Download PDF
Cent Eur Neurosurg 2001; 62(4): 154-172
DOI: 10.1055/s-2001-30711
Invited Articles

© Johann Ambrosius Barth

Evaluation der Pilotstudie “Lumbale Nervenwurzelkompression”

Evaluation of the pilot study “Lumbar nerve root compression”A. M. Messing-Jünger 1 , T. Nollen 2 , W. J. Bock 1
  • 1 Neurochirurgische Klinik, Heinrich-Heine-Universität, Düsseldorf
  • 2 Orthopädische Klinik, Marienkrankenhaus, Düsseldorf-Kaiserswerth
Further Information

Publication History

Eingegangen: 10. Dezember 2001

Angenommen: 10. Dezember 2001

Publication Date:
22 May 2002 (online)

    Permissions and Reprints

Zusammenfassung:

Anhand einer nach Qualitätssicherungskriterien und formalen Gesichtspunkten erstellten Checkliste, der Studienauswertungen aller Jahrgänge sowie durch Analyse der Vergleichsliteratur wurde die in den Jahren 1993-1998 durchgeführte multizentrische Qualitätssicherungsstudie zur lumbalen Nervenwurzelkompression evaluiert. Die Evaluationsstudie beurteilt jedes Fragebogenitem einzeln. Es zeigt sich, dass eine ergebnisorientierte Qualitätssicherung bei diesem Krankheitsbild ohne Nachuntersuchung nicht ausreichend ist.

Summary

In order to evaluate the quality assurance study for patients suffering from lumbar nerv root compression a checklist has been developed according to quality assurance criteria and formal aspects. Together with the study data of the years 1993-1998 and a critical literature review each item of the quality assurance form has been evaluated. It is obvious that outcome oriented quality assurance of this entity is insufficient without assessment of the late outcome.

Schlüsselwörter:

Lumbale Nervenwurzelkompression - lumbaler Bandscheibenvorfall - Evaluation - Qualitätssicherung

Key words:

Lumbar nerv root compression - Lumbar disc herniation - Evaluation - Quality assurance

