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Lumbar disk herniation

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https://www.readbyqxmd.com/read/27890757/percutaneous-endoscopic-removal-of-a-lumbar-epidural-angiolipoma-via-interlaminar-approach-a-technical-report
#1
Guang-Yu Ying, Ying Yao, Fang Shen, Yu-Cheng Ren, Chien-Min Chen, Yong-Jian Zhu
BACKGROUND: Percutaneous endoscopic technique has been routinely used in the treatment of disk herniation while there are few reports on its application in the management of intraspinal tumors. We presented here the first case report of lumbar epidural angiolipoma that was totally removed by percutaneous endoscopy. CASE DESCRIPTION: A 63-year-old man presented with 4-month history of progressively worsening low back pain was admitted to our hospital. No abnormal neurological finding was noticed on physical examination and magnetic resonance imaging demonstrated a dorsally located L2-L3 epidural lesion, suggestive of a non-infiltrating angiolipoma...
November 24, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27879508/effect-of-an-annular-closure-device-barricaid-on-same-level-recurrent-disk-herniation-and-disk-height-loss-after-primary-lumbar-discectomy-two-year-results-of-a-multicenter-prospective-cohort-study
#2
Scott L Parker, Gordan Grahovac, Duje Vukas, Milorad Vilendecic, Darko Ledic, Matthew J McGirt, Eugene J Carragee
STUDY DESIGN: A prospective cohort study. OBJECTIVE: To evaluate whether an annular closure device could be implanted safely to reduce same-level recurrent disk herniation, or attenuate disk height loss and improve the outcome after lumbar discectomy. SUMMARY OF BACKGROUND DATA: Same-level recurrent disk herniation, disk height loss, and progressive degeneration are common complications and sequelae after lumbar discectomy. Techniques to reduce these consequences may improve outcomes...
December 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27866425/the-role-of-physical-status-versus-mental-status-in-predicting-the-quality-of-life-of-patients-with-lumbar-disk-herniation
#3
Batya Engel-Yeger, Amit Keren, Yaron Berkovich, Elad Sarfaty, Lior Merom
PURPOSE: To explore the role of physical status versus mental status in predicting the quality of life (QOL) of patients with lumbar disk herniation (LDH). METHOD: In this correlative study 51 patients with LDH were recruited in their conservative stage of treatment. After profiling their physical status, all participants reported about pain level (according to VAS), pain perception using the Pain Catastrophizing Scale (PCS), and disability level (according to Oswestry Low Back Pain Disability Questionnaire)...
November 20, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27807886/the-expression-of-cytokine-and-its-significance-for-the-intervertebral-disks-of-kazakhs
#4
Miao Xiaogang, Hou Quanshan, Zhang Liping, Habaxi Kaken
BACKGROUND: Proinflammatory cytokine IL-6 and anti-inflammatory cytokine IL-10 are expressed in herniated intervertebral disks of Kazakhs, but their significance is not yet understood. METHODS: Specimens of herniated lumbar disk were collected from 30 patients with single disk herniation during lumbar discectomy. As a control, 10 specimens were collected postmortem from the cadavers of individuals who did not die from spinal disease. The clinical symptoms in all cases were evaluated preoperation by the JOA index...
November 3, 2016: Journal of Clinical Laboratory Analysis
https://www.readbyqxmd.com/read/27742516/massive-lumbar-disc-herniation-following-therapeutic-water-boiling-of-the-lower-extremities-a-case-report-and-literature-review
#5
A Spallone, M Çelniku
A 49 years-old man came to our attention with severe flaccid paraparesis occurring 10 days before, almost immediately after he had immerged his legs in boiling water for treating his severe left lombo-crural pain. This was known to be due to a right L3-L4 herniated disk diagnosed by MRI. At the examination he showed severe motor paresis and absent reflexes of his lower limbs, whilst crural pain was very mild and sensation and urinary function were unaffected. The results of his neurological examination led us to suspect an acute motor axon degeneration related to the heating shock...
