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Lumbar hernia

P Di Cello, S Izzo, F Pugliese, I Di Poce, A Orsini, L Izzo, G Mazzone, F Biancucci, G Sinaimeri, S Valabrega, M Almansour, P Izzo
This case report is about a 70-years-old female patient, suffering from discal hernia, with compression of the iliac vein, that led to the formation of deep vein thrombosis of the lower limbs. The angio-CT scan revealed the starting point of the L4- L5 compression where a voluminous discal hernia caused deep vein thrombosis, with the involvement the femoro-popliteal venous axis. Blood samples and PET-CT scans excluded other possible etiologic factors. This case demonstrates how a voluminous discal hernia can cause venous thrombosis...
May 2016: Il Giornale di Chirurgia
Guofang Fang, Zihai Ding, Zhihui Song
BACKGROUND: Percutaneous endoscopic lumbar discectomy (PELD) is a standard technique for the treatment of lumbar disc hernia. Thus far, most surgeons have recommended local anesthesia. However, in clinical practice, some patients experience pain and are unable to cooperate with the surgery during intervertebral foramen hemp expansion. The use of general anesthesia may create a greater risk of complications because of nerve root anomalies; thus, intraoperative neurophysiological monitoring should be utilized...
September 2016: Pain Physician
Parisa Azimi, Hossein Nayeb Aghaei, Shirzad Azhari, Sohrab Shazadi, Hamid Khayat Kashany, Hassan Reza Mohammadi, Ali Montazeri
STUDY DESIGN: Cross-sectional study. PURPOSE: This study aimed to cross-culturally translate and validate the low back outcome score (LBOS) in Iran. OVERVIEW OF LITERATURE: Lumbar disc hernia (LDH) is the most common diagnoses of low back pain and imposes a heavy burden on both individual and society. Instruments measuring patient reported outcomes should satisfy cetain psychometric properties. METHODS: The translation and cross-cultural adaptation of the original questionnaire was performed using Beaton's guideline...
August 2016: Asian Spine Journal
Stylianos Kapetanakis, Eirini Giovannopoulou, George Charitoudis, Konstantinos Kazakos
STUDY DESIGN: A case-control study. PURPOSE: To investigate the effectiveness of transforaminal percutaneous endoscopic discectomy (TPED) in Parkinson's disease (PD). OVERVIEW OF LITERATURE: Patients with PD frequently suffer from radiculopathy and low back pain. Additionally, they demonstrate higher complication rates after open spine surgery. However, the clinical outcome of minimally invasive techniques for lumbar discectomy, such as TPED, have not been established for this population...
August 2016: Asian Spine Journal
Guofang Fang, Jianhe Zhou, Yutan Liu, Hongxun Sang, Xiangyang Xu, Zihai Ding
BACKGROUND: There are many different reasons why patients could be experiencing pain in the gluteal area. Previous studies have shown an association between radicular low back pain (LBP) and gluteal pain (GP). Studies locating the specific level responsible for gluteal pain in lumbar disc hernias have rarely been reported. METHODS: All patients with lumbar disc herniation (LDH) in the Kanghua hospital from 2010 to 2014 were recruited. All patients underwent a lumbar spine MRI to clarify their LDH diagnosis, and patients were allocated to a GP group and a non-GP group...
2016: BMC Musculoskeletal Disorders
Kosei Nagata, Shinichi Yamamoto, Kota Miyoshi, Masaki Sato, Yusuke Arino, Yoji Mikami
Eosinophilic granulomatosis with polyangiitis (EGPA, Churg-Strauss syndrome) is a rare systemic vasculitis and is difficult to diagnose. EGPA has a number of symptoms including peripheral dysesthesia caused by mononeuropathy multiplex, which is similar to radiculopathy due to lumbar disc hernia or lumbar spinal stenosis. Therefore, EGPA patients with mononeuropathy multiplex often visit orthopedic clinics, but orthopedic doctors and spine neurosurgeons have limited experience in diagnosing EGPA because of its rarity...
August 2016: Acta Medica Okayama
Xiao-zhang Ying, Qi Zheng, Shi-yuan Shi, Yi-fan Wang, Jun Fei, Gui-he Han, De-xin Hu
OBJECTIVE: To explore clinical outcomes and advantages of anterior small-incision focus debridement with posterior internal fixation through muscle spa ring in treating patients with lumbar spinal tuberculosis. METHODS: From February 2010 to February 2014, totally 82 patients with lumbar spinal tuberculosis were treated by posterior individual fixation with small-incision focus debridement,including 50 males and 32 females with an average of 50.5 years old. All patients were divided into two groups according to different procedures...
