keyword
https://read.qxmd.com/read/37197373/full-endoscopic-spine-surgery
#21
JOURNAL ARTICLE
Pramod V Lokhande
BACKGROUND: With a dramatic increase in elderly population worldwide, the prevalence of degenerative spine disease is steadily rising. Even though the entire spinal column is affected the problem is more commonly seen in the lumbar, cervical spine and to some extent the thoracic spine. The treatment of symptomatic lumbar disc or stenosis is primarily conservative with analgesics, epidural steroids and physiotherapy. Surgery is advised only if conservative treatment is ineffective. Conventional open microscopic procedures even though are still a gold standard, have the disadvantages of excessive muscle damage and bone resection, epidural scarring along with prolonged hospital stay and increased need of postoperative analgesics...
June 2023: Journal of Orthopaedics
https://read.qxmd.com/read/37122521/reabsorption-of-intervertebral-disc-prolapse-after-conservative-treatment-with-traditional-chinese-medicine-a-case-report
#22
Cong-An Wang, Hong-Fei Zhao, Jing Ju, Li Kong, Cheng-Jiao Sun, Yue-Kun Zheng, Feng Zhang, Guang-Jian Hou, Chen-Chen Guo, Sheng-Nan Cao, Dan-Dan Wang, Bin Shi
BACKGROUND: Conservative treatments have been reported to diminish or resolve clinical symptoms of lumbar intervertebral disc herniation (LIDH) within a few weeks. CASE SUMMARY: Computed tomography and magnetic resonance imaging (MRI) of the lumbar region of a 25-year-old male diagnosed with LIDH showed prolapse of the L5/S2 disc. The disc extended 1.0 cm beyond the vertebral edge and hung along the posterior vertebral edge. The patient elected a conservative treatment regimen that included traditional Chinese medicine (TCM), acupuncture, and massage...
April 6, 2023: World Journal of Clinical Cases
https://read.qxmd.com/read/36968683/a-severe-disc-herniation-mimics-spinal-tumor
#23
Eric Chun-Pu Chu, Andy Lin, Kevin Hsu Kai Huang, Gordon Cheung, Wai Ting Lee
Lumbar disc herniation (LDH) is prevalent among adults aged 25-55 years who spend a considerable proportion of their time sitting or standing with heavy workloads. We report the case of a 33-year-old male waiter with severe LDH, causing compression of the nerve roots and spinal cord with neurological dysfunction, who presented to a chiropractic clinic. Magnetic resonance imaging (MRI) revealed a radiological differential diagnosis comprising LDH and an epidural mass lesion. To rule out serious pathology, a second MRI with contrast was ordered, which confirmed the diagnosis of severe LDH...
March 2023: Curēus
https://read.qxmd.com/read/36942166/herniating-intradural-disc-at-lumbar-l4-l5-level-a-case-report
#24
Farrukh Javeed, Javeria Khan, Lal Rehman
Prolapse of intervertebral disc is a common pathology seen in the neurosurgery field but intradural lumbar disc herniation is a rare entity encountered only during the surgical treatment of prolapse. We present a 30-year-old male who reported lower back pain radiating to the right lower limb for the last 2.5 years. The pain started after a brief history of weight lifting. There were no associated motor or sensory deficits. The magnetic resonance imaging of the lumbosacral spine showed prolapse of intervertebral disc at the level of lumbar L4-L5...
February 2023: Curēus
https://read.qxmd.com/read/36653002/-feasibility-of-enlarging-the-ventral-space-by-using-a-drill-under-spinal-endoscopy-in-the-treatment-of-severe-free-lumbar-disc-herniation
#25
JOURNAL ARTICLE
Sheng-Hua He, Zhi-Ming Lan, Zhi-Qiang Ren, Ju-Yi Lai, Hua-Long Feng
OBJECTIVE: To evaluate the clinical efficacy of spinal endoscopy in the treatment of severe free lumbar disc herniation and explore the feasibility and application of microscopic drills to expand ventral space. METHODS: Thirty patients with severe free lumbar intervertebral disc herniation treated by spinal endoscopic technique from April 2019 to March 2021 were collected, including 19 males and 11 females;aged from 19 to 76 years with an average of (44.03±16...
