Operative Therapiemöglichkeiten beim Postnukleotomiesyndrom (original) (raw)
Zusammenfassung
Hintergrund
Das Postnukleotomiesyndrom umfasst alle auftretenden Folgeerscheinungen nach durchgeführter Nukleotomie im Rahmen der operativen Entfernung eines lumbalen Bandscheibenvorfalls, wie axialer Rückenschmerz und persistierende Radikulopathie.
Ziel der Arbeit
Beschreibung zugrunde liegender Pathologien und zur Verfügung stehender operativer Therapieoptionen.
Material und Methoden
Es erfolgte eine ausführliche Literaturrecherche über Medline.
Ergebnisse
Für die Behandlung kamen in den letzten Jahrzehnten verschiedenste Verfahren und Implantate auf den Markt. Trotzdem ist die operative und nichtoperative Therapie des Postnukleotomiesyndroms noch immer komplex und häufig von Misserfolg geprägt.
Diskussion
Bessere Studien zu den einzelnen Subentitäten des Postnukleotomiesyndroms sind notwendig, um eine ausreichende Evidenz zu schaffen.
Abstract
Background
Post-nucleotomy syndrome includes all existing sequelae after surgical nucleotomy for the resection of a lumbar disc herniation, such as axial lumbar back pain and persisting radiculopathy.
Objectives
To describe underlying pathologies and to determine operative treatment options.
Materials and methods
Extensive literature research was carried out on Medline.
Results
Various devices and approaches have been developed in the last decades. Nonetheless, surgical and non-surgical therapy of post-nucleotomy syndrome remains complex and frequently fails.
Conclusions
Better studies providing a better level of evidence for each sub-entity of post-nucleotomy syndrome are required.
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Authors and Affiliations
- Neurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland
S. M. Krieg & B. Meyer
Authors
- S. M. Krieg
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Correspondence to B. Meyer.
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Interessenkonflikt
S. Krieg ist Berater für BrainLAB AG (Feldkirchen, Deutschland) und Nexstim Oy (Helsinki, Finnland). B. Meyer ist Berater für Ulrich Medical (Ulm, Deutschland), Medtronic (Dublin, Irland), Relievant Medsystems Inc. (Redwood City, USA), DePuy Synthes (West Chester, USA) und BrainLAB AG (Feldkirchen, Deutschland).
Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.
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Krieg, S.M., Meyer, B. Operative Therapiemöglichkeiten beim Postnukleotomiesyndrom.Orthopäde 45, 732–737 (2016). https://doi.org/10.1007/s00132-016-3309-y
- Published: 19 August 2016
- Issue Date: September 2016
- DOI: https://doi.org/10.1007/s00132-016-3309-y