Calvo RL

Language: Spanish
References: 12
Page: 87-93
PDF size: 521.18 Kb.

ABSTRACT

Objective: To show that back pain and radicular pain of the patient are reduced by diminishing charges, in press, in the disk and that the segment maintains its mobility.
Patients and methods: A prospective, longitudinal and clinical research conducted at the Hospital Regional Presidente Juárez, ISSSTE Oaxaca City was performed in patients operated on and diagnosed with lumbar disc herniation in segments L3-4, L4-5 and L5-S1, as demonstrated by nuclear magnetic resonance in the period from July 2008 to June 2009. There were 26 patients and of these, 17 were female (65.3%), the follow up period was 24 months and age of patients ranged from 15 to 50 years, with an average age of 29 years. According to the disc herniation found, 22 herniated discs corresponded to the segment L4-5, 14 at L5-S1 segment, and 10, the segments L4-5 and L5-S1; there were 36 disc herniations in 26 patients, thus there were 10 double hernias. Fields were prepared to place Lixus OXPEKK^®-IG and LS Lixus OXPEKK^®-IG, and once placed the test implants, definitive implants Lixus OXPEKK^®-IG and LS Lixus OXPEKK^®-IG were prepared.
Results: We evaluated all patients with visual analog scale (VAS) and the Oswestry Disability Index. The analog measurement of preoperative leg pain (radicular pain) was 8.7, the 26 patients fulfilled 24 months follow up and remained at 0.5 points on the VAS, which means that the pain was reduced 94%. Regarding back pain measured by VAS, patients had on average 8.4 points, at 24 months were up by 1.5 points, which means that patients had (so far) an improvement of 82%. Also they were assessed with the Oswestry Disability Index, the preoperative disability index was 84% and the lowest was 48%, with an average of 63.3%, only one patient had poor results, the preoperative VAS pain was radicular (leg) of eight points as well as back pain, at six months it reduced six points in both measurements, but the patient suffered from many limitations.
Conclusions: The interspinous spacers are a choice of the therapeutic armamentarium for the surgical treatment of disc herniation, because after at least two years of monitoring we obtained excellent results in selected patients, as back pain and radicular pain decreased and the disability index improved.

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