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By Andrea Porzionato, Veronica Macchi (auth.), Alberto Alexandre, Marcos Masini, Pier Paolo Maria Menchetti (eds.)

ISBN-10: 321199369X

ISBN-13: 9783211993699

ISBN-10: 3211993703

ISBN-13: 9783211993705

Radiologists, orthopedic and neurological surgeons current different minimally invasive equipment. Peripheral nerve difficulties and difficulties bearing on differential prognosis in particular events equivalent to among radicular and peripheral nerve trunk lesions are mentioned, pinpointing the importance of alternative diagnostic instruments. Minimally invasive options, applied these days to lessen bone demolition, scarring and hazard of recurrence are analyzed. Microdiscectomy is in comparison with the result of intradiscal options, and new equipment are mentioned dealing with difficulties resembling epidural fibrotisation, microinstability, osteoporotic or neoplastic or posttraumatic vertebral lesions.

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50). 05), but was the same in the 6th, 12th, 18th and 24th months (Graph 4). 30) of the follow-up. Table 2 shows adverse effects at the first week of treatment and after the first month. 4%), compulsive behavior for opiate intake. 8%) were due to treatment of infection caused by the implanted device. Discussion Failed back surgery syndrome is a common, yet devastating pain complaint. Patient selection for repeated spinal surgery is not uniform and must be further refined. The best data available today suggest that most of the patients suffering from failed back syndrome are incapacitated by psychiatric, psychological, and social/vocational factors, which relate to the back complaint only indirectly [1].

2). No serious complications were related to the procedure. No adverse effect of the drugs used in injection. No infections. No motor deficit or sphincter disturbance. In one patient it was decided to proceed with an open surgical procedure, the other 31 patients were kept in clinical treatment as described previously (Fig. 3). Fig. 2 Improvement VAS. Each square shows the mean percentage of pain improvement after the procedure in VAS and the deviation in group and bars – for the time frame analysed.

The authors present a prospective study about the long-term treatment of 30 patients with nonmalignant pain treated with intrathecal infusion of morphine from February, 1996 to May, 2004. Self-administration pumps were implanted in 18 patients and constant-flow pumps in 12. 001); the mean daily dose of morphine necessary for pain control became constant after the sixth month of treatment. No difference was observed in the results between patients treated with bolus or constant infusion. Side effects were more frequent at the beginning and became tolerable after the first month of treatment.

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Advances in Minimally Invasive Surgery and Therapy for Spine and Nerves by Andrea Porzionato, Veronica Macchi (auth.), Alberto Alexandre, Marcos Masini, Pier Paolo Maria Menchetti (eds.)

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