COMPARATIVE STUDY ON THE TREATMENT OF DISC HERNIATIONS
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Coluna/Columna |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512016000400295 |
Resumo: | ABSTRACT Objective: To compare the results of treatment of patients with low back pain and radiculalgia resulting from disc herniation associated with disc degeneration through instrumentation with pedicle screws and dynamic rod, with root release and without diskectomy compared with other non-instrumented techniques (microdiskectomy with or without foraminotomy). Methods: This is a retrospective descriptive study of interventions for patients with herniated discs in the Traumatology and Neurosurgery that used the following variables: age, sex, type of technique, surgical time, time of evolution, degree of satisfaction, and complications. Two groups were formed: instrumentation with dynamic rods and non-instrumented techniques, comparing the results of each group. The software used was the SPSS v20.0. Results: We presented 142 interventions carried out between 2009 and 2012, 86 with dynamic instrumentation and 56 by other decompression techniques without instrumentation. No statistically significant differences were observed between age and sex groups and time elapsed until intervention. We found statistically significant differences (p=0.001) in surgical time, which was lower in the instrumented technique. No significant differences were found in complications between the techniques in both re-operations and in infections. Conclusions: In this study, we found no significant differences between the use of instrumentation with dynamic rods with respect to other non-instrumented surgical techniques in the treatment of herniated discs over 6 months of evolution or the complications and the degree of the patients' satisfaction. |
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COMPARATIVE STUDY ON THE TREATMENT OF DISC HERNIATIONSIntervertebral disc displacement/therapyDiskectomyPedicle screws.ABSTRACT Objective: To compare the results of treatment of patients with low back pain and radiculalgia resulting from disc herniation associated with disc degeneration through instrumentation with pedicle screws and dynamic rod, with root release and without diskectomy compared with other non-instrumented techniques (microdiskectomy with or without foraminotomy). Methods: This is a retrospective descriptive study of interventions for patients with herniated discs in the Traumatology and Neurosurgery that used the following variables: age, sex, type of technique, surgical time, time of evolution, degree of satisfaction, and complications. Two groups were formed: instrumentation with dynamic rods and non-instrumented techniques, comparing the results of each group. The software used was the SPSS v20.0. Results: We presented 142 interventions carried out between 2009 and 2012, 86 with dynamic instrumentation and 56 by other decompression techniques without instrumentation. No statistically significant differences were observed between age and sex groups and time elapsed until intervention. We found statistically significant differences (p=0.001) in surgical time, which was lower in the instrumented technique. No significant differences were found in complications between the techniques in both re-operations and in infections. Conclusions: In this study, we found no significant differences between the use of instrumentation with dynamic rods with respect to other non-instrumented surgical techniques in the treatment of herniated discs over 6 months of evolution or the complications and the degree of the patients' satisfaction.Sociedade Brasileira de Coluna2016-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512016000400295Coluna/Columna v.15 n.4 2016reponame:Coluna/Columnainstname:Sociedade Brasileira de Coluna (SBCO)instacron:SBCO10.1590/s1808-185120161504146381info:eu-repo/semantics/openAccessSuárez-Huerta,María LuzIglesia-Diez,ElenaCastro,Alfredo ÁlvarezNicolás,Jesús BetegónCampos,Sonia SánchezSaavedra,Antonio Luis MostazaFernández-González,Manueleng2016-12-20T00:00:00Zoai:scielo:S1808-18512016000400295Revistahttps://www.revistacoluna.org/ONGhttps://old.scielo.br/oai/scielo-oai.phpcoluna.columna@uol.com.br||revistacoluna@uol.com.br2177-014X1808-1851opendoar:2016-12-20T00:00Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)false |
dc.title.none.fl_str_mv |
COMPARATIVE STUDY ON THE TREATMENT OF DISC HERNIATIONS |
title |
COMPARATIVE STUDY ON THE TREATMENT OF DISC HERNIATIONS |
spellingShingle |
COMPARATIVE STUDY ON THE TREATMENT OF DISC HERNIATIONS Suárez-Huerta,María Luz Intervertebral disc displacement/therapy Diskectomy Pedicle screws. |
title_short |
COMPARATIVE STUDY ON THE TREATMENT OF DISC HERNIATIONS |
title_full |
COMPARATIVE STUDY ON THE TREATMENT OF DISC HERNIATIONS |
title_fullStr |
COMPARATIVE STUDY ON THE TREATMENT OF DISC HERNIATIONS |
title_full_unstemmed |
COMPARATIVE STUDY ON THE TREATMENT OF DISC HERNIATIONS |
title_sort |
COMPARATIVE STUDY ON THE TREATMENT OF DISC HERNIATIONS |
author |
Suárez-Huerta,María Luz |
author_facet |
Suárez-Huerta,María Luz Iglesia-Diez,Elena Castro,Alfredo Álvarez Nicolás,Jesús Betegón Campos,Sonia Sánchez Saavedra,Antonio Luis Mostaza Fernández-González,Manuel |
author_role |
author |
author2 |
Iglesia-Diez,Elena Castro,Alfredo Álvarez Nicolás,Jesús Betegón Campos,Sonia Sánchez Saavedra,Antonio Luis Mostaza Fernández-González,Manuel |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Suárez-Huerta,María Luz Iglesia-Diez,Elena Castro,Alfredo Álvarez Nicolás,Jesús Betegón Campos,Sonia Sánchez Saavedra,Antonio Luis Mostaza Fernández-González,Manuel |
dc.subject.por.fl_str_mv |
Intervertebral disc displacement/therapy Diskectomy Pedicle screws. |
topic |
Intervertebral disc displacement/therapy Diskectomy Pedicle screws. |
description |
ABSTRACT Objective: To compare the results of treatment of patients with low back pain and radiculalgia resulting from disc herniation associated with disc degeneration through instrumentation with pedicle screws and dynamic rod, with root release and without diskectomy compared with other non-instrumented techniques (microdiskectomy with or without foraminotomy). Methods: This is a retrospective descriptive study of interventions for patients with herniated discs in the Traumatology and Neurosurgery that used the following variables: age, sex, type of technique, surgical time, time of evolution, degree of satisfaction, and complications. Two groups were formed: instrumentation with dynamic rods and non-instrumented techniques, comparing the results of each group. The software used was the SPSS v20.0. Results: We presented 142 interventions carried out between 2009 and 2012, 86 with dynamic instrumentation and 56 by other decompression techniques without instrumentation. No statistically significant differences were observed between age and sex groups and time elapsed until intervention. We found statistically significant differences (p=0.001) in surgical time, which was lower in the instrumented technique. No significant differences were found in complications between the techniques in both re-operations and in infections. Conclusions: In this study, we found no significant differences between the use of instrumentation with dynamic rods with respect to other non-instrumented surgical techniques in the treatment of herniated discs over 6 months of evolution or the complications and the degree of the patients' satisfaction. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512016000400295 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512016000400295 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1808-185120161504146381 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
dc.source.none.fl_str_mv |
Coluna/Columna v.15 n.4 2016 reponame:Coluna/Columna instname:Sociedade Brasileira de Coluna (SBCO) instacron:SBCO |
instname_str |
Sociedade Brasileira de Coluna (SBCO) |
instacron_str |
SBCO |
institution |
SBCO |
reponame_str |
Coluna/Columna |
collection |
Coluna/Columna |
repository.name.fl_str_mv |
Coluna/Columna - Sociedade Brasileira de Coluna (SBCO) |
repository.mail.fl_str_mv |
coluna.columna@uol.com.br||revistacoluna@uol.com.br |
_version_ |
1752126615475716096 |