October 11, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27683678/technical-note-microdiscectomy-and-translaminar-approach
#6
REVIEW
Daniele Vanni, Renato Galzio, Anna Kazakova, Matteo Guelfi, Andrea Pantalone, Vincenzo Salini, Vincenzo Magliani
Lumbar disk herniation (LDH) is a degenerative pathology. Although LDH generally occurs without migration of the fragment to the levels above or below, in 10% of the cases, this circumstance might happen. In these cases, the standard interlaminar approach, described by Caspar cannot be performed without laminotomies, interlaminectomies, or partial or total facetectomies. The translaminar approach is the only "tissue-sparing" technique viable in cases of cranially migrated LDH encroaching on the exiting nerve root in the preforaminal zones, for the levels above L2-L3, and in the preforaminal and foraminal zones, for the levels below L3-L4 (L5-S1 included, if a total microdiscectomy is unnecessary)...
December 2015: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/27677041/posterior-intraductal-lombar-tumor%C3%A2-about-a-migration-disc
#7
Samia Frioui Mahmoudi, Emna Toulgui, Sonia Jemni, Khalil Ben Jeddou, Mariem Gaddour, Afif Zaoui, Faycel Khachnaoui
OBJECTIVE: To talk through our observation and a review of the literature about radiological features and diagnostic difficulties of this particular form of disk migration. OBSERVATIONS: We report the case of a 29 year-old patient who presented following the wearing of a heavy load bilateral acute lombosciatalgies associated with a deficit of both lower limbs and urinary incontinence. Clinical examination revealed a motor deficit of sural triceps and foot relievers estimated1 in bilateral, hypoesthesia of the anterolateral side of the two legs and the feet, low bone tendon reflexes were abolished, anesthesia in the saddle, hypotonic anal sphincter and bladder distension...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27673378/minimal-incision-multifidus-sparing-microendoscopic-diskectomy-versus-conventional-microdiskectomy-for-highly-migrated-intracanal-lumbar-disk-herniations
#8
Mohamed Hussein
BACKGROUND: Highly migrated intracanal disk herniation is not among the exclusion criteria of the interlaminar microendoscopic diskectomy (MED) procedure. The goal of this prospective, randomized, controlled study was to compare the effect of the size of the skin incision and the method of handling the multifidus muscle on the results of the interlaminar MED procedure versus conventional microdiskectomy in retrieving highly migrated intracanal disk herniations. METHODS: Seventy-three patients with highly migrated intracanal lumbar disk herniations treated with either minimal incision, multifidus-sparing MED or conventional microdiskectomy were observed for 2 years...
November 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27672986/poster-227-cauda-equina-syndrome-after-lumbar-disk-herniation-a-case-report
#9
Siena N Ona, Raymund V Millan
No abstract text is available yet for this article.
September 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27485047/rational-approach-technique-and-selection-criteria-treating-lumbar-disk-herniations-by-oxygen-ozone-therapy
#10
Mario Muto, Francesco Giurazza, Ricardo Pimentel Silva, Gianluigi Guarnieri
Radicular lumbar back pain is an important public health problem not yet benefiting from a unequivocal treatment approach. Medical and physical therapies represent the first solution; however, when these fail, the second therapeutic step is still controversial and mini-invasive treatments may play an important role. In these cases oxygen-ozone therapy has been proved to be a very safe and effective option that is widely used with different modalities. This paper, by reviewing oxygen-ozone therapy literature data, aims to describe the rationale of oxygen-ozone therapy for the treatment of lumbar disk herniations, propose an effective procedural technique and clarify patient selection criteria; furthermore, complications and follow-up management are also considered...
