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Percutaneous laser disc decompression for lumbar disc hernia: indications based on Lasegue's Sign.
Iwatsuki, Koichi; Yoshimine, Toshiki; Awazu, Kunio.
Afiliação
  • Iwatsuki K; Department of Neurosurgery, Osaka University Medical School, Osaka, Japan. kiwatsuki@nsurg.med.osaka-u.ac.jp
Photomed Laser Surg ; 25(1): 40-4, 2007 Feb.
Article em En | MEDLINE | ID: mdl-17352636
ABSTRACT

OBJECTIVE:

The present study was conducted to establish reasonable indications of patient neurological manifestations for use of percutaneous laser disc decompression (PLDD). BACKGROUND DATA PLDD is a less invasive surgical procedure for lumbar disc hernia, whose indications have been described on the basis of radiographical findings.

METHODS:

Sixty-five consecutive patients (45 men and 20 women) with lumbar disc hernia were treated with PLDD by applying a diode laser (wavelength 805 nm). A total of 450-1,205 joules (average, 805.5 joules) were delivered per disc. All patients suffered from radicular pain. They were divided based on the presence of Lasegue's sign. The post-procedure results at 1 week and 1 year were compared between the groups.

RESULTS:

PLDD was effective for patients with Lasegue's sign (80.0%), but ineffective for those without the sign.

CONCLUSION:

The present study suggests that Lasegue's sign in patients is an indication of PLDD for lumbar disc hernia.
Assuntos
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Coleções: 01-internacional Temas: Geral Base de dados: MEDLINE Assunto principal: Terapia com Luz de Baixa Intensidade / Deslocamento do Disco Intervertebral / Vértebras Lombares Tipo de estudo: Diagnostic_studies / Observational_studies Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Photomed Laser Surg Ano de publicação: 2007 Tipo de documento: Article País de afiliação: Japão
Buscar no Google
Coleções: 01-internacional Temas: Geral Base de dados: MEDLINE Assunto principal: Terapia com Luz de Baixa Intensidade / Deslocamento do Disco Intervertebral / Vértebras Lombares Tipo de estudo: Diagnostic_studies / Observational_studies Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Photomed Laser Surg Ano de publicação: 2007 Tipo de documento: Article País de afiliação: Japão