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2016, Number 1

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Revista Cubana de Ortopedia y Traumatología 2016; 30 (1)

Lumbar disc herniation, a therapeutic vision

Tabares NH, Díaz QJM, Tabares SH, Tabares SL

Language: Spanish
References: 32
Page: 27-39
PDF size: 196.22 Kb.


ABSTRACT

Introduction: Radiculopathy by lumbar disc herniation is a major cause of morbidity faced by spinal surgeons. There are many treatment strategies for this condition, and no current consensus among sequestrectomy and discectomy, and the need to merge the segment.
Objective: Show our results at 4 years of follow-up in the surgical treatment of lumbar disc herniation by foraminal discectomy.
Method: A prospective study was conducted in patients diagnosed with lumbar disc herniation and foraminal surgically treated by simple discectomy and assessed four years later.
Results: The sample consisted of 67 patients, the majority (62.69%) was male; average age of nearly 40 years in both sexes. The diagnosis was confirmed in 85.3% of cases by MRI. L5-S1 and L4-L5 locations predominated, with 16% of more than one segment. Oswestry index and the Visual Analog Scale for pain showed significant improvement after four years of surgery.
Conclusions: The surgical treatment of herniated discs by simple foraminal discectomy, in our experience, has good results; at four years of operation pain decrease and improvement in function was found.


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