scholarly journals LUMBAR DISC REPLACEMENT FOR THE SPINE DEGENERATIVE DISEASE

2005 ◽  
pp. 056-061
Author(s):  
Aleksandr Kuzmich Chertkov

Development history and construction features of the first Russian functional lumbar disc endoprosthesis, its application technique, as well as indications and contraindications for surgical disc replacement are presented. The early and long-term results of Russian devices application are compared with those of foreign analogs. The result evaluation was performed by objective methods of study: clinical biomechanics, neurophysiology, and functional spine radiology. The follow-up period ranged from 1 to 10 years.

2014 ◽  
Vol 14 (8) ◽  
pp. 1417-1431 ◽  
Author(s):  
Christoph J. Siepe ◽  
Franziska Heider ◽  
Karsten Wiechert ◽  
Wolfgang Hitzl ◽  
Basem Ishak ◽  
...  

2014 ◽  
Vol 4 (1_suppl) ◽  
pp. s-0034-1376566-s-0034-1376566
Author(s):  
C. J. Siepe ◽  
F. Heider ◽  
K. Wiechert ◽  
C. Mehren ◽  
A. Korge ◽  
...  

2016 ◽  
Vol 7 (01) ◽  
pp. 87-90 ◽  
Author(s):  
Serdal Albayrak ◽  
Sait Ozturk ◽  
Emre Durdag ◽  
Ömer Ayden

ABSTRACT Background: Aim of this paper is to recall the surgical technique used in the recurrent lumbar disc herniations (LDHs) and to share our experiences. Materials and Methods: Out of series of 1115 patients who underwent operations for LDH between 2006 and 2013, 70 patients underwent re-operations, which were included in this study. During surgery, lateral decompression performed over the medial facet joint to the superior facet joint border was seen after widening the laminectomy defect, and microdiscectomy was performed. The demographic findings of the patients, their complaints in admission to hospital, the level of operation, the condition of dural injury, the first admission in the prospective analysis, and their quality of life were evaluated through the Oswestry scoring during their postoperative 1st, 3rd, 6th-month and 1st, 3rd, 5th and 7th-year follow-up. In the statical analysis, Friedman test was performed for the comparison of the Oswestry scores and Siegel Castellan test was used for the paired nonparametrical data. A P < 0.05 was considered statistically significant. Results: Considering the Oswestry Index during the follow-ups, the values in the postoperative early period and follow-ups were seen to be significantly lower than those at the time of admission to hospital (P < 0.05). None of the patients, who re-operated by microdiscectomy, presented with iatrogenic instability in 7 years follow-up period. Conclusion: Microdiscectomy performed through a proper technique in the re-operation of recurrent disc herniations eases complaints and improves the quality of life. Long-term follow-ups are required for more accurate results.


SAS Journal ◽  
2010 ◽  
Vol 4 (1) ◽  
pp. 16-25 ◽  
Author(s):  
Luiz Pimenta ◽  
Raul Springmuller ◽  
Casey K. Lee ◽  
Leonardo Oliveira ◽  
Sandra E. Roth ◽  
...  

1996 ◽  
Vol 85 (2) ◽  
pp. 231-238 ◽  
Author(s):  
Manucher J. Javid

✓ This long-term prospective study evaluates the clinical results of subsequent laminectomy in 103 consecutive patients who initially underwent chemonucleolysis (CNL) or laminectomy for lumbar disc herniation. Between 1981 and 1994, 53 patients who had received CNL initially and then underwent laminectomy and 50 patients treated initially with laminectomy underwent a repeat laminectomy. Clinical assessment at 6 weeks showed a success rate of 80.8% for post-CNL laminectomy and 78% for repeat laminectomy. At 6 months, the success rate for patients treated with CNL was 86% versus 78.7% for laminectomy. At 12 months, the overall success rate for the CNL group was 80.4% versus 83.3% for the laminectomy group, but in patients who had not obtained relief from the first procedure the success rate for the second procedure was higher for the post-CNL patients. A questionnaire was sent to all patients for 1- to 13-year follow-up review. The average follow-up period was 6.6 years for post-CNL laminectomy and 5.2 years for repeat laminectomy. The long-term success rate (81.8%) was higher in the post-CNL group compared to 64.4% in the repeat laminectomy group. Seven patients in the post-CNL group and nine in the repeat laminectomy group had undergone a third operation. When these originally successfully treated patients were reassigned after unsuccessful outcomes, the success rate for the CNL groups was 72.7%, versus 51.1% in the laminectomy group (p = 0.049). Employment rates were 80% for patients with CNL (21.8% changed jobs) and 76.3% for patients undergoing laminectomy (48.3% changed jobs) (p = 0.036). In conclusion, patients who underwent laminectomies after receiving CNL had significantly better long-term results than those who had repeat laminectomies.


2006 ◽  
Vol 15 (10) ◽  
pp. 1501-1510 ◽  
Author(s):  
El-hadi SariAli ◽  
Jean Philippe Lemaire ◽  
Hugues Pascal-Mousselard ◽  
Hélène Carrier ◽  
Waffa Skalli

SAS Journal ◽  
2008 ◽  
Vol 2 (2) ◽  
pp. 92-100
Author(s):  
Ulrich R. Hähnle ◽  
Karen Sliwa ◽  
Malan de Villiers ◽  
Ian R. Weinberg ◽  
Barry M.B.E. Sweet ◽  
...  

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