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Comparative Outcome Analyses of Differently Surgical Approaches to Lumbar Disc Herniation

机译:腰椎间盘突出症不同手术方法的比较结果分析

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摘要

Lumbar disc herniations (LDH) occur in the lower back, most often between the fourth and fifth lumbar vertebral bodies or between the fifth and the sacrum. It is evident lack of studies dealing with comparative analysis of the surgical outcomes of the spine operation techniques. In this paper we analyzed and compared outcomes of the LDH standard techniques (laminectomy and hemilaminectomy), and contemporary operation techniques (interlaminectomy, and microdiscectomy). Adult patients (18–75 years of age) surgically treated on the Neurosurgery Department of the University Clinical Hospital Mostar – Bosnia and Herzegovina between January 1998 and December 2007 were sampled as subjects. We analyzed and compared, number of the LDH surgically treated patients; age, patient’s satisfaction with postoperative status, postoperative recurrence of the LDH; incidence of the postoperative complications, and duration of hospitalization. In conclusion, modern operating methods have to be considered as superior over traditional operating types mostly because of smaller violations of forms and integrity of lumbar spine.
机译:腰椎间盘突出症(LDH)发生在下背部,通常发生在第四和第五个腰椎椎体之间或在第五个和the骨之间。显然缺乏研究对脊柱手术技术的手术效果进行比较分析。在本文中,我们分析并比较了LDH标准技术(椎板切除术和半椎板切除术)以及现代手术技术(椎板间切除术和微盘切除术)的疗效。从1998年1月至2007年12月在波斯尼亚和黑塞哥维那莫斯塔尔大学临床医院神经外科进行外科手术的成年患者(18-75岁)被抽取为受试者。我们分析并比较了接受手术治疗的LDH患者的数量。年龄,患者对术后状况的满意程度,LDH的术后复发;术后并发症的发生率和住院时间。总之,现代手术方法必须被认为比传统手术方法优越,主要是因为较小的腰椎形态和完整性受到侵犯。

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