Nucleoplasty as a therapeutic option for lumbar disc degeneration related pain: a retrospective study of 396 cases

Arquivos de Neuro-Psiquiatria

José Lourenço Kallás²  Bruno Loyola Godoy²  Cesar Fantezia Andraus²  Felipe Gonçalves De Carvalho²  Maria Emilia Cosenza Andraus¹ 

[1] ,Universidade Federal do Rio de Janeiro Hospital Universitário Clementino Fraga Filho Neurosurgery ServiceRio de Janeiro RJ,Brazil

关键词: nucleoplasty;    disc degeneration;    lumbar disc herniation;    thermic discectomy;    radiculopathy;    low back pain;    percutaneous discectomy;    nucleoplastia;    degeneração discal;    hérnia de disco lombar;    discectomia térmica;    radiculopatia;    dor lombar;    discectomia percutânea;   

DOI  :  10.1590/S0004-282X2012005000013

来源: SciELO

【 摘 要 】

OBJECTIVES: To make a retrospective analysis and evaluate a clinical response to the control of disc degeneration related pain of 396 patients submitted to percutaneous lumbar nucleoplasty; and to make a record of visual analogical scale (VAS) up to a three-year follow-up after the surgical procedure. METHODS: Analysis of VAS score in 396 patients with lumbar disc degeneration related pain, according to anamnesis, clinical examination and magnetic resonance imaging (MRI), without improvement of previous clinical treatment, submitted to percutaneous nucleoplasty. RESULTS: A total of 26% of the patients presented 100% remission of pain or paresthesia, of whom 75% showed at least 50% of pain improvement. The median VAS pain improvement was about 67%. CONCLUSIONS: The median VAS improvement in inferior disc levels was higher than four points. The VAS showed improvement of the pain and paresthesia up to a three-year follow up after the surgical procedure.

【 授权许可】

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