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Lumbar disc prolapse

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https://www.readbyqxmd.com/read/27891030/the-role-of-transforaminal-percutaneous-endoscopic-discectomy-in-lumbar-disc-herniations
#1
Sarang Gotecha, Deepak Ranade, Sujay Vikhe Patil, Ashish Chugh, Megha Kotecha, Shrikant Sharma, Prashant Punia
OBJECTIVES: To study 1)the efficacy of transforaminal percutaneous endoscopic lumbar discectomy in lumbar disc herniations.2) limitations and advantages of the surgical procedure. 3)morbidity and complications associated with the procedure. MATERIALS AND METHODS: This study was carried out on 120 patients who had single level herniated disc Pre-operative assessment of VAS and MSS scoring systems were documented one day prior to surgery. Post operative results were determined by MacNab criteria and by modified Suezawa and Schreiber clinical scoring system (MSS score)...
October 2016: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/27885288/correlation-between-clinical-features-and-magnetic-resonance-imaging-findings-in-lumbar-disc-prolapse
#2
S S Thapa, R B Lakhey, P Sharma, R K Pokhrel
BACKGROUND: Magnetic resonance imaging is routinely done for diagnosis of lumbar disc prolapse. Many abnormalities of disc are observed even in asymptomatic patient.This study was conducted tocorrelate these abnormalities observed on Magnetic resonance imaging and clinical features of lumbar disc prolapse. METHODS: A This prospective analytical study includes 57 cases of lumbar disc prolapse presenting to Department of Orthopedics, Tribhuvan University Teaching Hospital from March 2011 to August 2012...
May 2016: Journal of Nepal Health Research Council
https://www.readbyqxmd.com/read/27842523/does-walking-after-lumbar-spinal-surgery-predict-recovery-of-function-at-six-months-protocol-for-a-prospective-cohort-study
#3
Sarah Gilmore, Jodie A McClelland, Megan Davidson
BACKGROUND: Physiotherapists are commonly involved in the management of patients immediately following lumbar spinal surgery. There is however, very little research to guide physiotherapy intervention in the acute post-operative period, and the advice provided to patients regarding post-operative walking and physical activity has been shown to be highly variable. The primary aim of this research is to establish whether the amount of walking patients perform in the week following lumbar spinal surgery predicts improvement in function at 6 months...
November 14, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27818870/spontaneous-chronic-epidural-hematoma-in-the-lumbar-spine-associated-with-warfarin-intake-a-case-report
#4
Axel Sandvig, Håkan Jonsson
INTRODUCTION: Spontaneous spinal epidural hematomas are rare. However, in patients on anticoagulant treatment the risk may increase. Symptomatically patients may present with radiculopathy and even progressive neurological deficits. CASE DESCRIPTION: We present a case of a warfarin treated patient with left L5 radiculopathy. MRI was evaluated as showing a lumbar disc prolapse or synovial cyst at L4-L5 level. The patient was operated and an organized material was removed and analysed as a hematoma...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27790553/efficacy-of-platelet-rich-plasma-via-lumbar-epidural-route-in-chronic-prolapsed-intervertebral-disc-patients-a-pilot-study
#5
Rohan Bhatia, Gaurav Chopra
INTRODUCTION: Lumbar radiculopathy is a major health problem often treated by surgery or guided lumbar epidural steroids for pain relief. We have used Platelet Rich Plasma (PRP) a novel therapeutic tool of autologous nature that has emerged strongly in recent years to treat patients of prolapsed intervertebral disc. AIM: To evaluate the efficacy of PRP via interlaminar epidural route in treatment of pain in patients with prolapsed inter vertebral disc. MATERIALS AND METHODS: Ten patients were injected with five ml of autologous platelet rich plasma under fluoroscopic guidance via interlaminar lumbar epidural injection into area of affected nerve root...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27684803/cervicogenic-headache-alleviation-after-cervical-coblation-nucleoplasty-a-prospective-cohort-study
#6
Liangliang He, Jianning Yue, Liqiang Yang, Baishan Wu, Guoqing Cao, Yuna Guo, Guanghui Lai, Yuanzhang Tang, Jiaxiang Ni
A degenerative cervical disc is a pain generator for headaches, and headaches can benefit from cervical prolapse surgery. However, as an alternative intervention for open cervical surgery, no study has reported whether headaches can benefit from cervical nucleoplasty.The objective of this study was to evaluate the efficacy of cervical coblation nucleoplasty in the treatment of cervicogenic headaches.In a prospective cohort study performed between December 2013 and August 2015, 20 patients with cervicogenic headaches undergoing cervical nucleoplasty for shoulder-arm pain were recruited into group C, and 20 patients with cervicogenic headaches undergoing lumbar nucleoplasty for low back pain, matched for age and sex, were recruited into group L...
