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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    European spine journal 4 (1995), S. 327-334 
    ISSN: 1432-0932
    Keywords: Microdiscotomy ; Disc classification ; Fourstep interlaminar approach ; Anatomy ; Lumbar spine
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Planning and performing lumbar microdiscotomy—with or without a microscope—requires a three-dimensional understanding of the spinal canal and its surrounding structures. A new disc-related classification is helpful. Lumbar motion segments are divided into disc, infradiscal and supradiscal levels in the craniocaudal plane and into medial, paramedial and lateral zones in the horizontal plane. Traversing roots, with or without nerve root sheath, and exiting roots have specific locations to the levels and zones. A comparative study of conservatively and surgically treated patients showed that not only the size of the disc herniation but also the direction of migration of the extruded disc material has a bearing on the form of treatment that is indicated.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Der Schmerz 10 (1996), S. 269-275 
    ISSN: 1432-2129
    Keywords: Schlüsselwörter Orthopädische Schmerztherapie ; Lokale Injektionen ; Epidural ; Wurzelblockade ; Kortikosteroide ; Lokalanästhetika ; Key words Orthopaedic pain treatment ; Local injections ; Low back pain ; Epidural ; Corticosteroid ; Local anaesthetic
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Abstract Besides the treatment of postoperative pain, working together with the anaesthesiologist, orthopaedic doctors are mostly involved in diseases of the locomotor system where pain is a leading feature. Painful orthopaedic diseases are very frequent. They afford a special diagnostic procedure. The pain treatment consists of special orthopaedic therapy and local injections with low doses of local anaesthetics and steroids at the site of pain. This treatment helps to avoid the use of high-dose systemic analgesics and perhaps avoids the need for operations.
    Notes: Zusammenfassung Neben postoperativen Schmerzzuständen, die der Orthopäde in der Klinik im allgemeinen in Zusammenarbeit mit dem Anästhesisten behandelt, haben es Orthopäden vor allem in der Praxis mit Erkrankungen der Stütz- und Bewegungsorgane zu tun, bei denen Schmerzen im Vordergrund stehen. Für den gezielten schmerztherapeutischen Ansatz ist eine spezielle orthopädische Diagnostik erforderlich. Die orthopädische Schmerztherapie besteht in der Ursachenbeseitigung und einer lokalen Schmerzbehandlung in Form von Injektionen mit niedrig dosierten Lokalanästhetika und Glukokortikosteroiden.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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