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1.
Biomed Res Int ; 2019: 5758671, 2019.
Article in English | MEDLINE | ID: mdl-30906777

ABSTRACT

BACKGROUND AND STUDY AIM: Foraminal disc herniations present the unique surgical challenge for exiting nerve root retraction and decompression. The aim of current study is to describe an innovative maneuver and evaluate its usefulness for endoscopic decompression of foraminal disc herniations. MATERIAL AND METHODS: A retrospective review was performed including cases of foraminal disc herniations who underwent endoscopic discectomy utilizing the rotate-to-retract technique. Data on patient demographics and improvement in VAS/ODI scores were collected and analyzed statistically. RESULTS: There were ten patients (three male; seven female) in the final analysis. Seven procedures were done at the L4-L5 level, two were done at the L5-S1 level, and one was done at the L3-L4 level. The average VAS scores improved from preoperatively 7.5 to postoperatively 4.4 (p= 0.001). The mean preoperative ODI was 67.8 and improved to 26.6 postoperatively (p< 0.001). None of the cases reported any neurological or dural complication. CONCLUSION: Foraminal disc herniations can be safely and adequately addressed endoscopically with the use of rotate-to-retract technique.


Subject(s)
Diskectomy, Percutaneous/methods , Endoscopy/methods , Intervertebral Disc Displacement/surgery , Lumbar Vertebrae/surgery , Adult , Aged , Aged, 80 and over , Female , Humans , Lumbar Vertebrae/pathology , Male , Middle Aged , Retrospective Studies
2.
Disabil Rehabil ; 25(21): 1238-42, 2003 Nov 04.
Article in English | MEDLINE | ID: mdl-14578064

ABSTRACT

PURPOSE: To study the functional status of vascular hemiparetics in outpatient clinics in Japan. METHOD: Following five functional tasks were evaluated to (1) pick up a pencil from the floor, (2) stand up from the floor, (3) sit up straight, (4) squat, (5) ambulate as far as possible. Patients were asked whether they added handrails and used a bed or a Japanese Futon. RESULTS: Sixty-three of 85 patients were able to pick up a pencil from the floor and to stand up from the floor. Patients with poor motor recovery of the lower extremities were able get into and out of a bathtub as well as patients with good motor recovery. All patients who could not ambulate for more than 100 m and could not stand up from the floor began to use beds after their strokes. CONCLUSIONS: Ninety-five per cent of patients who could stand up from the floor were able to get into and out of bathtubs. All of the patients who could not stand up from the floor started to use beds.


Subject(s)
Activities of Daily Living , Paraparesis/rehabilitation , Adult , Aged , Aged, 80 and over , Female , Housing , Humans , Japan , Male , Middle Aged , Paraparesis/classification , Self-Help Devices
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