September 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27630917/efficacy-of-epidural-steroid-injection-in-management-of-lumbar-prolapsed-intervertebral-disc-a-comparison-of-caudal-transforaminal-and-interlaminar-routes
#7
Ritesh Arvind Pandey
INTRODUCTION: Epidural steroid is an important modality in the conservative management of prolapsed lumbar disc and is being used for over 50 years. However, controversy still persists regarding their effectiveness in reducing the pain and improving the function with literature both supporting and opposing them are available. AIM: To study the efficacy of epidural steroid injection in the management of pain due to prolapsed lumbar intervertebral disc and to compare the effectiveness between caudal, transforaminal and interlaminar routes of injection...
July 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27630476/microdiscectomy-or-tubular-discectomy-is-any-of-them-a-better-option-for-management-of-lumbar-disc-prolapse
#8
Pallav S Bhatia, Harvinder S Chhabra, Bibhudendu Mohapatra, Ankur Nanda, Gururaj Sangodimath, Rahul Kaul
OBJECTIVES: Various types of minimally invasive techniques have been developed for the treatment of lumbar disc herniation. The original laminectomy was refined into microdiscectomy (MD). MD is the gold standard in management of lumbar disc herniation and is used as a yardstick for comparison with newer procedures such as tubular discectomy. So far, no studies have been reported in Indian population comparing tubular discectomy and microdiscectomy. The aim of this study was to compare immediate postoperative and 1-year outcome of patients undergoing tubular discectomy with those undergoing MD and to evaluate the learning curve as well as complication rates of tubular discectomy...
July 2016: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/27514828/-multimodal-therapy-concepts-for-failed-back-surgery-syndrome
#9
Hans-Raimund Casser
Failed back surgery syndrome (FBSS) is a frequent complication (15-40 %) of lumbar disc surgery and is rarely successfully treated by surgery with the exception of a re-prolapse associated with radicular pain. Multimodal pain treatment, however, is indicated by a lack of pathoanatomical correlates, unclear cause and psychosocial risk factors.This review describes a standardized non-operative treatment starting with broad interdisciplinary clarification by medical, psychological and physiotherapeutic means (assessment)...
September 2016: Der Orthopäde
https://www.readbyqxmd.com/read/27512228/lumbar-epidural-varices-an-unusual-cause-of-lumbar-claudication
#10
Meenakshisundaram Subbiah, Krishnan Yegumuthu
Lumbar epidural varices can also present with radiculopathy similar to acute intervertebral disc prolapse (IVDP). However as the magnetic resonance imaging (MRI) in these patients are usually normal without significant compressive lesions of the nerve roots, the diagnosis is commonly missed or delayed leading to persistent symptoms. We present a rare case of acute severe unilateral claudication with a normal MRI unresponsive to conservative management who was treated surgically. The nerve root on the symptomatic side was found to be compressed by large anterior epidural varices secondary to an abnormal cranial attachment of ligamentum flavum...
July 2016: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/27336841/-are-there-correlations-between-disc-degeneration-and-the-appearance-of-lumbar-disc-herniations
#11
O Linhardt, J Grifka, A Benditz
Background: The correlation between disc prolapse and disc degeneration is important in the evaluation of clinical and occupational disease. The present clinical radiological study investigated whether there is a correlation between disc degeneration (chondrosis) and disc prolapses. Patients and Methods: The present study is a retrospectively trial which was performed with conservatively and surgically treated patients from 2011 till 2013 in our clinic. 100 patients with disc prolapse and chondrosis in current MRI images were recruited...
June 23, 2016: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/27324001/-how-does-a-intervertebral-disk-prolapse-recede-without-surgery
#12
H S Füeßl
No abstract text is available yet for this article.
June 23, 2016: MMW Fortschritte der Medizin
https://www.readbyqxmd.com/read/27298989/spinal-epidural-varices-a-great-mimic-of-intervertebral-disc-prolapse-a-case-series
#13
Raghavendra V, Papanaik Haridas, Anand Kumar, Ajith K
INTRODUCTION: Epidural venous plexus enlargement, presenting with low back pain and radiculopathy, is an uncommon cause of nerve roots impingement. This condition commonly mimics a herniated nucleus pulposus radiologically. The radiological diagnosis is often missed and the diagnosis is made during the surgery. We are hereby presenting 2 such cases of epidural varices mimicking intervertebral disc prolapse with lumbar radiculopathy. CASE REPORT: Case 1: 43 yr old female presented with acute exacerbation of low back ache and significant right L5-S1 radiculopathy without neurological deficit...
