| Evaluation of standard nucleotomy for lumbar disc herniation using the Love method: results of follow-up studies after more than 10 years. | |
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MedLine Citation:
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PMID: 15138859 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A retrospective analysis of long-term follow-up results more than 10 years after a standard nucleotomy for lumbar disc herniation with the Love method was done to determine the effectiveness of this procedure. Nucleotomy according to Love was the standard treatment for lumbar disc herniation before the various minimally invasive alternatives were recently introduced. Without long-term follow-up analysis of Love operations, evidence-based evaluation of those new methods is impossible. We believe that the standard nucleotomy procedure should now be evaluated precisely. In this study we present a comparison of 1-year follow-up results to the results more than 10 years after lumbar nucleotomy. Seventy-six consecutive patients who had undergone lumbar nucleotomy were identified. It was possible to assess 54 (71.1%) of the cases more than 10 years after surgery. The initial and final outcomes were assessed using the MacNab classification and the Japanese Orthopaedic Association (JOA) score. With the MacNab classification a successful outcome 1 year after surgery was achieved in 87.0% of the cases. At the final follow-up, this result was reduced to 74.1%. Seven patients required a second operation and patients under 21 years of age were at risk for reoperation. Patient overall satisfaction with the results of the standard nucleotomy was high. The disc height of the operation site significantly decreased after surgery; nevertheless, this did not affect the clinical outcome. A standard lumbar nucleotomy according to Love is a safe and reliable method of treating selected patients with lumbar disc herniations. |
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Authors:
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Yasuo Saruhashi; Kanji Mori; Akitomo Katsuura; Shinobu Takahashi; Yoshitaka Matsusue; Sinsuke Hukuda |
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Publication Detail:
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Type: Evaluation Studies; Journal Article Date: 2004-04-27 |
Journal Detail:
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Title: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Volume: 13 ISSN: 0940-6719 ISO Abbreviation: Eur Spine J Publication Date: 2004 Nov |
Date Detail:
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Created Date: 2004-11-19 Completed Date: 2004-12-21 Revised Date: 2013-02-19 |
Medline Journal Info:
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Nlm Unique ID: 9301980 Medline TA: Eur Spine J Country: Germany |
Other Details:
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Languages: eng Pagination: 626-30 Citation Subset: IM |
Affiliation:
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Department of Orthopedic Surgery, Shiga University of Medical Science, Shiga 520-2192, Japan. saruhasi@belle.shiga-med.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Follow-Up Studies Humans Intervertebral Disc / surgery* Intervertebral Disc Displacement / surgery* Lumbar Vertebrae / surgery* Male Orthopedic Procedures / standards* Patient Satisfaction Questionnaires Reoperation Treatment Outcome |
| Comments/Corrections | |
Comment In:
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Eur Spine J. 2004 Nov;13(7):631-2
[PMID:
15112076
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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