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LO SCALPELLO-OTODI Educational

, Volume 26, Issue 3, pp 108–111 | Cite as

L’ernia discale lombare: la storia e l’evoluzione del trattamento chirurgico

  • V. Salvi
  • E. Boux
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Lumbar discal hernia: History and evolution of surgical treatment

Abstract

In the history of surgery lumbar herniectomy has a relatively recent appearance; moreover at the beginning of the 20th century neurosurgeons and orthopedic surgeons performed posterior laminectomy in the presence of severe neurological damage, finding tissues that have been mostly labeled as tumors. Only at the middle of the century the prolapse of the nucleus pulposus was recognized as the most frequent cause of roots compression. Techniques for removing the compression after a large laminectomy have been progressively improved so as radiological methods of locating precisely the exact position of the hernia (MIR). In accordance with these developments also the surgical procedure of removing the cause of the root compression did improve as the microdiscectomy. As all surgical procedures herniectomy may have complications and it is very important to prevent them adopting radiological control on the operating table to prevent space mistake, and checking the absence of abdominal compression to avoid excessive intraoperative bleeding. In spite of approximately more than 90% of satisfactory results, the possibility of a high percentage of spontaneous relief of symptoms in the first six months means that the surgical treatment must be adopted in very selected cases during this period.

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Bibliografia

  1. 1.
    Ramirez LF, Thisted R (1989) Complications and demographic characteristics of patients undergoing lumbar discectomy in community hospitals. Neurosurgery 25:226–230PubMedCrossRefGoogle Scholar
  2. 2.
    Putti V (1935) Compressione parziale della Coda Equina da ernia del disco intervertebrale fra quinta vertebra lombare e prima sacrale. Boll Soc Emil-Rom Chir 1:1–5Google Scholar
  3. 3.
    Postacchini F (1998) Le ernie discali lombari. Antonio Delfino Editore, RomaGoogle Scholar
  4. 4.
    Oppenheim H, Krause E (1909) Ueber Einklemmung bzw. Strangulation der Cauda equina. Deutsche med Wchnschr 35:697–700CrossRefGoogle Scholar
  5. 5.
    Adson AW (1925) Diagnosis and treatment of tumors of the spinal cord. Northwest Med 24:309–317Google Scholar
  6. 6.
    Alajouanine Th, Petit-Dutaillis D (1928) Compression de la queue de cheval par une tumeur du disque intervertebral. Bull et Mem Société Nationale de Chirurgie 55:937–945Google Scholar
  7. 7.
    Galli R (1930) Una rara lesione rachidea. Scoppio isolato del disco intervertebrale. Chir Org Mov 15:575–590Google Scholar
  8. 8.
    Mixter WJ, Barr JS (1934) Rupture of the intervertebral disc with involvement of the spinal canal. New Engl J Med 211:210–215CrossRefGoogle Scholar
  9. 9.
    Yasargil MG (1977) Microsurgical operation for herniated lumbar disc. In: Advances in Neurosurgery Vol. 4, Springer, Berlin Heidelberg New York:81–82Google Scholar
  10. 10.
    Caspar W (1997) A new surgical procedure for lumbar disc herniation causing less tissue damage through a microsurgical approach. In: Advances in Neurosurgery Vol. 4, Springer, Berlin Heidelberg New York:74–77Google Scholar
  11. 11.
    William RW (1986) Microlumbar discectomy. A 12-year statistical review. Spine 11:851–852CrossRefGoogle Scholar
  12. 12.
    Salvi V, Boux E, Cicero G et al (2000) La microdiscectomia nel trattamento dell’ernia del disco lombare. Chir Org Mov 85:337–344Google Scholar
  13. 13.
    Salvi V, Boux E, Cicero G (1998) Complicanze in corso di erniectomia: incidenza, evoluzione ed indirizzi di trattamento. Giornale Italiano di Ortopedia e Traumatologia 26[Suppl. 3]:619–625Google Scholar
  14. 14.
    Caspar W, Iwa H (1979) A microsurgical operation for lumbar disc herniations. Neurol Surg 6:657–662Google Scholar
  15. 15.
    McCullogh J (1989) Principles of microsurgery for lumbar disc disease. Raven Press, New YorkGoogle Scholar
  16. 16.
    Lebkosky WJ (1993) Chirurgia “dysku” powiklania srodoperacyjne. Neurol-Neurochir-Pol 27:415–41Google Scholar
  17. 17.
    Jönsson B, Strömqvist B (1994) Lumbar spine surgery in the elderly. Complications and surgical results. Spine 19:1431–1435PubMedCrossRefGoogle Scholar
  18. 18.
    Postacchini F, Postacchini R (2011) Operative management of lumbar disk herniation: the evolution of knowledge and surgical techniques in the last century. Acta Neurochir Suppl. 108:17–21PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2012

Authors and Affiliations

  • V. Salvi
    • 1
  • E. Boux
    • 1
  1. 1.Ospedale degli InfermiBiellaItaly

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