January 25, 2023: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/36617696/an-update-of-interbody-cages-for-spine-fusion-surgeries-from-shape-design-to-materials
#26
JOURNAL ARTICLE
Guangshen Li, Lei Yang, Gang Wu, Zhanyang Qian, Haijun Li
INTRODUCTION: Discectomy and interbody fusion are widely used in the treatment of intervertebral disc-related diseases. Among them, the interbody cage plays a significant role. However, the complications related to the interbody cage, such as nonunion or pseudoarthrosis, subsidence, loosening, and prolapse of the cage, cannot be ignored. By changing the design and material of the interbody fusion cage, a better fusion effect can be obtained, the incidence of appeal complications can be reduced, and the quality of life of patients after interbody fusion can be improved...
January 8, 2023: Expert Review of Medical Devices
https://read.qxmd.com/read/36540729/facet-tropism-inclination-and-its-association-with-intervertebral-disc-herniation-in-the-lumbar-spine-a-radiological-evaluation
#27
JOURNAL ARTICLE
Sanjay Yadav, Rajkumar Arya, Raghul Dakshinamoorthy, Abhinav Anand Jha, Shivi Jain, Ishan Kumar
Objective  To assess the role of facet tropism (FT) in intervertebral disc prolapse. Methods  A total 98 patients with lower back pain were included in the study. Magnetic resonance imaging scans were performed and analyzed. The angles of the right and left facets were measured on the axial section. Patients without disc prolapse at the L3-L4, L4-L5 and L5-S1 levels act as controls for those with disc prolapse at the same levels. A statistical analysis was also performed. Results  The incidence of FT at the L3-L4 level was of 85...
December 2022: Revista Brasileira de Ortopedia
https://read.qxmd.com/read/36476361/full-endoscopic-versus-conventional-microsurgical-therapy-of-lumbar-disc-herniation-a-prospective-controlled-single-center-comprehensive-cohort-trial-femt-ldh-trial
#28
RANDOMIZED CONTROLLED TRIAL
Babak Saravi, Sara Ülkümen, Sebastien Couillard-Despres, Frank Hassel, Gernot Lang
BACKGROUND: Lumbar disc herniation is one of the leading causes of chronic low back pain. Surgery remains the therapy of choice when conservative approaches fail. Full-endoscopic approaches represent a promising alternative to the well-established microsurgical technique. However, high-grade evidence comparing these techniques is still scarce. METHODS: Patients presenting with lumbar disc herniation will be included. The intervention group will obtain full-endoscopic disc decompression, whereas the control group will be treated by microsurgical disc decompression...
December 7, 2022: Trials
https://read.qxmd.com/read/36412371/spinal-morphometry-as-a-novel-predictor-for-recurrent-lumbar-disc-herniation-requiring-revision-surgery-results-of-a-case-control-study
#29
JOURNAL ARTICLE
Sumit Thakar, Vivek Raj, Sankar Neelakantan, Pavan Vasoya, Saritha Aryan, Dilip Mohan, Alangar S Hegde
INTRODUCTION: There is conflicting data on the risk factors for recurrent lumbar disc herniation (rLDH). Most of the predictors for rLDH identified so far are acquired risk factors or radiological factors at the level of the herniation. Whole lumbar spine (WLS) morphometry has not been evaluated as a possible predictor of rLDH. OBJECTIVES: We aimed to evaluate if preoperative spinal morphometry can predict the occurrence of rLDH requiring revision surgery. METHODS: This retrospective case-control study on 250 patients included 45 patients operated for rLDH, 180 controls without rLDH who had previously undergone microdiscectomy for a single level lumbar disc prolapse, and a holdout validation set of 25 patients...
2022: Neurology India
https://read.qxmd.com/read/36275895/clinical-analysis-of-minimally-invasive-percutaneous-treatment-of-severe-lumbar-disc-herniation-with-ube-two-channel-endoscopy-and-foraminal-single-channel-endoscopy-technique
#30
JOURNAL ARTICLE
Cuihua Yuan, Baojun Wen, Hongkuan Lin
For surgical treatment, herniation of traditional open surgery is the traditional approach and the representative operation for lamina windowing excision of nucleus pulposus. In recent years, the unilateral dual channel spine endoscopic technology (UBE/BESS) has caused extensive concern of spine surgery performer. This research compared the results of minimally invasive percutaneous treatment of severe lumbar disc herniation with foraminal single-channel endoscopy and unilateral biportal endoscopy (UBE). A retrospective study was conducted on 50 patients with severe disc herniation treated with minimally invasive percutaneous treatment in MinDong Hospital affiliated to Fujian Medical University from September 2019 to September 2021...