Literatur

  • 1 Zitting P, Rantakallio P, Vanharanta H. Cumulative incidence of lumbar disc diseases leading to hospitalization up to the age of 28 years.  Spine. 1998;  23 ((21)) 2337-2343
    CrossrefPubMedGoogle Scholar
  • 2 Cinotti G, Roysam G S, Eisenstein S M, Postacchini F. Ipsilateral recurrent lumbar disc herniation.  J Bone Joint Surg Br. 1998;  80 ((5)) 825-832
    CrossrefPubMedGoogle Scholar
  • 3 Postacchini F. Results of surgery compared with conservative mangement for lumbar disc herniations.  Spine. 1996;  21 ((11)) 1383-1387
    CrossrefPubMedGoogle Scholar
  • 4 Bos G J, Sanders E A. Too old for a lumbar hernia operation?.  Tijdschr Gerontol Geriatr. 1998;  29 ((6)) 280-284
    PubMedGoogle Scholar
  • 5 Fandino J, Botana C, Viladrich A, Gomez-Bueno J. Reoperation after lumbar disc surgery: Results in 130 cases.  Acta Neurochir. 1993;  122 102-104
    CrossrefPubMedGoogle Scholar
  • 6 Cooper D F, Feuer H. Lumbar mircodiscectomy.  J Indiana State Med Assoc. 1982;  74 674-675
    PubMedGoogle Scholar
  • 7 Barr J C, Kubik C S, Molloy M K. Evaluation of end results in treatment of ruptured lumbar intervertebral discs protusion of nucleus pulposus.  Surg Gynecol Obstet. 1967;  125 250-256
    PubMedGoogle Scholar
  • 8 Ebeling U, Reichenberg W, Reulen H J. Results of microsurgical lumbar discectomy. Review 485 patients.  Acta Neurochir. 1986;  81 45-52
    CrossrefPubMedGoogle Scholar
  • 9 Goald H J. Microlumbar discectomy: Follow-up of 477 patients.  J Microsurg. 1981;  2 95-100
    PubMedGoogle Scholar
  • 10 Salenius P, Laurent L E. Results of operative treatment of lumbar disc herniation. Survey of 866 patients.  Acta Orthop Scand. 1977;  48 630-634
    CrossrefPubMedGoogle Scholar
  • 11 Williams R W. Microlumbar discectomy: A conservative surgical approach to the virgin herniated lumbar disc.  Spine. 1978;  3 175-182
    CrossrefPubMedGoogle Scholar
  • 12 O'Sullivan M G, Connolly A E, Buckley T F. Recurrent lumbar disc protrusion.  Br J Neurosurg. 1990;  4 ((4)) 319-325
    PubMedGoogle Scholar
  • 13 Kardaun J W, White L R, Shaffer W O. Acute complications in patients with surgical treatment of lumbar herniated disc.  J Spinal Disord. 1990;  3 ((1)) 30-38
    PubMedGoogle Scholar
  • 14 Dauch W A, Fasse A, Brücher K, Bauer B L. Prädiktoren des Behandlungserfolges nach mikrochirurgischer Operation lumbaler Bandscheibenvorfälle.  Zentralbl Neurochir. 1994;  55 144-155
    PubMedGoogle Scholar
  • 15 Fries J W, Abodeely D A, Viyungco J G, Yeager V L, Gaffey W R. Computed tomography of herniated and extruded nucleus pulposus.  J Comput Assist Tomogr. 1982;  6 874-887
    PubMedGoogle Scholar
  • 16 Huber A, Witzmann A, Fischer J. Warum immer noch Myelographie in der Neurochirurgie?.  Zentralbl Neurochir. 1994;  55 197-203
    PubMedGoogle Scholar
  • 17 Santori F S, Manili M, Gallucci M. Nuclear magnetic resonance in the diagnosis of lumbar herniated disc.  Ital J Orthop Traumatol. 1988;  14 243-255
    PubMedGoogle Scholar
  • 18 Edelman R R, Shoukimas G M, Stark D D. et al . High resolution of surface-coil imaging of lumbar disc disease.  Am J Roentgenol. 1985;  144 1123-1129
    PubMedGoogle Scholar
  • 19 Firooznia H, Benjamin V, Kricheff I I, Rafii M, Golimbu C. CT of lumbar spine disc herniation: Correlation with surgical findings.  Am J Roentgenol. 1984;  5 91-96
    PubMedGoogle Scholar
