Bel ağrısı ve perkütan disk dekompresyon yöntemleri

Perkütan disk dekompresyonu yöntemlerinin semptomatik disk herniasyonuna bağlı bel ve bacak ağrısının azaltılmasında etkin olduğu gösterilmiştir. Perkütan disk dekompresyonu kemonükleoliz, perkütan diskektomi, intradiskal lazer diskektomi, intradiskal radyofrekans ablasyon, intradiskal elektrotermal annüloplasti ve perkütan lomber nükleoplasti gibi invaziv yöntemleri içerir. Komplikasyonlar göz önünde bulundurularak ve uygun hasta seçimi yapılarak bu yöntemlerin başarı şansı arttırılabilir. Perkütan disk dekompresyonu yöntemleri ile herniasyonun tekrarlama riski, disk instabilitesi ve akselere dejenerasyon potansiyeli

Anahtar Kelimeler:

Dekompresyon, Bel ağrısı, Diskektomi, perkütan, İntervertebral disk deplasmanı, fizyopatoloji

Low back pain and percutaneous disc decompression techniques

Percutaneous disc decompression techniques are effective in reducing low back and leg pain resulting from symptomatic disc herniation. Percutaneous disc decompression includes minimally invasive techniques such as chemonucleolysis, percutaneous discectomy, intradiscal laser discectomy, intradiscal radiofrequency ablation, intradiscal electrothermal annuloplasty and percutaneous lumbar nucleoplasty. The success rate of these techniques can be improved by proper patient selection and in the view of the complications. There are always risks of recurrence of herniation, disc instabilization and accelerated degeneration.

Keywords:

Decompression, Low Back Pain, Diskectomy, Percutaneous, Intervertebral Disc Displacement, physiopathology,

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