A decade of experience with microsurgical discectomy

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Ten years experience in microdiskectomy for the treatment of degenerative spine diseases (about 900 patients) is presented. Seven hundred and seventeen patients have been operated on by traditional W.Caspar technique and 21.4%) out of them required not only diskectomy but radiculolysis, resection of the arch margins and posterior longitudinal ligament. In some patients side by side with microdiskectomy, spondylodesis via interarch approach using CAC system combined with transpedicular system USS (AO) was performed. The same technique was used in patients with lumbar vertebra spondylolisthesis. Positive results were achieved in 88.2% of cases.

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A. Aganesov

Moscow Medical Academy. THEM. Sechenov; Russian Scientific Center for Surgery RAMS

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Email: info@eco-vector.com
俄罗斯联邦, Moscow

H. Musalatov

Moscow Medical Academy. THEM. Sechenov

Email: info@eco-vector.com
俄罗斯联邦, Moscow

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1. JATS XML
2. Rice. 1. Sequestered hernia L4-5 (magnetic resonance imaging).

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3. Rice. 2. Slight protrusion of the L4-5 disc (magnetic resonance imaging).

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4. Rice. Fig. 3. Patient N. Diagnosis: post-traumatic disc herniation L4-5, L5-S1.a — magnetic resonance imaging before surgery; b — radiographs after surgery: microdiscectomy L4-5, L5-S1 on both sides, transpedicular fixation and spinal fusion cages with autobone.

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5. Rice. 4. Patient I., 14 years old. Diagnosis: L5 spondyloptosis. a — radiograph before surgery; b — magnetic resonance imaging before surgery; c — radiograph after surgery; d — magnetic resonance imaging after surgery: L5-S1 microdiscectomy and spinal fusion with transpedicular fixation were performed.

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