  • 20 Forristall R M, Marsh H O, Pay N T. Magnetic resonance imaging and contrast CT of the lumbar spine: Comparison of diagnostic methods and correlation with surgical finding.  Spine. 1988;  13 ((9)) 1049-1054
    PubMedGoogle Scholar
  • 21 Schirmer M. Neurochirurgie, eine Einführung. Urban und Schwarzenberg 1998
    Google Scholar
  • 22 Herzog R J. The radiologic assessment for lumbar disc herniation.  Spine. 1996;  21 ((24S)) 19S-38S
    PubMedGoogle Scholar
  • 23 Pauschert R, Diehm C, Stammler F. Leitlinien zur Thromboseprophylaxe in der Orthopädie.  Z Orthop. 1998;  136 471-479
    PubMedGoogle Scholar
  • 24 AMWF Leitlinien zur Thromboembolie-Prophylaxe.  Phlebologie. 1998;  27 98-104
    PubMedGoogle Scholar
  • 25 Tachdjian M O, Compere E L. Postoperative wound infections in orthopedic surgery. Evaluation of prophylactiv antibiotics.  J Int Coll Surg. 1957;  28 797
    PubMedGoogle Scholar
  • 26 Olix M L, Klug T J, Smith W S. Prophylactic antibiotics in elective operations on bones, joints, and tendons.  J Bone Joint Surg. 1960;  42A 538
    PubMedGoogle Scholar
  • 27 Burke J F. The effective period of preventive antibiotic action in experimental incisions and dermal lesions.  Surgery. 1961;  50 161
    PubMedGoogle Scholar
  • 28 Vogelberg E V, Zitzmann E K, Stinchfield F E. Prophylactic penicillin in orthopedic surgery.  J Bone Joint Surg. 1970;  52A 95
    PubMedGoogle Scholar
  • 29 Bowers W H, Wilson F C, Green W B. Antibiotic prophylaxis in experimental bone infections.  J Bone Joint Surg. 1973;  55A 795
    PubMedGoogle Scholar
  • 30 Boyd R J, Burke J F, Colton T. A double blind clinical trial of prophylactic antibiotics in hip fractures.  J Bone Joint Surg. 1973;  55A 1251
    PubMedGoogle Scholar
  • 31 Pavel A, Smith R L, Ballard A, Larson I J. Prophylactic antibiotics in clean orthopedic surgery.  J Bone Joint Surg. 1974;  56A 777
    PubMedGoogle Scholar
  • 32 Classen D C, Evans R S, Pestotnik S L, Horn S D, Menlove R L, Burke J P. The timing of prophylactic administration of antibiotics and the risk of surgical wound infection.  N Eng J Med. 1992;  326 281
    CrossrefPubMedGoogle Scholar
  • 33 Nelson C L, Green T G, Porter R A, Warren R D. One day versus seven days of preventive antibiotic therapy in orthopedic surgery.  Clin Orthop. 1983;  176 258
    PubMedGoogle Scholar
  • 34 Williams D N, Gustilo R B. The use of preventive antibiotics in orthopedic surgery.  Clin Orthop. 1984;  190 83
    PubMedGoogle Scholar
  • 35 Fitzgerald R H, Thompson R L. Cephalosporin antibiotics in the prevention and treatment of musculosceletal sepsis.  J Bone Joint Surg. 1983;  65A 1201
    PubMedGoogle Scholar
  • 36 Quintiliani R, Nightingale C H. Principles of antibiotic usage.  Clin Orthop. 1984;  190 31
    PubMedGoogle Scholar
  • 37 Cunha B A, Gossling H R, Pasternak H S, Nightingale C H, Quintiliani R. The penetration characteristics of cefazolin, cephalothin, and cephradine into bone in patient undergoing total hip replacement.  J Bone Joint Surg. 1977;  59A 856
    PubMedGoogle Scholar
  • 38 Jones S, Dipiro J T, Nix D E, Bhatti N A. Cephalosporins for prophylaxis in operative repair femoral fractures.  J Bone Joint Surg. 1985;  67A 921
    PubMedGoogle Scholar
  • 39 Rubinstein E, Findler G, Amit P, Shaked I. Perioperativ prophylactic cephazolin in spinal surgery.  J Bone Joint Surg. 1993;  76B 99-102
