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Incision of the Sheath of Schwann for Low Lumbar Nerve Roots decompression: A Prospective Study of 50 Cases

 Mei Fangrui, Zhang Xia, Zhou Yue. The Second Affiliated Hospital, Third Military Medical University, Chongqing 400037  
Objective: To evaluate the effects of the incision of the sheath of Schwann of low lumbar spinal nerve roots on the alleviation of numbness in foot or toe. Methods: Fifty patients with lumbar disc protrusion and symptoms of numbness in foot or toe were selected as experimental proup. Lumbar discectomy and incision of the sheath of Schwann of the nerve roots were performed, which included longitudinal incision of the full lengh of the lumbar spinal nerve roots until complete decompression and the nerve tracts were clearly seen. Another 20 patients with the same lesions and similar symptoms underwent discectomy alone served as controls. Results: The numbness in foot or toe lasted for an average of 5.2 days (0 to 9 days ) in the experimental group and 4 months (2 to 7.5 months) in the controls postoperatively. Conclusions: Incision of the sheath of Schwann of lumbar spinal nerve root could alleviate the symptom of numbness in foot or toe in the patients with lumbar disc protrusion.
【CateGory Index】: R651.3
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