FIELD: medicine.
SUBSTANCE: interlaminectomy preserving a yellow ligament is performed. A sequestrum is visualised and removed. An EOC-controlled laser light guide is inserted into the intervertebral disk through its injured portion. That is followed by a laser vaporisation of a nucleus pulposus with a 3- or 4-pulse train, power 20 Wt, length 1 s, interval 2 s in a total dose of 940-1,000 J. An operative aid area is filled with Oxiplex® gel from epidural-periradicular-subligamentous direction.
EFFECT: method provides preventing postdiskectomy syndrome by preventing epidural fibrosis by preserving the yellow ligaments in a combination with using Oxiplex gel, and recurrent disk hernia by laser disk repair.
2 cl, 4 dwg, 1 ex
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Authors
Dates
2015-04-20—Published
2014-03-20—Filed