    PubMedGoogle Scholar
  • 40 Carragee E J, Vittum D W. Wound care after posterior spinal surgery.  Spine. 1996;  21 2160-2162
    CrossrefPubMedGoogle Scholar
  • 41 Müller M. Chirurgie - Für Studium und Praxis. Medizinische Verlags- und Informationsdienste 1995
    Google Scholar
  • 42 Postacchini F. Results of sugery compared with conservative mangement for lumbar disc herniations.  Spine. 1996;  21 1383-1387
    CrossrefPubMedGoogle Scholar
  • 43 Saal A J, Saal J S. Nonoperative treatment of herniated lumbar intervertebral disc with radiculopathy. An outcome study.  Spine. 1989;  14 431-437
    CrossrefPubMedGoogle Scholar
  • 44 Zentner J, Schneider B, Schramm J. Efficacy of conservative treatment of lumbar disc herniation.  J Neurosurg Sci. 1997;  41 263-268
    PubMedGoogle Scholar
  • 45 Cinotti G, Gumina S, Giannicola G, Postacchini F. Contralateral recurrent lumbar disc herniation.  Spine. 1999;  24 800-806
    CrossrefPubMedGoogle Scholar
  • 46 Bouillet R. Treatment of sciatica.  Clin Orthop. 1990;  251 144-152
    PubMedGoogle Scholar
  • 47 Kotilainen E, Valtonen S, Carlson C A. Microsurgical treatment of lumbar disc herniation: follow up of 237 patients.  Acta Neurochir. 1993;  120 143-149
    CrossrefPubMedGoogle Scholar
  • 48 Pappas C TE, Harrington T, Sonntag V KH. Outcome analysis of 654 surgically treated lumbar disc herniations.  Neurosugery. 1992;  30 862-866
    CrossrefPubMedGoogle Scholar
  • 49 Silvers H R. Microsurgical versus standard lumbar discectomy.  Neurosurgery. 1988;  22 837-841
    CrossrefPubMedGoogle Scholar
  • 50 Kraemer J, Klein W. Das Postdiskotomiesyndrom.  Orthop Praxis. 1980;  16 20-23
    PubMedGoogle Scholar
  • 51 Weltbrecht W U, Gilsbach J, Pfaff E, Thoden U. Langzeitergebnisse verschiedener Operationsmethoden bei lumbalen Bandscheibenvorfällen.  Orthop Praxis. 1980;  16 8-10
    PubMedGoogle Scholar
  • 52 Rompe J D, Eysel P, Zöllner J, Heine J. Intra- und postoperative Risikoanalyse nach lumbaler Bandscheibenoperation.  Z Orthop. 1999;  137 201-205
    PubMedGoogle Scholar
  • 53 Wildförster U. Intraoperative Komplikationen während lumbaler Bandscheibenoperationen.  Neurochirurgia. 1991;  34 53-56
    PubMedGoogle Scholar
  • 54 McCulloch J A, Inoue S I, Moriya H, Takahashi K, Takata K. Surgical indications and techniques. The lumbar spine, Philadelphia 1990
    Google Scholar
  • 55 Fritsch E, Schmitt O, Hassinger M. Langzeitergebnisse nach lumbaler Bandscheibenoperation. Spätergebnisse in der Orthopädie. Springer, Berlin 1986
    Google Scholar
  • 56 Oppel F, Schramm J, Schirmer M, Zeitner M. Results and complicated courses after surgery for lumbar disc herniation.  Advances in Neurosurg. 1977;  4 36-52
    PubMedGoogle Scholar
  • 57 Raptis S, Quigley F, Barker S. Vascular complication of elective lower lumbar disc surgery.  Aust NZ J Surg. 1994;  64 216-219
    PubMedGoogle Scholar
  • 58 Schüwer U, Roosen K. Komplikationen bei lumbalen Bandscheibenoperationen.  Neurochirurgia. 1988;  31 192-195
    PubMedGoogle Scholar
  • 59 Brand G, Kunz H, Nissen R. Intra- und postoperative Zwischenfälle, Band IV. Thieme, Stuttgart 1974
    Google Scholar
  • 60 Schepelmann F, Greiner L, Pia H W. Complications following operation of herniated lumbar discs.  Adv Neurosurg. 1977;  4 52-54
    PubMedGoogle Scholar
