[Percutaneous nucleotomy. 10 years' experience, modern concepts].
The article reviews the authors' ten-year experience with the technique of percutaneous nucleotomy in the treatment of lumbar disc herniation. During this period 174 operations were altogether performed in 148 patients by means of this technique. The existing experience shows that this technique has fully justified itself in the indicated cased. It can be applied for the protrusion and subligamentous extrusion of the disc. Subligamentous sequestrum represents relative indication. For the evaluation of the condition of the disc the authors use as a standard the technique of contrast discomanometry. This examination method they consider in the indication of percutaneous nucleotomy for "conditio sine qua non". Of vital importance for the final result of the operation is to evaluate also the stability of the segment operated on. In cases where this segment in unstable it is necessary to supplement percutaneous nucleotomy with intercorporal spondylodesis. The question of stability of spine in the disc herniation has not been fully solved, yet. The solution of this problem will be significant also for the solution of the so called failed back syndrome.
Leu
H
H
Ortopedická klinika Balgrist, Zürich.
Schreiber
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000601:surgery*; D008297:Male; D008722:Methods; D008875:Middle Aged; D011182:Postoperative Care; D011183:Postoperative Complications; D011677:Punctures
Perkutánní nukleotomie. Desetileté zkusenosti, soucasná koncepce.