학술논문
Transarticular Laser Discal Fragmentectomy. A New Minimally Invasive Surgical Approach for Challenging Disc Herniations in the Elderly.
Document Type
Article
Source
Subject
*HERNIA
*LAPAROSCOPIC surgery
*ZYGAPOPHYSEAL joint
*REGRESSION analysis
*SPINAL canal
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Language
ISSN
1591-0199
Abstract
This report describes two elderly patients with large disc fragments extruded into lumbar radicular recesses not treatable by any conventional conservative, minimally invasive or surgical approach. Direct access to the disc fragments was obtained crossing the articular zygapophyseal cavity instead of the interlaminar space and spinal canal, using a small needle through which a laser fibre was inserted to deliver energy for tissue ablation. The procedures obtained regression of both symptoms and the bulk of the fragments at early and late clinical and MR follow-ups. [ABSTRACT FROM AUTHOR]