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Efficacy of lumbar discectomy and percutaneous treatments for lumbar disc herniation

Author

Listed:
  • Carl Stevens
  • Robert Dubois
  • Tania Larequi-Lauber
  • John-Paul Vader

Abstract

Les changements qui interviennent dans les systèmes de soins nécessitent une réévaluation soigneuse des procédures électives coûteuses comme l'est la chirurgie lombaire. Cet article présente une revue de la littérature actuelle sur l'utilité de la chirurgie et des traitements percutanés invasifs dans le cas des sciatiques d'origine discale. Les articles concernés ont été identifiés par le biais des bases de données MEDLINE et Current Contents, des listes bibliographiques, des recommandations des experts et de la collaboration canadienne Cochrane. Elle comprend 9 essais randomisés, 6 méta-analyses ou articles de revue, 1 recommandation pour la pratique clinique basée sur les preuves, 38 grandes séríes chirurgicales de cas et 35 références additionnelles. Les bénéfices de la discectomie par voie chirurgicale, principalement pour la réduction de la durée de la douleur, justifient son utilisation chez des patients soigneusément sélectionnés, souffrant de la sciatique d'origine discale, après échec d'un traitement conservateur. Bien qu'élective cette procédure continuera probablement à être disponible dans un système de soins type HMO mais avec une surveillance croissante des indications opératoires. Copyright Birkhäuser Verlag 1997

Suggested Citation

  • Carl Stevens & Robert Dubois & Tania Larequi-Lauber & John-Paul Vader, 1997. "Efficacy of lumbar discectomy and percutaneous treatments for lumbar disc herniation," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 42(6), pages 367-379, November.
    • Handle: RePEc:spr:ijphth:v:42:y:1997:i:6:p:367-379
    DOI: 10.1007/BF01318612
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