COMPLICATIONS OF NON-ENDOSCOPIC DISCECTOMY: A RETROSPECTIVE STUDY OF TWENTY-ONE YEARS

ABSTRACT Objective: To report and compare the number and grade of major complications presented with non-endoscopic thermal discectomy and nucleoplasty for the treatment of discogenic axial lumbar pain using laser and radiofrequency. Methods: A 21 years retrospective study was conducted of the cli...

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Main Authors: Jorge Felipe Ramírez León, José Gabriel Rugeles Ortiz, Enrique Osorio Fonseca, Carolina Ramírez Martínez, Nicolás Prada Ramírez, Gabriel Oswaldo Alonso Cuéllar
Format: Article
Language:English
Published: Sociedade Brasileira de Coluna (SBC)
Series:Coluna/Columna
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512016000400303&lng=en&tlng=en
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author Jorge Felipe Ramírez León
José Gabriel Rugeles Ortiz
Enrique Osorio Fonseca
Carolina Ramírez Martínez
Nicolás Prada Ramírez
Gabriel Oswaldo Alonso Cuéllar
author_facet Jorge Felipe Ramírez León
José Gabriel Rugeles Ortiz
Enrique Osorio Fonseca
Carolina Ramírez Martínez
Nicolás Prada Ramírez
Gabriel Oswaldo Alonso Cuéllar
author_sort Jorge Felipe Ramírez León
collection DOAJ
description ABSTRACT Objective: To report and compare the number and grade of major complications presented with non-endoscopic thermal discectomy and nucleoplasty for the treatment of discogenic axial lumbar pain using laser and radiofrequency. Methods: A 21 years retrospective study was conducted of the clinical charts of patients whose reason for consultation was axial lumbar pain from degenerative disc disease, and who underwent surgery using non-endoscopic discectomy and nucleoplasty (NEDN). Two groups were established; the first, NEDN with laser, and second, NEDN with radiofrequency. The number and types of complications reported in the case-series were counted, and their statistical differences determined. Results: The inclusion criteria were fulfilled by 643 of the medical charts. 26 complications were reported, the most common being radiculitis (n=12). Statistically significant differences were found between the complications occurring in the two groups (p=0.01). Conclusion: The number of complications showed statistically significant difference. The severity of the complications and adverse outcomes provide an argument for choosing one technology over the other. Training and the learning curve stage are important factors to be taken into account, to avoid complications.
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spelling doaj.art-50fec550918140de9ae4ee50ddc4bc632022-12-21T20:56:15ZengSociedade Brasileira de Coluna (SBC)Coluna/Columna2177-014X15430330510.1590/s1808-185120161504166517S1808-18512016000400303COMPLICATIONS OF NON-ENDOSCOPIC DISCECTOMY: A RETROSPECTIVE STUDY OF TWENTY-ONE YEARSJorge Felipe Ramírez LeónJosé Gabriel Rugeles OrtizEnrique Osorio FonsecaCarolina Ramírez MartínezNicolás Prada RamírezGabriel Oswaldo Alonso CuéllarABSTRACT Objective: To report and compare the number and grade of major complications presented with non-endoscopic thermal discectomy and nucleoplasty for the treatment of discogenic axial lumbar pain using laser and radiofrequency. Methods: A 21 years retrospective study was conducted of the clinical charts of patients whose reason for consultation was axial lumbar pain from degenerative disc disease, and who underwent surgery using non-endoscopic discectomy and nucleoplasty (NEDN). Two groups were established; the first, NEDN with laser, and second, NEDN with radiofrequency. The number and types of complications reported in the case-series were counted, and their statistical differences determined. Results: The inclusion criteria were fulfilled by 643 of the medical charts. 26 complications were reported, the most common being radiculitis (n=12). Statistically significant differences were found between the complications occurring in the two groups (p=0.01). Conclusion: The number of complications showed statistically significant difference. The severity of the complications and adverse outcomes provide an argument for choosing one technology over the other. Training and the learning curve stage are important factors to be taken into account, to avoid complications.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512016000400303&lng=en&tlng=enDiscotomiaTratamento por radiofrequência pulsadaTerapia a laserDor lombar.
spellingShingle Jorge Felipe Ramírez León
José Gabriel Rugeles Ortiz
Enrique Osorio Fonseca
Carolina Ramírez Martínez
Nicolás Prada Ramírez
Gabriel Oswaldo Alonso Cuéllar
COMPLICATIONS OF NON-ENDOSCOPIC DISCECTOMY: A RETROSPECTIVE STUDY OF TWENTY-ONE YEARS
Coluna/Columna
Discotomia
Tratamento por radiofrequência pulsada
Terapia a laser
Dor lombar.
title COMPLICATIONS OF NON-ENDOSCOPIC DISCECTOMY: A RETROSPECTIVE STUDY OF TWENTY-ONE YEARS
title_full COMPLICATIONS OF NON-ENDOSCOPIC DISCECTOMY: A RETROSPECTIVE STUDY OF TWENTY-ONE YEARS
title_fullStr COMPLICATIONS OF NON-ENDOSCOPIC DISCECTOMY: A RETROSPECTIVE STUDY OF TWENTY-ONE YEARS
title_full_unstemmed COMPLICATIONS OF NON-ENDOSCOPIC DISCECTOMY: A RETROSPECTIVE STUDY OF TWENTY-ONE YEARS
title_short COMPLICATIONS OF NON-ENDOSCOPIC DISCECTOMY: A RETROSPECTIVE STUDY OF TWENTY-ONE YEARS
title_sort complications of non endoscopic discectomy a retrospective study of twenty one years
topic Discotomia
Tratamento por radiofrequência pulsada
Terapia a laser
Dor lombar.
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512016000400303&lng=en&tlng=en
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