscopic discectomy of the lumbar spine.
MedLine Citation:
PMID:  9137176     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although open laminotomy remains an acceptable and, at times, necessary method of treatment for herniated intervertebral discs, spinal stenosis, and various intracanal spinal disorders, arthroscopic disc surgery is emerging as an alternative method of treatment for contained and nonmigrated sequestered herniated discs. Successful performance of arthroscopic disc surgery requires technical skill and a learning curve. Prudent patient selection, adherence to inclusion and exclusion criteria, and avoidance of entry into the spinal canal when possible will reduce the incidence of perineural and intraneural fibrosis and will ensure a satisfactory outcome. Although the incidence of complications has been acceptable, a satisfactory outcome ranging from 75% to 87% has been reported after arthroscopic microdiscectomy. In contrast to nuclear debulking procedures, the objective imaging confirmation of decompression of the nerve root may be shown by immediate postoperative computed tomography or magnetic resonance imaging studies.
Authors:
P Kambin; L Zhou
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  1997 Apr 
Date Detail:
Created Date:  1997-06-04     Completed Date:  1997-06-04     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  49-57     Citation Subset:  AIM; IM    
Affiliation:
Medical College of Pennsylvania, Hahnemann School of Medicine, Philadelphia, USA.
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MeSH Terms
Descriptor/Qualifier:
Arthroscopy / methods*
Diskectomy, Percutaneous / methods*
Humans
Intervertebral Disk Displacement / diagnosis,  surgery*
Magnetic Resonance Imaging
Male
Middle Aged
Myelography
Preoperative Care

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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