Analysis of the results of microsurgical lumbar discectomy, characteristics of complications in the early and remote period: the current state of the issue (review of literature)
DOI:
https://doi.org/10.22141/1608-1706.6.21.2020.223890Keywords:
herniated disc, microdiscectomy, complications, failed back surgery syndrome, epidural fibrosisAbstract
The technologies of surgical treatment of herniated discs of the lumbar spine are progressively developing about this, the main direction of improvement is the desire to minimize the invasiveness of the surgical approach, without reducing the radicality of the operation. To date, microdiscectomy is the gold standard in the treatment of discogenic diseases of the lumbosacral spine, and the high efficiency of the method has been proven. However, comparing the results of surgical interventions accor-ding to this technique of various authors, a significant discrepancy in the results of surgical treatment, the ratio of satisfactory and unsatisfactory results, the ratio of complications in the early and late postoperative period was revealed. Epidural fibrosis is a common cause of poorly operated spine syndrome. Our study pre-sents an analysis of 82 literature sources that most fully reflect the frequency and structure of intraoperative complications, possible postoperative complications, and pathogenically substantiated prevention of the formation of epidural fibrosis in the intraoperative and postoperative periods.
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