TITLE

Considerente asupra complicaţiilor în chirurgia herniei de disc lombare

AUTHOR(S)
MOHAN, A. G.; MIHALACHE, C.; MOISA, H.; CIUREA, A. V.
PUB. DATE
September 2013
SOURCE
Romanian Journal of Medical Practice;2013, Vol. 8 Issue 3, p133
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Lumbar disk herniations represent a major public health issue both in the European Union and the United States of America. Close to 40% of all Americans aged between 30 and 40 will suff er from lumbar disk herniations. Lumbar disk herniations represent an incapacitating aff ection whose treatment has a conservative component and a surgical one that should be used only when the conservative one fails. The conservative treatment encourages healing of the patient by protecting the abnormal disk from stress and placing accent on patient rest. Almost 80 to 90% of all cases which receive this treatment will notice a desiccation of the herniated disk fragment. The decision to operate on a patient should be individual, however it should be made taking into account the following guidelines : * the patient manifests recurrent pain which prevents him from living normally; * lumbar pain which has not improved after 4-6 weeks of conservative treatment; * massive protrusion generating cauda equine syndrome with sphincteric disfunction and motor and sensory paresis; * nerve root compression associated with lower limb weakness. During the last 10 years, the surgical treatment of lumbar disk herniations has noticed the birth of several methods which include microdiskectomies or endoscopic diskectomies. Just like any other surgical gesture, diskectomies are not without complications. These include lesions of the lumbosacral spinal nerves, dural tears, great vessel and visceral lesions, CSF fistulas, infections, recurrence, muscle spasm and many others. This article analyzes all the complications of the surgical treatment of lumbar disk herniations, their management and last but not least, their impact on the quality of life of the patient.
ACCESSION #
99717439

 

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