diskectomy

• 椎間板切除、椎間板切除術

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2017/03/20 19:51:45」(JST)

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See also: Spinal decompression

Discectomy
Intervention
Median sagittal section of two lumbar vertebrae and their ligaments. ("Intervertebral fibrocartilage", an old name for the intervertebral disc, labeled at center left.)
ICD-9-CM	80.51
MeSH	D017586
MedlinePlus	007250

Illustration depicting a surgical discectomy

A discectomy (also called open discectomy) is the surgical removal of herniated disc material that presses on a nerve root or the spinal cord. The procedure involves removing the central portion of an intervertebral disc, the nucleus pulposus, which causes pain by stressing the spinal cord or radiating nerves. The traditional open discectomy, or Love's technique, was published by Ross and Love in 1971. Advances in options have produced effective alternatives to traditional discectomy procedures (e.g. microdiscectomy, endoscopic discectomy, and laser discectomy). In conjunction with the traditional discectomy, a laminotomy is often involved to permit access to the intervertebral disc. In this procedure, a small piece of bone (the lamina) is removed from the affected vertebra, allowing the surgeon to better see and access the area of disc herniation.

In the U.S., it has been estimated that the Medicare system spends over $300 million annually on lumbar discectomies.

Microdiscectomy

Microdiscectomy is a minimally invasive surgical procedure in which a portion of a herniated nucleus pulpolsus is removed by way of a surgical instrument or laser while using an operating microscope or loupe for magnification.

See also

• Back pain
• Anterior cervical discectomy and fusion
• Lumbar disc herniation
• Degenerative disc disease
• Failed back surgery
• Percutaneous discectomy
• List of surgeries by type

References

• Emmett, J. L.; Love, J. G. (1971). "Vesical dysfunction caused by protruded lumbar disk". The Journal of urology. 105 (1): 86–91. PMID 5100876. 

External links

• Discectomy / Microdiscectomy — UCLA
• Video of microdiscectomy from the surgeon's view (youtube)

{{Operations and other procedures on the

musculoskeletal system}}

English Journal

• Definitive Diagnosis of Cerebrospinal Fluid Leak Into the Pleural Space Using 111In-DTPA Cisternography.

• Howard BA1, Gray L, Isaacs RE, Borges-Neto S.
• Clinical nuclear medicine.Clin Nucl Med.2014 Sep 18. [Epub ahead of print]
• A 58-year-old woman with a calcified disk extrusion causing severe spinal stenosis underwent T8 to T9 diskectomy and spinal fusion. A postoperative pseudomeningocele was treated with lumbar drain and fibrin glue. Performed for persistent right pleural effusion, CT myelogram failed to show communicat
• PMID 25243944

• The utility of obtaining routine hematological laboratory values following an anterior cervical diskectomy and fusion.

• Manning BT1, Sankaranarayanan S, Hassanzadeh H, Nandyala SV, Marquez-Lara A, Naqvi A, Elboghdady IM, Noureldin M, Singh K.
• Spine.Spine (Phila Pa 1976).2014 Sep 15;39(20):E1228-32. doi: 10.1097/BRS.0000000000000512.
• STUDY DESIGN: Retrospective analysis of a prospectively maintained database.OBJECTIVE: To characterize the utility of obtaining routine postoperative laboratory studies after an anterior cervical diskectomy and fusion (ACDF).SUMMARY OF BACKGROUND DATA: ACDF is typically associated with minimal blood
• PMID 25010100

• Retrospective evaluation of efficiency and safety of an anterior percutaneous approach for cervical discectomy.

• Schubert M1, Merk S2.
• Asian spine journal.Asian Spine J.2014 Aug;8(4):412-20. doi: 10.4184/asj.2014.8.4.412. Epub 2014 Aug 19.
• STUDY DESIGN: Retrospective case series.PURPOSE: The purpose of the study was to evaluate the efficiency and complication rate of a percutaneous anterior approach to herniated cervical disks with or without concomitant foraminal stenosis and/or spondylosis.OVERVIEW OF LITERATURE: Recent publications
• PMID 25187857

Japanese Journal

• Operated and Adjacent Segment Motions for Fusion versus Cervical Arthroplasty: A Pilot Study

• Terai Tomoya,Faizan Ahmad,Sairyo Koichi,Goel Vijay K.
• CLINICAL ORTHOPAEDICS AND RELATED RESEARCH 469(3), 682-687, 2011
• NAID 120005179930

• Complications of Endoscopic Lumbar Decompression Surgery

• Sairyo K.,Sakai T.,Higashino K.,Inoue M.,Yasui N.,Dezawa A.
• MINIMALLY INVASIVE NEUROSURGERY 53(4), 175-178, 2010
• NAID 120005180075

• Anterior Transvertebral Herniotomy for Cervical Disc Herniation A Long-term Follow-up Study

• Sakai Toshinori,Katoh Shinsuke,Sairyo Koichi,Tamura Tatsuya,Hirohashi Nori,Higashino Kosaku,Yasui Natsuo
• JOURNAL OF SPINAL DISORDERS & TECHNIQUES 22(6), 408-412, 2009
• NAID 120004737826

Related Links

• Diskectomy - Mayo Clinic

Open discectomy. North American Spine Society. http://www.knowyourback.org/Pages/Treatments/SurgicalOptions/LumbarDiscectomy.aspx. Accessed April 19, 2014. McKean SC, et al. Principles and Practice of Hospital Medicine.

• diskectomy - definition of diskectomy by Medical dictionary

diskectomy /dis·kec·to·my/ (dis-kek´tah-me) excision of an intervertebral disk. Diskectomy The surgical removal of a portion of an intervertebral disk. Mentioned in: Disk Removal diskectomy [dis·kek′tə·me] Etymology: Gk, diskos, flat ...

Related Pictures

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★リンクテーブル★

リンク元	「椎間板切除」「椎間板切除術」
拡張検索	「percutaneous diskectomy」

「椎間板切除」

　　[★]

英

diskectomy

関

椎間板切除術

「椎間板切除術」

　　[★]

英

diskectomy

関

椎間板切除

「percutaneous diskectomy」

　　[★] 経皮的椎間板切除術