June 2016: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Akihisa Matsuda, Masao Miyashita, Satoshi Matsumoto, Nobuyuki Sakurazawa, Yoichi Kawano, Takeshi Matsutani, Eiji Uchida
Lumbar hernia after iliac crest bone harvest is relatively rare. When it does occur, it presents as a flank abdominal protrusion through a lateroposterior abdominal wall defect. A laparoscopic approach for this type of hernia is reported to have advantages over the classic open method. Here, we present a case of a 49-year-old Caucasian man who presented with an enlarged left flank mass after iliac bone harvest for pseudarthrosis. He had undergone open onlay mesh repair for inferior lumbar hernia, but the hernia recurred 3 months postoperatively...
August 5, 2016: Asian Journal of Endoscopic Surgery
Mehmet Atıf Erol Aksekili, Lale Aktekin, Selçuk Korkmazer, Mesut Akyol, Kasım Kılıçarslan, Nihat Tosun
BACKGROUND: The aim of this study was to apply cross-cultural adaptation and validity assessment to the Turkish translation of the Japanese Orthopedic Association Back Pain Evaluation Questionnaire applied to patients conservatively monitored for lumbar disc hernia and narrowing of the lumbar canal. METHODS: The questionnaire was translated into Turkish based on guidelines. In respect of the comprehensibility of the obtained pre-final version of the questionnaire, a pilot test was applied to 20 healthy individuals...
July 21, 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
I Ka, M L Gueye, O Thiam, L G Akpo, A O Toure
Strangulated lumbar hernia is a very rare condition, with no more than 30 cases reported in the literature so far. Therefore, there is no specific management guideline and the diagnosis remains difficult. By reporting the case of a Senegalese male patient who had a preoperative diagnosis of strangulated lumbar hernia, we aim to discuss the diagnosis and therapeutic modalities of this rare entity, which is often misdiagnosed.
July 14, 2016: Annals of the Royal College of Surgeons of England
Fernando Montes-Tapia, Idalia Cura-Esquivel, Susana Gutiérrez, Isaías Rodríguez-Balderrama, Manuel de la O-Cavazos
Congenital abdominal wall defects that are located outside of the anterior wall are extremely rare and difficult to classify because there are no well accepted guidelines. There are two regions outside of the anterior wall: the flank or lateral wall; and the lumbar region. We report the case of a patient with an oval 3 cm-diameter hernia defect located above the anterior axillary line, which affects all layers of the muscular wall. An anorectal malformation consisting of a recto-vestibular fistula was also identified, and chest X-ray showed dextrocardia...
August 2016: Pediatrics International: Official Journal of the Japan Pediatric Society
Alessia Ferrarese, Stefano Enrico, Mario Solej, Alessandra Surace, Mario Junior Nardi, Paolo Millo, Rosaldo Allieta, Cosimo Feleppa, Luigi D'Ambra, Stefano Berti, Enrico Gelarda, Felice Borghi, Gabriele Pozzo, Bartolomeo Marino, Emma Marchigiano, Pietro Cumbo, Maria Paola Bellomo, Claudio Filippa, Paolo Depaolis, Mario Nano, Valter Martino
BACKGROUND: The laparoscopic repair of non-midline ventral hernia (LNM) has been debated. The aim of this study is to analyze our experience performing the laparoscopic approach to non-midline ventral hernias (NMVHs) in Northwest Italy for 6 years. METHODS: A total of 78 patients who underwent LNM between March 2008 and March 2014 in the selected institutions were analyzed. We retrospectively analyzed the peri- and postoperative data and the recurrence rate of four subgroups of NMVHs: subcostal, suprapubic, lumbar, and epigastric...
September 2016: International Journal of Surgery
Harry T Mai, Andrew P Alvarez, Ryan D Freshman, Danielle S Chun, Shobhit V Minhas, Alpesh A Patel, Gordon W Nuber, Wellington K Hsu
BACKGROUND: Injuries are inherent to the sport of American football and often require operative management. Outcomes have been reported for certain surgical procedures in professional athletes in the National Football League (NFL), but there is little information comparing the career effect of these procedures. PURPOSE: To catalog the postoperative outcomes of orthopaedic procedures in NFL athletes and to compare respective prognoses and effects on careers. STUDY DESIGN: Case series; Level of evidence, 4...