  • 61 Stern W E, Crandall F H. Inflammatory intervertebral disc disease as a complication of the operativ treatment of lumbar herniations.  J Neurosurg. 1957;  16 261-276
    PubMedGoogle Scholar
  • 62 Puranen J, Mäkelä J, Lähde S. Postoperative intervertebral discitis.  Acta Orthop Scand. 1984;  55 461-465
    CrossrefPubMedGoogle Scholar
  • 63 Scharfetter F, Müller G. Über die postoperative Diszitis intervertebralis lumbalis.  Schweiz Arch Neurol Neurochir Psychat. 1971;  108 99-111
    PubMedGoogle Scholar
  • 64 Thibodeau A A. Closed space infection following removal of lumbar intervertebral disc.  J Bone Joint Surg. 1968;  50 400-410
    PubMedGoogle Scholar
  • 65 Dick W. The fixateur intern as a versatile implant for spine surgery.  Spine. 1987;  12 882-900
    PubMedGoogle Scholar
  • 66 Hellinger J. et al . Stabilization of the spinal column in spondylitis using Harrington instrumentation.  Zentrabl Chir. 1982;  107 879-885
    PubMedGoogle Scholar
  • 67 Magerl F P. Stabilization of the lower thoracic and lumbar spine with external skeletal fixation.  Clin Orthop and Related Research. 1984;  189 125-141
    PubMedGoogle Scholar
  • 68 Schultz E. Postoperativ bone changes following lumbar disc removal.  J Neurosurg. 1958;  15 537-547
    PubMedGoogle Scholar
  • 69 Munro D. Lumbar and sacral compression radiculitis.  Engl J Med. 1956;  254 243-254
    PubMedGoogle Scholar
  • 70 Roberts M. Mortality rate of lumbar discectomy for herniated intervertebral disc disease. Annual meeting of the American association of neurologic surgeons, San Francisco 1984
    Google Scholar
  • 71 Sortland O, Kleppe H, Aandahl M, Blikra G. Percutaneous lumbar discectomy.  Acta radiologica. 1996;  37 85-90
    PubMedGoogle Scholar
  • 72 Donceel P, Du Bois M, Lahaye D. Return to work after surgery for lumbar disc herniation.  Spine. 1999;  24 ((9)) 872-876
    CrossrefPubMedGoogle Scholar
  • 73 Manniche C. Clinical benefit of intensive dynamic exercises for low back pain.  Scand J Med Sci Sports. 1996;  6 82-87
    PubMedGoogle Scholar
  • 74 Blaauw G, Braakman R, Gelpke G J, Singh R. Changes in radicular function following low back surgery.  J Neurosurg. 1988;  69 649-652
    CrossrefPubMedGoogle Scholar
  • 75 Raaf J. Some observations regarding 905 patients operated upon for protruded lumbar intervertebral disc.  Am J Surg. 1959;  97 388-399
    CrossrefPubMedGoogle Scholar
  • 76 Thomalske G, Galow W, Ploke G. Critical comments on comparison of 2 series (1000 patients each) of lumbar disc surgery.  Adv Neurosurg. 1977;  4 22-27
    PubMedGoogle Scholar
  • 77 Weber H. The effect of delayed disc surgery on muscular paresis.  Acta Orthop Scand. 1975;  46 631-642
    PubMedGoogle Scholar
  • 78 Weir B KA. Prospective study of 100 lumbosacral discectomies.  J Neurosurg. 1979;  50 283-289
    PubMedGoogle Scholar
  • 79 Pospiech J, Kalff R, Schneider K, Stolke D. Die radikuläre Parese im Rahmen lumbaler Wurzelkompressionssyndrome.  Zentralbl Neurochir. 1993;  54 52-57
    PubMedGoogle Scholar
  • 80 Jönsson B, Strömqvist B. Motor affliction of the L5 nerve root on lumbar nerve root compression syndromes.  Spine. 1995;  20 2012-2015
    PubMedGoogle Scholar
  • 81 Weber H. The effect of delayed disc surgery on muscular paresis.  Acta Orthop Scand. 1975;  46 ((4)) 631-642
    PubMedGoogle Scholar
