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KMID : 0359819940230091012
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Journal of Korean Neurosurgical Society
1994 Volume.23 No. 9 p.1012 ~ p.1018
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Microsurgery for Lumbar Disc Disease
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박춘근
전신수/김달수/강준기/최창락
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Abstract
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The management for herniated lumbar disc has been improved steadily since the standard discectomy was introduced at the early stage of this centrury. The therapeutic use of standard discectomy has been critisized by some investigators because of
its
invasiveness and potential postoperative sequele. Recently various non-invasive means were developed, however there are still some disadvantages with them such as high cost and their limitation of disc removal. In the present study fifty-nine
cases
managed with microsurgical discectomy were presented, all performed by one surgeon and analysed by the other. The operative results, assessed 6 months postoperatively, showed that the microdiscecetomy was of good quality, comparable to the
results
of
the standard discectomy reported by others. Patients have discharged early (less than 10 days) and returned to their usual activities quickly (less than 3 weeks). The advantage of this technique is its capacity to preserve better integrity of
normal
tissue and to impose less trauma on the body. Furthermore it may be more cost-effective than any other surgical managements available. It can be concluded that microsurgical discectomy represents one of the best refinements of standard discectomy
even
if it has also some negative points.
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KEYWORD
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