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KMID : 1150320160120020258
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Journal of Korean Society of Geriatric Neurosurgery
2016 Volume.12 No. 2 p.258 ~ p.263
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Clinical Efficacy of Nucleoplasty for Lumbar Herniated Disc Disease in Elderly Patient
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Lim Woo-Jung
Hur Jin-Woo
Ahn Seong-Yeol
Rhee Jong-Joo
Lee Jong-Won
Lee Hyun-Koo
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Abstract
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Objective: The Nucleoplasty is a minimally invasive intervention use to perform disc decompression in cases of pain caused by disc herniation. The authors intended to describe the efficacy of nucleoplasty for lumbar herniated disc disease in elderly patients.
Methods: From March 2014 to March 2016, the authors performed nucleoplasty for 28 consecutive patients older than 60-year?old and evaluate short?term(until 3 months) results after the procedure. Patients were given a neurologic examination, visual analogue scale (VAS) before and after the procedure. Patients with spinal instability, motor weakness were excluded.
Results: Male was outnumbered female by 17 to 11 and age was ranged from 60 to 93 years old (mean 68). Procedures were performed at single level in 24 cases and two levels in 4 cases. The L4?5 level was the most commonly involved. Mean VAS scores of pre? and post?procedure were 7.29±0.46 and 2.93±0.86. Overall it showed a decrease of mean VAS score by 3.4 and it was statistically significant (p<0.001). It showed more decrease of mean VAS score in patient without moderate to severe stenosis than in patient with it, but it was not statistically significant.
Conclusion: Nucleoplasty can be used as a minimally invasive therapy for patients over 60 with lumbar herniated disc disease. Nucleoplasty can be considered when accompanying spinal stenosis over moderate severity as it showed its effect in reducing a pain.
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KEYWORD
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Disc Herniation, Nucleoplasty, Elderly
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