2022: Oxidative Medicine and Cellular Longevity
https://read.qxmd.com/read/36263335/the-current-status-and-surgical-outcome-of-the-minimally-invasive-techniques-for-lumbar-interbody-fusion-in-india-a-systematic-review-and-meta-analysis
#31
REVIEW
Ashutosh Kumar, Jayesh Sardhara, Prabhaker Mishra, Vishwas Kapoor, Anant Mehrotra, Vandan Raiyani, Mayank Singh, Nishant Goyal, Arvind G Kulkarni, Umesh Srikantha, Kamlesh Singh Bhaisora, Kuntal Kanti Das, Arun K Srivastava, Sanjay Behari
Objective: The global shift of trends to minimally invasive spine (MIS) surgery for lumbar degenerative diseases has become prominent in India for few decades. We aimed to assess the current status of MIS techniques for lumbar interbody fusion and their surgical outcomes in the Indian population. Materials and Methods: A systematic review (following Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines) was performed using PubMed and Google Scholar till November 2020...
July 2022: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/36217628/intradural-disc-herniation-at-the-l2-3-level-a-case-report-and-literature-review
#32
REVIEW
Huilong Wen, Longyi Xiao, Yanjun Chen, Rui Deng, Xuanwu Huang, Chaozhi Cao, Xiwen Li, Yiqun Li
BACKGROUND: Intradural lumbar disc herniation (ILDH) is special type of lumbar disc herniation in which the lumbar nucleus pulposus prolapses and enters the dura mater. ILDHs comprise 0.04-0.33% of all herniated discs. In most cases, the diagnosis could not be confirmed preoperatively by identifying the typical features of ILDH in radiological evaluation. In the current report, we present a case of ILDH at lumbar 2/3 level and discuss the clinical presentations, typical imaging features, treatments, and outcomes...
September 2022: Annals of Palliative Medicine
https://read.qxmd.com/read/36051862/gauze-for-concern-a-case-report-and-systematic-review-of-delayed-presentation-of-paraspinal-textiloma
#33
REVIEW
Karthik Shyam, Pushpa Bhari Thippeswamy, Ajoy Prasad Shetty, Raksha Algeri, Shanmuganathan Rajasekaran
Textilomas, gossypibomas, muslinomas and gauzomas, otherwise collectively known as Retained Non-absorbable Hemostatic Material (RNHM), are surgical materials such as cotton or gauze pads that are accidentally retained in the surgical bed post-operatively. They may present acutely with signs of infection or may rarely remain chronic and asymptomatic; the latter posing a significant challenge to clinical and imaging diagnosis. Textilomas are not routinely reported due to their medicolegal implications and are usually encountered fortuitously...
September 2022: Journal of Clinical Orthopaedics and Trauma
https://read.qxmd.com/read/35964096/comparison-of-the-efficacy-of-fully-endoscopic-spine-surgery-using-transforaminal-and-interlaminar-approaches-in-the-treatment-of-prolapsed-lumbar-4-5-disc-herniation
#34
JOURNAL ARTICLE
Quanlai Zhao, Liang Xiao, Zhongxuan Wu, Chen Liu, Yu Zhang
BACKGROUND: There is still much controversy about whether transforaminal or interlaminar fully endoscopic spine surgery can better treat lumbar 4/5 disc herniation. Therefore, this study intends to compare the clinical efficacy of fully endoscopic spine surgery through transforaminal and interlaminar approaches in the treatment of lumbar 4/5 disc herniation. METHODS: Seventy-six patients with lumbar 4/5 disc herniation admitted from March 2019 to June 2020 were divided into the transforaminal approach group (endoscopic transforaminal lumbar discectomy, ETLD; 54 cases) and the interlaminar approach group (endoscopic interlaminar lumbar discectomy, EILD; 22 cases) according to different surgical methods...
August 13, 2022: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/35964076/cervical-spine-and-muscle-adaptation-after-spaceflight-and-relationship-to-herniation-risk-protocol-from-cervical-in-space-trial
#35
JOURNAL ARTICLE
Daniel L Belavy, Gabriele Armbrecht, Kirsten Albracht, Helena Brisby, Deborah Falla, Richard Scheuring, Roope Sovelius, Hans-Joachim Wilke, Kajsa Rennerfelt, Eduardo Martinez-Valdes, Michail Arvanitidis, Fabian Goell, Bjoern Braunstein, Svenja Kaczorowski, Vera Karner, Nitin Kumar Arora
BACKGROUND: Astronauts have a higher risk of cervical intervertebral disc herniation. Several mechanisms have been attributed as causative factors for this increased risk. However, most of the previous studies have examined potential causal factors for lumbar intervertebral disc herniation only. Hence, we aim to conduct a study to identify the various changes in the cervical spine that lead to an increased risk of cervical disc herniation after spaceflight. METHODS: A cohort study with astronauts will be conducted...