  • 82 Selbmann H K, Schega W, Eichhorn W. Qualitätssicherung in der stationären chirurgischen Versorgung. Materialien und Berichte 24. Bleicher, Gerlingen 1989
    Google Scholar
  • 83 Donabedian A. The definition of quality approaches to its assesment. Ann Arbor, Health Administration Press 1980
    Google Scholar
  • 84 Deyo R A, Cherkin D C, Loeser J D, Bigos S J, Ciol M A. Morbidity and mortality in association with operations on the lumbar spine.  J Bone Joint Surg. 1992;  74A ((4)) 536-543
    PubMedGoogle Scholar
  • 85 Bischoff R J, Rodriguez R P, Gupta K, Righi A, Dalton J E, Whitecloud T S. A comparison of computed tomography-myelography, magnetic resonance imaging, and myelography in the diagnosis of herniated nucleus pulposus and spinal stenosis.  J Spinal Disord. 1993;  6 289-295
    PubMedGoogle Scholar
  • 86 Sandvoß G, Meyer F, Feldmann F. Aneuralgische Wurzelparesen durch lumbale Bandscheibenvorfälle. Spätergebnisse operativer Therapie.  Zentrbl Neurochir. 1990;  51 98-101
    PubMedGoogle Scholar
  • 87 Shapiro S. Cauda equina syndrom secondary to lumbar disc herniation.  Neurosurg. 1993;  32 743-747
    PubMedGoogle Scholar
  • 88 Masuhr K, Neumann M. Neurologie. 4. Auflage. Hippokrates 1998
    Google Scholar
  • 89 Nielsen B, deNully M, Schmidt K, Iversen-Hansen R. An urodynamic study of cauda equina syndrom due to lumbar disc herniation.  Urol Int. 1980;  35 167
    CrossrefPubMedGoogle Scholar
  • 90 Choudhury A, Taylor J. Cauda equina syndrome in lumbar disc disease.  Acta Orthop Scand. 1980;  51 493-499
    CrossrefPubMedGoogle Scholar
  • 91 Jennett W. A study of 25 cases of compression of the cauda equina by prolapsed intervertebral disc.  J Neurol Neurosurg Psychiatry. 1956;  19 109-116
    PubMedGoogle Scholar
  • 92 Kostuik J, Harrington I, Alexander D, Rand W, Evans D. Cauda equina syndrom and lumbar disc herniation.  J Bone Joint Surg (Am). 1986;  68 386-391
    PubMedGoogle Scholar
  • 93 O'Laoire S A, Crockard H A, Thomas D G. Prognosis for sphincter recovery after operation for cauda equina compression owing to lumbar disc herniation.  Br Med J. 1981;  282 1852-1854
    PubMedGoogle Scholar
  • 94 Knutsson B. How often do the neurological signs disappear after an operation of a herniated disc.  Acta Orthop Scand. 1962;  32 352-356
    PubMedGoogle Scholar
  • 95 Weber H. The effect of delayed disc surgery on muscular paresis.  Acta Orthop Scnad. 1975;  46 631-642
    PubMedGoogle Scholar
  • 96 Wilberger J E, Pang D. Syndrome of the incidental herniated disc.  J Neuro Surg. 1983;  59 137-141
    PubMedGoogle Scholar
  • 97 Loupasis G A, Stamos K, Katonis P G, Sapkas G, Korres D S, Hartofilakidis G. Seven to 20 year outcome of lumbar discectomy.  Spine. 1999;  24 2313-2317
    CrossrefPubMedGoogle Scholar
  • 98 Partsch H, Khan P. Venöse Strömungsbeschleunigung in Bein und Becken durch “Antithrombosestrümpfe”.  Klinikarzt. 1982;  11 609-615
    PubMedGoogle Scholar
  • 99 Bundesärztekammer, Kassenärztliche Bundesvereinigung . Beurteilungskriterien für Leitlinien in der medizinischen Versorgung.  Dtsch Ärztebl. 1997;  94 A2154-2155, -1623, C1754-1755
    PubMedGoogle Scholar
  • 100 Hartel W, Lorenz W. Empfehlungen zum Erstellen von Leitlinien der deutschen Gesellschaft für Chirurgie. Deutsche Gesellschaft für Chirurgie Mitteilungen 1/1996 Demeter, Balingen 1996: 32
    Google Scholar
