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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/20887
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dc.contributor.authorShavga, N.N.-
dc.contributor.authorShavga, N.Gh.-
dc.date.accessioned2022-06-07T07:22:42Z-
dc.date.available2022-06-07T07:22:42Z-
dc.date.issued2017-
dc.identifier.citationSHAVGA, N.N., SHAVGA, N.Gh. Percutaneous nucleoplasty. In: Moldavian Journal of Pediatric Surgery. 2017, no. 1, p. 124. ISSN 2587-3229.en_US
dc.identifier.issn2587-3210-
dc.identifier.issn2587-3229-
dc.identifier.urihttps://sncprm.info.md/journal-
dc.identifier.urihttp://repository.usmf.md/handle/20.500.12710/20887-
dc.description.abstractIntroduction. Sciatica is a common disease, between 73% and 85% of the general population will experience at least one episode of sciatica due to spinal disc herniation and nerve root irritation. Percutaneous intradiscal techniques of nucleoplasty can be applied as an intermediate measure between conservative treatment and surgery, with a view to avoiding the adverse events associated with surgical discectomy. In some specialist centers, good results were obtained with pure ethanol, mixed with ethylcellulose to increase its viscosity and enhanced with radio opaque material. Material and methods. A total of 49 patients were included in this study and treated with radio opaque gelified ethanol and intraarticular steroids of a lumbar and cervical intervertebral disk hernia. We evaluated each patient’s pain levels during the procedure itself and then after 3-4 and 8 weeks, and 4, 8, 12, 24 months after procedure. Results. Pain levels immediately after the procedure were markedly lower than before the procedure. There were no complications. Two months after procedure administration, the initial pain level had fallen by an average of 84 %. The outcome was quite stable over time (mean follow-up: 2 years). Short-term follow-up with magnetic resonance showed little or no changes in the intervertebral disk but there was discordance with clinical signs. Long-term follow-up magnetic resonance showed a dramatic reduction in hernia volume. Very good or good results were obtained in 42 (89,1%) of the 49 patients, fair - in 16 cases and bad in 3 cases ( 8.6%). Only 2 cases with a bad outcome at lumbar level went to surgery. Conclusion: This preliminary study shows the efficacy and inocuity of this substance. More especially, it demonstrated the absence of complications and recidivates in the immediate and long-term follow-up for more than 3 years for the first cases.en_US
dc.language.isoenen_US
dc.publisherNational Society of Pediatric Surgery of the Republic of Moldovaen_US
dc.relation.ispartofMoldavian Journal of Pediatric Surgery: Pediatric Surgery International Conference “Performances and perspectives in the pediatric surgery development”, September 14-16, 2017, Chisinau, Republic of Moldovaen_US
dc.titlePercutaneous nucleoplastyen_US
dc.typeOtheren_US
Appears in Collections:Moldavian Journal of Pediatric Surgery

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