[Percutaneous automated lumbar nucleotomy. Patient selection, practical performance and clinical results].
Percutaneous nucleotomy is designed to treat small and medium-sized contained disk hernias. It is offered to patients who have not responded to conservative treatment for three months or more. The nucleotomy procedure is well tolerated by a majority of patients and the rate of complications is low. The patients can be treated as out-patients. Among a total material of 130 patients, a primary good response to the treatment was observed in 81 (62%). However, owing to recurrencies the success rate had fallen to 52% at 12-39 months (mean 22 months) after nucleotomy. In selected patients with symptoms from one disk level only, and with no evidence of spinal stenosis, or of osteophyte formation or a narrowing of the disk space by more than 25%, the results were better. Here the success rate was 61% (70% in males and 50% in females).
Dullerud
R
R
Nevroradiologisk seksjon, Røntgenavdelingen, Ullevål sykehus, Oslo.
Johansen
J G
JG
Lilleås
F G
FG
Rasmussen
F
F
Amundsen
T
T
Lie
H
H
Magnaes
B
B
D000328:Adult; D000368:Aged; D017587:Diskectomy, Percutaneous / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011379:Prognosis; D014057:Tomography, X-Ray Computed
Perkutan automatisert lumbal nukleotomi. Pasientutvelgelse, praktisk utførelse og kliniske resultater.