We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
UNILATERAL PARTIAL HEMILAMINECTOMY AND DISCECTOMY DECREASED SURGICAL TIME AND HOSPITAL LENGTH OF STAY FOR LUMBAR DISC HERNIATED PATIENTS.
- Authors
Yudoyono, Farid; Arifin, Muhammad Zafrullah; Arisanti, Farida; Shin Dong Ah
- Abstract
Objective. To present the profiles of discectomy technique of Herniated Lumbar Disc through a unilateral Partial hemilaminectomy (UPHL) and to demonstrate its usefulness for herniated lumbar disc that significantly occupy the foraminal canal. Methods. From April 2012 to June 2012, 24 herniated lumbar disc were approached with unilateral partial hemilaminectomy retrospectively. Results. A total of 24 consecutive patients who underwent unilateral partial hemilaminectomy comprised male 14 and female 10 (1,4 :1), the mean age was 54 y.o. (21-68 years), with reflects to surgical level 2 patients involved Th 12-L 1, 12 patients involved lumbar 4-5, two patients involved L 3-4, and 6 patients involved L5-S1. In all cases, the herniated disc was removed totally without damaging thecal sac or roots. Neurological status showed improvement in all patients except three whose neurologic deficit slight changed. Surgical time was 179 minutes, hospital length of stay 5 days. Postoperative spinal stability was preserved during the follow-up period (in the mean 6 months) in all cases. Recurrence herniated disc did not develop during the follow-up period. Robinson Clinical outcome assesment good 21, fail 3. Conclusion. Unilateral Partial hemilaminectomy combined with microsurgical technique provides sufficient space for the removal of foraminal herniated disc. The basic profiles of the herniated lumbar disc which can be removed through the unilateral Partial hemilaminectomy demonstrate its role for the surgery of the herniated lumbar disc in foraminal location, and it can decreased surgical time and hospital length of stay.
- Subjects
DISCECTOMY; INTERVERTEBRAL disk hernias; LENGTH of stay in hospitals; THERAPEUTICS
- Publication
Neurosurgery & Neurology of Kazakhstan, 2015, Vol 38, Issue 1, p9
- ISSN
1813-3908
- Publication type
Article