October 2014: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27240099/standards-of-care-in-cauda-equina-syndrome
#14
N V Todd, R A Dickson
What constitutes cauda equina syndrome (CES), how it should be subclassified and how urgently to image and operate on patients with CES are all matters of debate. A structured review of the literature has led us to evaluate the science and to propose evidence-based guidelines for the management of CES. Our conclusions include this guidance: pain only; MRI negative - recommend: analgesia, ensure imaging complete (not just lumbar spine) adequate follow-up. Bilateral radiculopathy (CESS) with a large central disc prolapse - recommend: discuss with the patient and if for surgery, the next day (unless deteriorates to CESI in which case emergency surgery); CESI - recommend: the true emergency for surgery by day or night; a large central PLID with uncertainty as to whether CESI or CESR (e...
October 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27200402/neglected-alkaptonuric-patient-presenting-with-steppage-gait
#15
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/27195028/adolescent-prolapsed-lumbar-intervertebral-disc-management-strategies-and-outcome
#16
Pragyan Sarma, Rajan Thanga Thirupathi, Dwarakanath Srinivas, Sampath Somanna
OBJECTIVE: Lumbar intervertebral disc herniation (LIVDH) is rare in children and adolescents when compared to adults. In literature, children generally constitute around 0.5-3% of surgically treated LIVDH. Though much rarer, they are less likely to respond to conservative treatment than adults. In this study, we analyze our experience in the management of adolescent LIVDH (ALIVDH) (age group 12-18 years) including the demographic, clinico-radiological features; surgical management strategies and outcome...
January 2016: Journal of Pediatric Neurosciences
https://www.readbyqxmd.com/read/27185724/asystole-during-lumbar-discectomy-a-case-report
#17
Vikas Chauhan, Ankita Tiwari, Girija Prasad Rath, Sujoy Banik
Hemodynamic derangements have been reported after surgery involving upper cervical spine. Similar observations, however, are rare during a lumbar spine surgery. We share our experience in a patient who had 2 episodes of bradycardia leading to transient asystole while undergoing lumbar discectomy for prolapsed intervertebral disc. The risk of life-threatening hemodynamic disturbances during seemingly uncomplicated surgery in prone position has been emphasized.
June 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27182509/spectrum-of-spinal-abnormalities-on-magnetic-resonance-imaging-of-patients-with-clinical-suspicion-of-spinal-lesions-in-kano-nigeria
#18
M A Suwaid, A Ismail, M M Idris
BACKGROUND: Magnetic resonance imaging (MRI) of the spine is a powerful tool for evaluation, assessment of severity, and follow up of diseases of the spine. It is one of the most sensitive diagnostic tests for detecting anatomic abnormalities of the spine and the adjacent structures. AIM: To determine the pattern of spinal abnormalities on MRI in Kano, Nigeria. MATERIALS AND METHOD: Patients aged between 2 and 95 years who had spinal MRI with AIRIS II TOSHIBA (0...
October 2014: Journal of the West African College of Surgeons
https://www.readbyqxmd.com/read/27134956/functional-outcome-of-lumbar-discectomy-by-fenestration-technique-in-lumbar-disc-prolapse-return-to-work-and-relief-of-pain
#19
Ujjwal Gowardhan Wankhade, Mahesh Kotehal Umashankar, B S Jayakrishna Reddy
INTRODUCTION: Low back pain affects every population and is one of world's foremost debilitating conditions. Clinically significant sciatica due to lumbar disc prolapse occurs in 4-6% of population. Fenestration discectomy as a surgical procedure is less time consuming, with lesser blood loss, lesser post-operative complications and does not compromise with stability of spine when compared to laminectomy. AIM: Present study was conducted to determine extent of functional recovery i...
March 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/26914525/physiotherapy-for-patients-with-sciatica-awaiting-lumbar-micro-discectomy-surgery-a-nested-qualitative-study-of-patients-views-and-experiences
#20
Jonathan Boote, Ruth Newsome, Michael Reddington, Ashley Cole, Munyaradzi Dimairo
BACKGROUND AND PURPOSE: Sciatica is a common clinical condition that can be extremely painful, disabling and life-changing. Whether conservative or surgical treatment for sciatica secondary to an intervertebral disc prolapse is most effective is still much debated. An important component of conservative treatment is physiotherapy, which aims to promote physical and psychological health for the patient, whilst resorption of the disc takes place. This paper reports a qualitative study of patients' views and experiences of a bespoke physiotherapy intervention for the treatment of sciatica...
February 23, 2016: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
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