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Journal of Korean Neurosurgical Society 1979;8(2): 299-306. |
| Experience with Microsurgery in the Herniations of Lumbar, Cervical and Thoracic Intervertebral Discs. |
| Young Soo Kim, Sang Sup Chung, Kyu Chang Lee, Hun Jae Lee |
| Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea. |
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| ABSTRACT |
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The authors report the experience using the operating microscope in 112 lumbar, 19 cervical and 2 thoracic disc herniations. Partial laminectomies were done in the lumbar disc herniations. Transdiscal anterior foraminal decompression with removal of posterior spur of the uncinate process and interbody fusion were carried out for the cervical disc diseases. Decompressive wide laminectomies were performed in the thoracic disc lesions. We have been extremely satisfied with the results of the operation and especially with the technical advantages afforded by the microscope. The microscope is not only advantageous because of magnification, but particularly because it gives better illumination of the depth of the operating field. The microsurgery is essential for the cervical and thoracic disc herniations. It is helpful for the lumbar disc surgeries in cases of ruptured, or axillary herniated discs, reoperation, severe adhesion of nerve root and in cases of transdural approach. |
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