A Novel Approach to the Surgical Treatment of Lumbar Disc Herniations: Indications of Simple Discectomy and Posterior Transpedicular Dynamic Stabilization Based on Carragee Classification
Surgery of lumbar disc herniation is still a problem since Mixter and Barr. Main trouble is dissatisfaction after the operation. Today there is a debate on surgical or conservative treatment despite spending great effort to provide patients with satisfaction. The main problem is segmental instabilit...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2013/270565 |
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| author | A. F. Ozer F. Keskin T. Oktenoglu T. Suzer Y. Ataker C. Gomleksiz M. Sasani |
| author_facet | A. F. Ozer F. Keskin T. Oktenoglu T. Suzer Y. Ataker C. Gomleksiz M. Sasani |
| author_sort | A. F. Ozer |
| collection | DOAJ |
| description | Surgery of lumbar disc herniation is still a problem since Mixter and Barr. Main trouble is dissatisfaction after the operation. Today there is a debate on surgical or conservative treatment despite spending great effort to provide patients with satisfaction. The main problem is segmental instability, and the minimally invasive approach via microscope or endoscope is not necessarily appropriate solution for all cases. Microsurgery or endoscopy would be appropriate for the treatment of Carragee type I and type III herniations. On the other hand in Carragee type II and type IV herniations that are prone to develop recurrent disc herniation and segmental instability, the minimal invasive techniques might be insufficient to achieve satisfactory results. The posterior transpedicular dynamic stabilization method might be a good solution to prevent or diminish the recurrent disc herniation and development of segmental instability. In this study we present our experience in the surgical treatment of disc herniations. |
| format | Article |
| id | doaj-art-c8dbf9727a344907b0cd3793cd1ee3eb |
| institution | DOAJ |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-c8dbf9727a344907b0cd3793cd1ee3eb2025-08-20T03:05:10ZengWileyAdvances in Orthopedics2090-34642090-34722013-01-01201310.1155/2013/270565270565A Novel Approach to the Surgical Treatment of Lumbar Disc Herniations: Indications of Simple Discectomy and Posterior Transpedicular Dynamic Stabilization Based on Carragee ClassificationA. F. Ozer0F. Keskin1T. Oktenoglu2T. Suzer3Y. Ataker4C. Gomleksiz5M. Sasani6Neurosurgery Department, Koç University School of Medicine, Rumelifeneri Yolu Sarıyer, 34450 Istanbul, TurkeyNeurosurgery Department, Necmettin Erbakan University Meram Medical Faculty Hospital, 42080 Konya, TurkeyNeurosurgery Department, American Hospital, 34365 Istanbul, TurkeyNeurosurgery Department, American Hospital, 34365 Istanbul, TurkeyPhysical Therapy and Rehabilitation Department, American Hospital, 34365 Istanbul, TurkeyNeurosurgery Department, Mengücek Gazi Training and Research Hospital, School of Medicine, Erzincan University, 24100 Erzincan, TurkeyNeurosurgery Department, American Hospital, 34365 Istanbul, TurkeySurgery of lumbar disc herniation is still a problem since Mixter and Barr. Main trouble is dissatisfaction after the operation. Today there is a debate on surgical or conservative treatment despite spending great effort to provide patients with satisfaction. The main problem is segmental instability, and the minimally invasive approach via microscope or endoscope is not necessarily appropriate solution for all cases. Microsurgery or endoscopy would be appropriate for the treatment of Carragee type I and type III herniations. On the other hand in Carragee type II and type IV herniations that are prone to develop recurrent disc herniation and segmental instability, the minimal invasive techniques might be insufficient to achieve satisfactory results. The posterior transpedicular dynamic stabilization method might be a good solution to prevent or diminish the recurrent disc herniation and development of segmental instability. In this study we present our experience in the surgical treatment of disc herniations.http://dx.doi.org/10.1155/2013/270565 |
| spellingShingle | A. F. Ozer F. Keskin T. Oktenoglu T. Suzer Y. Ataker C. Gomleksiz M. Sasani A Novel Approach to the Surgical Treatment of Lumbar Disc Herniations: Indications of Simple Discectomy and Posterior Transpedicular Dynamic Stabilization Based on Carragee Classification Advances in Orthopedics |
| title | A Novel Approach to the Surgical Treatment of Lumbar Disc Herniations: Indications of Simple Discectomy and Posterior Transpedicular Dynamic Stabilization Based on Carragee Classification |
| title_full | A Novel Approach to the Surgical Treatment of Lumbar Disc Herniations: Indications of Simple Discectomy and Posterior Transpedicular Dynamic Stabilization Based on Carragee Classification |
| title_fullStr | A Novel Approach to the Surgical Treatment of Lumbar Disc Herniations: Indications of Simple Discectomy and Posterior Transpedicular Dynamic Stabilization Based on Carragee Classification |
| title_full_unstemmed | A Novel Approach to the Surgical Treatment of Lumbar Disc Herniations: Indications of Simple Discectomy and Posterior Transpedicular Dynamic Stabilization Based on Carragee Classification |
| title_short | A Novel Approach to the Surgical Treatment of Lumbar Disc Herniations: Indications of Simple Discectomy and Posterior Transpedicular Dynamic Stabilization Based on Carragee Classification |
| title_sort | novel approach to the surgical treatment of lumbar disc herniations indications of simple discectomy and posterior transpedicular dynamic stabilization based on carragee classification |
| url | http://dx.doi.org/10.1155/2013/270565 |
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