August 13, 2022: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/35941548/comparative-effect-of-transforaminal-injection-of-magnesium-sulphate-versus-ozone-on-oxidative-stress-biomarkers-in-lumbar-disc-related-radicular-pain
#36
JOURNAL ARTICLE
Wael Fathy, Mona Hussein, Raghda E Ibrahim, Manar M Abdel-Aziz, Shaden Adel, Shaimaa H Soliman, Hatem Elmoutaz, Mohamed Abdelkader
BACKGROUND: We aimed to investigate the effect of transforaminal injection of Magnesium sulphate versus Ozone on pain intensity, functional disability and the oxidative stress biomarkers; superoxide dismutase (SOD) and Glutathione (GSH) in patients with lumbar disc prolapse. METHODS: This randomized controlled trial was conducted on 135 patients having symptomatic lumbar disc prolapse, received either transforaminal injection of Magnesium sulphate with steroids, Ozone with steroids, or steroids alone...
August 8, 2022: BMC Anesthesiology
https://read.qxmd.com/read/35903576/prevalence-of-bertolotti-s-syndrome-in-lumbosacral-surgery-procedures
#37
JOURNAL ARTICLE
Ahmed Ashour, Ahmed Hassan, Mohamed Aly, Mahmoud Am Nafady
Introduction Bertolotti's syndrome (BS) describes the relationship between low back pain (LBP) and lumbosacral transitional vertebra (LSTV). It is a factor that is sometimes overlooked when it comes to evaluating and treating LBP.Because of the different diagnostic modalities and criteria used in the research, the LSTV incidence in the general population varies greatly, and hence the link between LSTV and LBP remains contentious.  Some researchers found no link between low back pain and LSTV. As a result, the management of BS remains controversial and multiple treatments have been suggested, including locally injected steroid and various surgical approaches...
June 2022: Curēus
https://read.qxmd.com/read/35661935/conservative-management-of-acute-prolapsed-inter-vertebral-disc-with-ayurveda-a-case-report
#38
Shailesh V Deshpande, Vaishali S Deshpande, Ashutosh Bhosale, Maruti Kadam
Acute prolapsed inter-vertebral disc (IVDP) is a painful condition that requires immediate treatment by conservative or surgical management. Though majority of patients show remission in symptoms with conservative treatment, regression of herniated disc with non-surgical management has been rarely reported. A 46 years old female patient with acute and severe low back pain, disability and radiating pain towards right lower extremity came to our hospital. Oswestry Disability Index (ODI) score of the patient was 94% indicating bed-ridden condition...
2022: Journal of Ayurveda and Integrative Medicine
https://read.qxmd.com/read/35532611/unilateral-biportal-percutaneous-transforaminal-endoscopic-lumbar-foraminal-decompression-and-discectomy-a-technical-note
#39
JOURNAL ARTICLE
Edmond Jonathan Gandham, Nalli Ramanathan Uvaraj, Jin Hwa Eum
BACKGROUND AND INTRODUCTION: Minimally invasive spine surgery (MISS) is a set of techniques and procedures that reduces the local tissue injury while achieving the same results through traditional open surgery. The techniques for the treatment of lumbar disc herniation and degenerative canal stenosis have evolved from tubular discectomy to endoscopic discectomy. This helps in preserving spine function. Good clinical outcomes have been reported with the use of an endoscope for degenerative lumbar disc disease...
2022: Neurology India
https://read.qxmd.com/read/35491575/additional-operations-after-surgery-for-lumbar-disc-prolapse-indications-type-of-surgery-and-long-term-follow-up-of-primary-operations-performed-from-2007-to-2008
#40
JOURNAL ARTICLE
Freyr Gauti Sigmundsson, Anders Joelson, Fredrik Strömqvist
AIMS: Lumbar disc prolapse is a frequent indication for surgery. The few available long-term follow-up studies focus mainly on repeated surgery for recurrent disease. The aim of this study was to analyze all reasons for additional surgery for patients operated on for a primary lumbar disc prolapse. METHODS: We retrieved data from the Swedish spine register about 3,291 patients who underwent primary surgery for a lumbar disc prolapse between January 2007 and December 2008...
May 2022: Bone & Joint Journal
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