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Vol. 6. Issue 1.
Pages 50-54 (January 1995)
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Vol. 6. Issue 1.
Pages 50-54 (January 1995)
Resultados del tratamiento de la hernia discal lumbar usando laniinectomía o hemilaminectomía. Estudio prospectivo con un año de seguimiento
J.M. González-Darder, J. Torres-Recio
Departamento de Cirugía (Neurocirugía). Facultad de Medicina. Universidad de Cádiz
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Resumen

Se presenta un estudio prospectivo en el que estudiamos los resultados del tratamiento quirúrgico de 100 pacientes con hernia discal lumbar intervenidos con laminectomía (66%) o hemilaminectomía (44%). Los resultados fueron valorados a los 3, 6 Y12 meses de la intervención. No existen diferencias estadísticamente significativas entre ambas técnicas en lo que se refiere al resultado global, lumbalgia o ciatalgia bilateral y complicaciones, aunque en todos los casos los resultados de la hemilaminectomía son mejores.

Palabras clave:
Hernia discal lumbar
Laminectomía
Hemilaminectomía
Summary

The results of a prospective study evaluating the results of the surgical treatment of 100 patients with herniated lumbar disc are presented. Laminectomy was carried out in 66% of patients and hemilaminectomy in the 44%. Results were evaluated 3, 6 and 12 months postoperatively and compared with the preoperative status. There were no significant statistical differences between both surgical approaches when global clinical status, bilateral lumbalgia or sciatic pain or complications were considered. However, in each item results were poorer in the group of patient which underwent a laminectomy.

Key words:
Lumbar herniated disc. Laminectomy
Hemilaminectomy

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