  • 101 Grimshaw J M, Russell I T. Achieving health gain through clinical guidelines. I: Developing scientifically valid guidelines.  Quality in health care. 1993;  2 243-248
    PubMedGoogle Scholar
  • 102 Wottawa H, Thierau H. Evaluation. Hans-Huber-Verlag, Bern 1990: 9
    Google Scholar
  • 103 Bundesärztekammer .Curriculum Qualitätssicherung, Ärztliches Qualitätsmanagement. Herausgeber: Bundesärztekammer, KBV, AWMF 1996
    Google Scholar
  • 104 Reilmann H, Bosch U, Barthels M. Thromboembolieprophylaxe in der Chirugie.  Orthopäde. 1988;  17 110-117
    PubMedGoogle Scholar
  • 105 Kakkar V V, Murray W JG. Efficiency and safety of low molecular heparin (cy216) in preventing postoperative thromboembolism: a cooperative study.  Br J Surg. 1985;  72 786
    PubMedGoogle Scholar
  • 106 AWMF Leitlinien der deutschen Gesellschaft für Neurochirurgie zur degenerativen lumbalen Nervenwurzelkompression.  AWMF Leitlinienregister. 1999;  008/004
    PubMedGoogle Scholar
  • 107 Ecker J, Erschbamer H. Antibiotikaprophylaxe in der Orthopädie unter besonderer Berücksichtigung von Wirbelsäuleneingriffen.  Z Orthop. 1983;  121 738-740
    PubMedGoogle Scholar
  • 108 Zech D, Schug S A, Grond S. Therapiekompendium Tumorschmerz und Symptomkontrolle. Spitta Verlag, Balingen 1996
    Google Scholar
  • 109 Messing A M, Witthaut J. Qualitätssicherung in der Neurochirurgie.  Software Kurier. 1992;  4 204-209
    PubMedGoogle Scholar
  • 110 Messing-Jünger A M, Bock W J. Lumbale Nervenwurzelkompression: Ein kooperatives Projekt zur Qualitätssicherung in der Neurochirurgie.  Zentralbl Neurochir. 1995;  56 19-26
    PubMedGoogle Scholar
  • 111 Messing-Jünger A M, Bock W J. Qualitätssicherung in der Neurochirurgie - dargestellt an der Tracerdiagnose Wurzelkompressions-Syndrom. Ekkernkamp, Scheibe: Qualitätsmanagement in der Medizin IV2.2.18: 1-12 2000
    Google Scholar
  • 112 Krämer J, Ludwig J. Die operative Behandlung des lumbalen Bandscheibenvorfalls.  Orthopäde. 1999;  28 579-584
    CrossrefPubMedGoogle Scholar
  • 113 Revel M. Automated percutaneous lumbar discectomie versus chemonucleolysis in the treatment of sciatica.  Spine. 1993;  18 1-7
    PubMedGoogle Scholar
  • 114 Jantea C, Fisschener J, Schöppe K, Schulitz K P. Results of MRI after automated percutaneous lumbar discectomy. In: M Mayer, M Brock (Hrsg) Percutaneous lumbar discectomy. Springer Verlag 1989
    Google Scholar
  • 115 Kahanovitz N, Viola K, Watkins R, Dawson E, Goldstein T. A multicenter Analysis of automated percutaneous discectomie. ISSLS Meeting, Kyoto 1989
    Google Scholar
  • 116 Kambin P, Gellmann H. Percutaneous lateral discectomie of the lumbar spine.  Clin Orthop. 1983;  174 127-132
    PubMedGoogle Scholar
  • 117 Steffen R, Wittenberg R, Lütke A, Krämer J, Schmidt K. Laser discectomy versus chemonucleolysis, a prospective comparative study.  Spine (accepted).
    PubMedGoogle Scholar
  • 118 Fager C. Comments on microsurgical and standard removal of the protruded lumbar disc: a comparative study.  Neurosurg. 1987;  8 426-427
    PubMedGoogle Scholar
  • 119 Gibson J NA, Grant I C, Waddell G. Surgery for lumbar disc prolapse (Cochrane Review). In: The Cochrane Library Update Software, Oxford 2001: 4
    Google Scholar

Dr. med. A. Martina Messing-Jünger

Neurochirurgische Klinik

Heinrich-Heine-Universität

Moorenstr. 5

40225 Düsseldorf

Phone: +49-211-811-6267

Email: Messing-Juenger@med.uni-duesseldorf.de

      >