August 2, 2016: Interventional Neuroradiology
https://www.readbyqxmd.com/read/27462648/the-effect-of-continuing-care-on-patient-s-quality-of-life-after-disc-surgery-in-neurosurgery-and-very-important-person-wards
#11
Nasrollah Alimohammadi, Manijeh Eslami, Hojatollah Yousefi, Homayoon Tabesh
BACKGROUND: Today, lumbar herniation discs, a prevalent problem with a sign of lumbar and feet pain in society. Removal of disk by surgery decrease pain but reduce quality-of-life (QOL). In some cases, lake of following and caring of patient after surgery, herniation disc recurrent. Previous studies show that patient education and followings is important, therefore, this study aimed to investigate the effect of continuing care on patient QOL after disc surgery in neurosurgery and very important person (VIP) ward in Al-Zahra Hospital...
2015: Journal of Education and Health Promotion
https://www.readbyqxmd.com/read/27414674/sciatica-treating-a-painful-symptom
#12
A A Davis, E J Carragee
In brief Contrary to popular belief, sciatica, a symptom of lumbar disk herniation, is relatively uncommon. Characteristics include pain in the posterior thigh, lower leg, or foot that is greater than accompanying low-back pain. Sciatic tension tests confirm the presence of sciatica by reproducing the pain. Many patients who have sciatica recover spontaneously; most others can be treated conservatively with limitation of activity, anti-inflammatory medication, and gradual return to full activity. A variety of surgical options are available for patients who have extruded disks and progressive neurologic deficit or severe, persistent, intolerable pain...
January 1992: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/27403976/percutaneous-automated-diskectomy-in-athletes
#13
J C Maroon, G Onik, A Day
In brief: Six athletes underwent percutaneous automated diskectomy-a new technique for aspirating lumbar disks. The patients had herniated lumbar disks (confirmed by computed tomography and magnetic resonance imaging scans, and/or myelography). Conservative therapy had failed, and they were unable to participate in their respective sports. The procedure, which requires local anesthesia and takes about 45 minutes, was successful in all six cases. No serious complications resulted, and the athletes returned to their sport and functioned normally within six months...
August 1988: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/27379776/low-intensity-laser-and-led-therapies-associated-with-lateral-decubitus-position-and-flexion-exercises-of-the-lower-limbs-in-patients-with-lumbar-disk-herniation-clinical-randomized-trial
#14
Maria Ester I Mendes de Carvalho, Reynaldo Mendes de Carvalho, Amélia Pasqual Marques, Lorena Mendes de Carvalho Lucio, Antonio César Almeida de Oliveira, Osmar Pinto Neto, Antonio Balbin Villaverde, Carlos José de Lima
UNLABELLED: The objective of this study is to evaluate the effectiveness of laser and LED therapies, associated with lateral decubitus position and flexion exercises of the lower limbs in patients with lumbar disk herniation (LDH). It is a randomized blinded clinical trial. Fifty-four subjects with LDH L4-L5 and L5-S1 were selected and randomly allocated into groups: laser 904 nm, placebo, and LED 945 nm. The numbers of subjects for each group that completed the treatment were 18, 13, and 18, respectively...
September 2016: Lasers in Medical Science
https://www.readbyqxmd.com/read/27365757/a-randomized-clinical-trial-of-three-different-steroid-agents-for-treatment-of-low-backache-through-the-caudal-route
#15
Rashmi Datta, K K Upadhyay
BACKGROUND: Although epidural steroids are commonly used for conservative management of sciatica, controversies exist regarding optimal approach, type and dose of steroids, volume of injectate and frequency of administration. This randomized comparative blinded study was undertaken to compare the efficacy of caudal methylprednisolone acetate with triamcinolone acetonide and dexamethasone acetate, for pain relief for sciatica associated with lumbar-disk herniations. METHODS: A Total of 163 patients with radicular pain due to lumbar-disk herniations, between 27-70 years of age were randomly divided into four groups: three were given epidural steroid injection therapy (methylprednisolone acetate, triamcinolone acetonide and betamethasone acetate) with bupivacaine; one group received bupivacaine alone via caudal approach...
