Abstract:
Introduction
In our days are known multiple surgical treatment methods of a disc
herniation but with some controversies in the individual selection of
the operation type. Even with successes in degenerative pathology
treatment, the term of “Failed back syndrome” was established, that
have imposed the development and implementation of minimally
invasive techniques, such as percutaneous discectomy (PD).
Purpose
The main goal of current study was the evaluation of the efficiency
of PD in pain syndrome reduction (by VAS scale) at lumbar disc
herniation (LDH) treatment.
Material and methods
The study was based on the analysis of 100 cases with LDH, that
were operated in 2016-2020 through PD. The results of the treatment
were appreciated according to the pain relief, reducing of
neurological deficit, improving the psycho-emotional state,
decreasing of analgesic intake, length of hospitalization and the
return to daily activity (Denis scale).
Results
PD has proven to be a convenient method of treatment through:
minor invasiveness, no need of general anesthesia, the absence of the
alteration of the spine support function, reducing the risk of
postoperative adhesions and patients’ rehabilitation period.
Conclusions
Comparison of medical and surgical treatment’ results has
demonstrated that PD clearly improves treatment outcomes compared
to the conservative treatment and that the result could be compared
with the microsurgical discectomy in an unencumbered LDH case (d
£ 6 mm).
Description:
Neurosurgery Department, SUMPh ”N. Testemitanu”, Chisinau, Moldova, The Neurology and Neurosurgery Institute ”D. Gherman”, Chisinau, Moldova, Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină și Farmacie „Nicolae Testemițanu” din Republica Moldova, Ziua internațională a științei pentru pace și dezvoltare
