By Antonio Solini M.D. (auth.), Gary Onik M.D. (eds.)
Percutaneous nuclectomy in accordance with the Onik strategy is an avantgarde strategy used to take away the intervertebral disc through percutaneous entry and with closed surgical procedure. The instrumentation and the approach are easy. the most characteristic is the smaller diameter of the probe (2mm) which fragments and aspires the small chips of pulpy nucleus. It reduces the danger of discitic infections (occurring in a variety of chances with all equipment of percutaneous discectomy) as the gap within the anulus, being small, closes spontaneously after the probe is got rid of. in addition postoperative acute lumbar ache has been stated to ensue much less usually. this technique is performed less than neighborhood anesthesia, with radioscopic and intraoperative discographic tracking. via consulting this atlas orthopaedists, neurosurgeons and neuroradiologists may well examine this system simply, simply because each element is obviously provided and illustrated with various colored photographs.
Read Online or Download Atlas of Automated Percutaneous Lumbar Discectomy (A.P.L.D.): According to the Onik Method PDF
Best nonfiction_10 books
"After being usually suggested to jot down upon this topic, and as usually declining to do it, from apprehension of my very own lack of ability, i'm at size pressured to absorb the pen, despite the fact that unqualified i'll nonetheless believe myself for the duty. " William Withering, M. D. ' i've got but to discover an outline or a quote that greater summanzes my preliminary ambivalence in the direction of embarking on such an recreation as partici pating in placing jointly this monograph.
C. B. TILANUS, EDITOR This ebook attempts to bolster the binds among, at the one hand, the enterprise management and accounting international and, at the different, the operational learn and administration technology global. The readership for which it's meant is composed ofthe following different types: managers and execs in organizational departments of industrial management, administration technology, automated facts processing, and so on.
This publication is the fabricated from a NATO complex examine Institute of an identical identify, held on the Anargyrios and Korgialenios university at the island of Spetsai, Greece, in September 1994. The institute thought of the molecular mechanisms which generate the physique plan in the course of vertebrate embryogenesis. the most subject matters mentioned integrated: dedication and imprinting in the course of germ mobilephone differentiation; hierarchies of inductive telephone interactions; the molecular functioning of Spemann's organizer and formation of embryonic axes; the extracellular matrix and the cytoskeleton when it comes to morphogenesis and mobile migration; neurogenesis and patterning of the neuraxis; the rules of development formation via Hox genes and different transcription elements.
- Procedures in Hepatogastroenterology
- Bioenergetics and Thermodynamics: Model Systems: Synthetic and Natural Chelates and Macrocycles as Models for Biological and Pharmaceutical Studies
- Orthopaedic Diagnosis: Clinical, Radiological, and Pathological Coordinates
- ECHOViruses Reoviruses
Extra resources for Atlas of Automated Percutaneous Lumbar Discectomy (A.P.L.D.): According to the Onik Method
Correlations between myelography and magnetic resonance tomography Disc herniation at L3-L 4 • Myelography (E) lacks visualization of the nerve root at L4 left. Magnetic resonance tomography (F) shows that disc herniation at L 3- L4 is still apparently contained. DIAGNOSTIC EXAMINATIONS 65 66 DIAGNOSTIC EXAMINATIONS Intraoperative discography Intraoperative discography is a final and discriminating test: it is carried out just before discectomy, and allows us to continue or end the procedure. It is the purpose of discography to: evaluate the integrity of the anulus fibrosus; - reproduce the nerve root pain; - carry out a discometry.
In cases such as these discectomy is not contraindicated.
Observe the decreased diameter in A-P (A) and in L-L (B) of the vertebral canal. Can percutaneous discectomy be carried out? Although it is not included in the list of indications used by the Pittsburgh School, in agreement with the French School, it is our belief that percutaneous discectomy may be performed in cases such as these, and that it may constitute a first choice of treatment. Arthrosis (C, D) In addition to the arthrosic impressions (E), myelography shows a large disc herniation at L5-S 1 to the left (F).