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Journal of Korean Neurosurgical Society 1992;21(6): 671-677.
Microsurgical and Standard Removal of Protruded Lumbar Disc;Clinical Analysis and Comparative Study.
Kwang Tae Lee, Seong Ho Kim, Si Heon Song, Kwan Tae Kim, Youn Kim
Department of Neurosurgery, School of Medicine, Chungnam National University, Daejeon, Korea.
ABSTRACT
Today, lumbar disc surgery has been considerable refined from that performed by Mixter and Barr less than 50 years ago, but there is still room for improvement. The addition of the microsurgical technique may be the most recent means to refine the process of lumbar discectomy. Magnetified vision and brillant illumination have allowed neurosurgeons to refine many standard operations and to devise new ones for hitherto inaccessible areas. Small incisions, meticulous hemostasis, and precise removal of diseased tissue are the contributions of microsurgery to an ideal operation. 37 cases of microsurgical discectomy weer compared to the same number of standard operations. The total patient profiles were the same with other studies. The results demonstrated a 72.9% marked improvement in the standard discectomy category and a 83.9% marked improvement in the microsurgical discectomy group. Also, the mean time until their return to work was 7.3 wks in the microsurgical discectomy group, while 10.8 wks in the standard operation group.
Key Words: Lumbar discectomy; Microsurgical technique; Operative trauma
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