[Treatment of complete lumbar disk herniation by percutaneous discectomy].
Percutaneous diskectomy is a new treatment used in surgery of the spine for the treatment of herniated lumbar disks. The idea is to carry out an exeresis with a posterolateral percutaneous approach on a part of the herniated intervertebral disk; while always remaining outside the spinal canal. This technique eliminates the risks of fibrosis or arachnoiditis. It is carried out under local anesthesia, reduces the surgical insult and requires only a short stay in hospital. Between 1984 and 1988, 188 operations using this technique were carried out on L3-L4, L4-L5 and L5-S1. Of the first 100 cases studied, we note: 71% good and very good results for radiculalgia after a time lapse of more than a year, 51% good and very good results for low back pain; 16% of the patients required a surgical approach after percutaneous diskectomy. The authors specify the advantages and the indications of this surgical technique, which complements the traditional lumbar intervertebral disk surgery.
Benazet
J P
JP
Service Orthopédie et Traumatologie, Hôpital La Pitié, Paris.
Roy-Camille
R
R
Saillant
G
G
Menei
P
P
D001416:Back Pain / Q000209:etiology; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications / Q000601:surgery*; D008159:Lumbar Vertebrae; D008297:Male; D008722:Methods; D008875:Middle Aged; D015642:Radiology, Interventional; D012585:Sciatica / Q000209:etiology
Le traitement de la hernie discale lombaire par discectomie percutanée.