椎间盘
椎间盘切除术
背痛
坐骨神经痛
Oswestry残疾指数
腰椎
出处
期刊:JAMA
[American Medical Association]
日期:1989-10-06
卷期号:262 (13): 1776-1776
被引量:7
标识
DOI:10.1001/jama.1989.03430130050031
摘要
To the Editor.— I read with interest the article on percutaneous lumbar diskectomy in the January 6 issue of JAMA . 1 Although I do not believe it was the intention of the author to advocate or endorse any particular instrumentation, the discussion seemed to be more promotional than scientific, for the following reasons. Obviously, most of the panel members are neurosurgeons and users of the nucleotome (20 neurosurgeons and 6 orthopedic surgeons). The article quotes one surgeon who has performed 200 operations with no complications. The article even reports the opinion of the manufacturer of the nucleotome. To the best of my knowledge, the users of what are considered to be manual instruments were not included, consulted, or interviewed for this study. The term manual instrument is misleading. When the 4.5-mL cannula is positioned, one can introduce all kinds of automated instruments for evacuation of disk material. These
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