Percutaneous Lumbar Discectomy

1. Front Matter

   Pages I-XI

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2. History

   1. Front Matter

      Pages 1-1

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   2. History of Surgical Treatment of Herniated Lumbar Discs

      • P. Kambin

      Pages 3-6

3. Anatomy

   1. Front Matter

      Pages 7-7

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   2. Anatomy of the Posterolateral Spine

      • J. A. N. Shepperd

      Pages 9-15

   3. The Posterolateral Approach

      • J. A. McCulloch

      Pages 16-30

   4. Intervertebral Disc Material Gained by Percutaneous Discectomy

      • R. Ferszt, S. Patt, H. M. Mayer

      Pages 31-39

4. Pathophysiology

   1. Front Matter

      Pages 41-41

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   2. Biomechanical Background of Low Back Pain, Sciatica and Flexion Therapy

      • J. Krämer, W. Kuehnegger

      Pages 43-48

5. Diagnosis

   1. Front Matter

      Pages 49-49

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   2. The Clinical Diagnosis of Lumbar Disc Disease

      • P. Marx

      Pages 51-54

   3. Radiodiagnostics of the Lumbar Spine

      • S. Trittmacher, H. Purmann

      Pages 55-59

   4. Discography and Postdiscographic CT (Disco-CT) in Percutaneous Discectomy

      • M. Lutze, H. M. Mayer

      Pages 60-64

   5. Prospective Evaluation of Correlations Between Discomanometry and MR Imaging Data: Role in the Management of Disc Disease — Preliminary Results

      • L. Castagnera, N. Grenier, B. Lavignolle, J. M. Caille, J. Senegas

      Pages 65-71

   6. Results of Magnetic Resonance Imaging (MRI) Investigation Before and After Automated Percutaneous Lumbar Discectomy (APLD) — Comparison of MRI Findings and Clinical Health Status

      • C. Jantea, J. Assheuer, K. Schöppe, K. P. Schulitz

      Pages 72-83

6. Percutaneous Lumbar Discectomy (PLD) — Technique and Results

   1. Front Matter

      Pages 85-85

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   2. Percutaneous Lumbar Discectomy — Indication, Technique and Results

      • P. Kambin

      Pages 87-93

   3. Indication and Technique of Percutaneous Nucleotomy with Discoscopy — Eight Years Experience (1979–1987)

      • A. Schreiber, Y. Suezawa, H. Leu

      Pages 94-106

   4. Percutaneous Lumbar Discectomy — The Berlin Technique

      • H. M. Mayer, M. Brock

      Pages 107-117

   5. Percutaneous Posterolateral Decompression for the Treatment of Chronic Low Back Pain of Discogenic Origin

      • A. Monteiro, G. Pieters, D. Gastambide

      Pages 118-123

Percutaneous lumbar discectomy is a new surgical method for treating lumbar disc diseases. The goal of the procedure is decompression of the spinal nerve root by percutaneous removal of the nucleus pulposus under local anesthesia. Probably 20 % of all patients requiring lumbar disc surgery can be successfully treated by this method. During the past two years, percutaneous discectomy has spread rapidly, and it is now performed in most clinical departments engaged in spinal surgery. The first International Symposium on Percutaneous Lumbar Discectomy, held in Berlin in August 1988, covered all current procedures known as "percutaneous discectomy" and the entire range of percutaneous techniques, both clinical and experimental. Its publication is important because of the recency of this new surgical procedure, the outstanding experience of the speakers - including the Japanese, American, and European "pioneers" of the technique - and last but not least the gaps in the knowledge of physicians concerning this topic. This procedure opens up new perspectives in the surgical treatment of degenerative diseases of the lumbar spine.

• Bandscheibenvorfall
• Laser
• Lumbale Bandscheibenoperation
• decompression
• posterolateraler Zugang
• Trauma Surgery

• Neurochirurgische Klinik, Universitätsklinikum Steglitz, Germany

  H. Michael Mayer, Mario Brock

Policies and ethics