January 2011: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/27317914/analysis-of-migration-patterns-of-disk-fragments-and-contributing-factors-in-extruded-lumbar-disk-herniation
#16
Eun-Seok Son, Du Hwan Kim, Jae Won Jung, Donggyu Lee
BACKGROUND: The exact location of migrated extruded lumbar disk fragments is an important consideration in selecting a treatment plan. However, few descriptive reports of the migration pattern of extruded lumbar disk fragments are available. OBJECTIVE: To examine the distribution of disk fragments and possible contributing factors that affect their migration. DESIGN: Retrospective descriptive study. SETTING: Tertiary university outpatient and inpatient clinic...
June 16, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27290969/paraplegia-caused-by-giant-intradural-herniation-of-a-lumbar-disk-after-combined-spinal-epidural-anesthesia-in-total-hip-arthroplasty
#17
Toshiyuki Sawai, Junko Nakahira, Toshiaki Minami
Total paraplegia after epidural or spinal anesthesia is extremely rare. We herein report a case of total paraplegia caused by a giant intradural herniation of a lumbar disk at the L3-L4 level after total hip arthroplasty for coxarthrosis. The patient had no preoperative neurologic abnormalities. Intraoperative anesthetic management involved combined spinal-epidural anesthesia at the L3-L4 level with continuous intravenous propofol administration. Postoperatively, the patient complained of numbness and total paraplegia of the lower extremities...
August 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27257401/posterior-epidural-migration-of-a-sequestrated-lumbar-disk-fragment-causing-cauda-equina-syndrome-in-an-old-patient-a-case-report
#18
Kaveh Haddadi, Hamid Reza Ganjeh Qazvini
Disk fragment relocation is commonly limited to the anterior epidural space, although posterior epidural movement of a sequestrated disk piece to the posterior epidural space is infrequent. We present an uncommon case of dorsal extradural sequestration of lumbar disk herniation. A 77-year-old man presented with severe leg pain, low back pain, and urinary incontinence. Deep tendon reflexes were inattentive at the knee and ankle, and the motor power in terms of ankle dorsiflexion and great toe dorsiflexion was 2/5 in both lower limbs...
2016: Clinical Medicine Insights. Case Reports
https://www.readbyqxmd.com/read/27200402/neglected-alkaptonuric-patient-presenting-with-steppage-gait
#19
Babak Mirzashahi, Abbas Tafakhori, Arvin Najafi, Mahmoud Farzan
Even though intervertebral disc degeneration can be found in the natural course of alkaptonuria, detection of the disease by black disc color change in a patient without any other presentation of alkaptonuria is an exceptionally rare condition. We have reported a very rare case of alkaptonuria presented with low back pain and steppage gait in a 51-year-old male with a complaint of chronic low-back pain and steppage gait who was operated on for prolapsed lumbar disc herniation. Intraoperatively his lumbar disk was discovered to be black...
April 2016: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/27190744/a-comparison-of-magnetic-resonance-imaging-muscle-fat-content-in-the-lumbar-paraspinal-muscles-with-patient-reported-outcome-measures-in-patients-with-lumbar-degenerative-disk-disease-and-focal-disk-prolapse
#20
Ashwin Bhadresha, Owen John Lawrence, Michael J H McCarthy
Study Design Retrospective study. Objectives To assess the fatty atrophy of the lumbar paraspinal muscles (LPMs) as determined using magnetic resonance imaging in patients with lumbar degenerative disk disease (DDD) and focal disk herniation and to determine if fatty atrophy is associated with patient-reported outcome measures (PROMS). Methods One hundred sixty-five patients with lumbar DDD were identified from a PROMS database of >1,500 patients. These patients were divided into two study groups: DDD alone (n = 58) and DDD with disk herniation (n = 107)...
June 2016: Global Spine Journal
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