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  • Title: [Surgical therapy of lumbar disk herniation in 6 815 cases].
    Author: Jin AM, Zhang H, Liu CL.
    Journal: Di Yi Jun Yi Da Xue Xue Bao; 2002 Apr; 22(4):351-3. PubMed ID: 12390745.
    Abstract:
    OBJECTIVE: To explore the surgical therapy for lumbar disc herniation (LDH). METHODS: Under local anesthesia by blocking the posterior branches of spinal nerves, 3 surgical approaches were adopted in 6 815 LDH cases, namely discectomy by lateral and interlamina access, double fenestration and enhanced decompression for broad central LDH, and removal of nucleus pulposus with small incision and fenestration. RESULTS: Follow-up study was conducted in 5 324 cases for the duration varying from 6 months to 14 years, averaging 6.3 years. Excellent results were achieved in 4 260 cases (80.02%), good in 855 cases (16.06%) with another 209 cases (3.92%) showing symptomatic improvement. X-ray examination in these cases revealed narrowed intervertebral spaces of different degrees without lumbar instability or spondylolisthesis. CONCLUSION: In comparison with conventional approaches, the 3 surgical approaches for LDH management may preserve the utmost integrity of the posterior lumbar structures and cause less traumatic injuries with shortened operation time and quick recovery.
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