Micro endoscopic discectomy of lumbar disc herniation in elderly patients.docVIP

 PAGE \* MERGEFORMAT 9 Micro endoscopic discectomy of lumbar disc herniation in elderly patients Of: Rong Limin, Cai Tao Zhang, Dong Jianwen, Xie Pei root, Shide Hai [Abstract] [Objective] To investigate the clinical features senile disc herniation, microscopic evaluation of endoscopic discectomy of lumbar disc herniation in elderly patients the efficacy and safety. [Method] 21 patients diagnosed as lumbar disc herniation in elderly patients clinical features, imaging data, micro endoscopic discectomy treatment were analyzed retrospectively. [Results] All patients over 60 years of age, low back pain as the main symptoms, no history of intermittent claudication in 21 patients , L5S1 disc 2 cases, L4, 5 clearance in 13 cases, L3, 4 clearance in 6 cases. All patients underwent endoscopic microsurgery discectomy, postoperative recovery was excellent in 90%, average 16 months follow-up rate of 80 excellent %. [Conclusion] The old master disc herniation appropriate indications, micro endoscopic discectomy surgery can get a good effect, interbody fusion surgery should not be used as a regular choice. [Keywords:] lumbar disc disease, old age, micro endoscopic lumbar discectomy With the aging of our population, the elderly back and leg pain of lumbar spinal stenosis in addition to the common cause of lumbar disc herniation clinical simply is not uncommon. The poor elderly patients with lumbar disc flexibility, in most cases conservative treatment is ineffective The need to select the surgical treatment. But the choice of surgical treatment is controversial, focus of controversy is whether the fusion segment surgery [1,2]. The use of lumbar disc herniation in elderly micro endoscopic discectomy for treatment , and the clinical effects were followed up older to lumbar disc herniation in clinical choice of surgical reference. 1 Materials and Methods 1.1 General Information October 2003 ~ December 2006 were treated with complete data between lumbar di