Percutaneous Lumbar Discectomy

ISBN-13: 9783642746819 / Angielski / Miękka / 2011 / 218 str.

H. Michael Mayer; Mario Brock

Opis

Percutaneous lumbar discectomy is a new surgical method for treating lumbar disc diseases. The goal of the procedure is decompression of the spinal nerve root by percutaneous removal of the nucleus pulposus under local anesthesia. Probably 20 % of all patients requiring lumbar disc surgery can be successfully treated by this method. During the past two years, percutaneous discectomy has spread rapidly, and it is now performed in most clinical departments engaged in spinal surgery. The first International Symposium on Percutaneous Lumbar Discectomy, held in Berlin in August 1988, covered all current procedures known as "percutaneous discectomy" and the entire range of percutaneous techniques, both clinical and experimental. Its publication is important because of the recency of this new surgical procedure, the outstanding experience of the speakers - including the Japanese, American, and European "pioneers" of the technique - and last but not least the gaps in the knowledge of physicians concerning this topic. This procedure opens up new perspectives in the surgical treatment of degenerative diseases of the lumbar spine.

Spis treści

History.- History of Surgical Treatment of Herniated Lumbar Discs.- Anatomy.- Anatomy of the Posterolateral Spine.- The Posterolateral Approach.- Intervertebral Disc Material Gained by Percutaneous Discectomy.- Pathophysiology.- Biomechanical Background of Low Back Pain, Sciatica and Flexion Therapy.- Diagnosis.- The Clinical Diagnosis of Lumbar Disc Disease.- Radiodiagnostics of the Lumbar Spine.- Discography and Postdiscographic CT (Disco-CT) in Percutaneous Discectomy.- Prospective Evaluation of Correlations Between Discomanometry and MR Imaging Data: Role in the Management of Disc Disease — Preliminary Results.- Results of Magnetic Resonance Imaging (MRI) Investigation Before and After Automated Percutaneous Lumbar Discectomy (APLD) — Comparison of MRI Findings and Clinical Health Status.- Percutaneous Lumbar Discectomy (PLD) — Technique and Results.- Percutaneous Lumbar Discectomy — Indication, Technique and Results.- Indication and Technique of Percutaneous Nucleotomy with Discoscopy — Eight Years Experience (1979–1987).- Percutaneous Lumbar Discectomy — The Berlin Technique.- Percutaneous Posterolateral Decompression for the Treatment of Chronic Low Back Pain of Discogenic Origin.- Percutaneous Lumbar Discectomy and CT Discography.- Differential Indication for Chemonucleolysis and Percutaneous Discotomy According to the Behavior of the Nucleus After Treatment.- Results of Percutaneous Lumbar Discectomy Compared to Laminotomy and Chemonucleolysis.- Correlations of the Amount of Disc Removed by Percutaneous Lumbar Discectomy and Clinical Results.- Differential Indication for Percutaneous Lumbar Discectomy.- Early Experience with Percutaneous Lateral Discectomy.- Automated Percutaneous Lumbar Discectomy (APLD).- Early Results of Automated Percutaneous Lumbar Discectomy.- Automated Percutaneous Lumbar Discectomy (APLD).- Comparison of Chemonucleolysis with Chymopapain to Percutaneous Automated Discectomy: A Surgeon’s First 50 Cases of Each.- Automated Percutaneous Nucleotomy by Pain Scale.- Percutaneous Discectomy — Personal Observations of 27 Cases.- Experimental Approaches and Perspectives.- The Possibilities of Percutaneous Lumbar Disc Surgery.- Percutaneous Endoscopic Laser Discectomy — Experimental Results.- Percutaneous Intradiscal Laser Discectomy.- Nucleus Pulposus Vaporization — Experimental Investigations on Use of Lasers on the Intervertebral Disc.