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exame físico e neurológico. A cirurgia envolve a des-
compressão dos elementos neurais, podendo ser reali-
zada pela técnica aberta, tubular ou endoscópica, sen-
do que a excisão do fragmento ósseo é controversa. (39,40)
A ressecção do fragmento não influencia nos resulta-
dos clínicos e não é sempre necessária, devendo ser
avaliada sua necessidade caso a caso. (41,42)
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