September 2016: American Journal of Sports Medicine
George Panos, Dionysios C Watson, Ioannis Karydis, Dimitrios Velissaris, Marina Andreou, Vasilis Karamouzos, Maria Sargianou, Antonios Masdrakis, Paraskevi Chra, Lavrentios Roussos
BACKGROUND: Acute cauda equina syndrome is an uncommon but significant neurologic presentation due to a variety of underlying diseases. Anatomical compression of nerve roots, usually by a lumbar disk hernia is a common cause in the general population, while inflammatory, neoplastic, and ischemic causes have also been recognized. Among human immunodeficiency virus (HIV) infected patients with acquired immunodeficiency syndrome, infectious causes are encountered more frequently, the most prevalent of which are: cytomegalovirus, herpes simplex virus 1/2, varicella zoster virus, and Mycobacterium tuberculosis infections...
2016: Journal of Medical Case Reports
Marco Romoli, Francesco Greco, Andrea Giommi
BACKGROUND: Auricular Acupuncture Diagnosis is a diagnostic method which is essential for the topographic identification on the auricle of the anatomical parts of the body carrying a particular ailment or dysfunction. OBJECTIVE: To identify the specific zones related to lumbar hernia in patients treated with a series of epidural infiltrations with corticosteroids. METHODS: In a consecutive group of thirty patients with lumbar hernia 2 diagnostic methods used in Auricular Acupuncture Diagnosis, Pain Pressure Test and Electric Skin Resistance Test, were applied before the first infiltration (T0), before the second and the third infiltration (T1, T2) and one week after the third infiltration (T3)...
June 2016: Complementary Therapies in Medicine
V Macchi, A Porzionato, A Morra, E E E Picardi, C Stecco, M Loukas, R S Tubbs, R De Caro
PURPOSE: Lumbar hernias are protrusions of intra-abdominal contents classically through the superior (Grynfeltt) and inferior (Petit) lumbar triangles. The anatomy of the triangles is variable and quantitative data are few. No radiological data on the anatomy of the triangles are available. METHODS: Fifty computed tomography angiography of the upper abdomen (M25, F25, mean age 72.5-year-old) were analyzed. The dimensions and the contents of the lumbar triangles were analyzed...
May 23, 2016: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Raquel Vilariño Villaverde, Christine Bruguier, Jean-Baptiste Zerlauth, Sébastien De Froidmont, Silke Grabherr
Lumbar surgery is regularly applied in cases of discal hernia and acquired lumbar stenosis. In this report, we present a case of a laceration in the left common iliac artery and iliac vein during a lumbar surgery and discuss the literature concerning this kind of event. In the present case, the surgical procedure was followed by a sudden decrease in blood pressure, and the surgeon discovered an intra-abdominal haemorrhage that led to the patient's death. Postmortem investigation confirmed the intra-abdominal haemorrhage and revealed a laceration of the proximal portion of the left common iliac artery and left iliac vein...
May 2016: Legal Medicine
Christoph Mehren, H Michael Mayer, Christoph Zandanell, Christoph J Siepe, Andreas Korge
BACKGROUND: During the last 20 years several less-invasive anterior approaches to the lumbar spine have become standard, including the extreme lateral transpsoas approach. Although it is associated with a lower risk of vascular injury compared with anterior midline approaches, neuromonitoring is considered mandatory to avoid neurologic complications. Interestingly, despite neuromonitoring, the reported risk of neurologic deficits with the extreme lateral transpsoas approach is greater than observed with other anterior approaches...
September 2016: Clinical Orthopaedics and related Research
C F Ploneda-Valencia, E Cordero-Estrada, L G Castañeda-González, V H Sainz-Escarrega, O Varela-Muñoz, L F De la Cerda-Trujillo, C A Bautista-López, C R López-Lizarraga
INTRODUCTION: Lumbar hernia account for less than 2% of al abdominal hernias, been the Grynfelt-Lesshaft's hernia (GLH) more frequent than the others. With approximately 300 cases published in the literature, the general surgeon may have the chance of treat it ones in their professional life. CASE REPORT: A 42-years old male with human immunodeficiency virus and Diabetes Mellitus presented to the outpatient clinic with a GLH. Preoperative classified as a type "A" lumbar hernia an open approach was scheduled...
May 2016: Annals of Medicine and Surgery
Takafumi Wataya, Kyohei Horikawa, Masashi Kitagawa, Yuzuru Tashiro
Lumbo-costo-vertebral syndrome (LCVS) is a rare disorder in children that is characterized by hemivertebrae, congenital absence of ribs, meningocele, and hypoplasia of the truncal and abdominal wall presenting as a congenital lumbar hernia. An otherwise healthy 12-month-old girl was referred to the authors' hospital with soft swelling on her left middle back; scoliosis had been present since birth. Imaging revealed a thoracic meningocele, ectopia of the spleen suggesting lumbar hernia, multiple anomalies of the thoracic vertebral columns, and defects of the ribs; thus, LCVS was diagnosed...
August 2016: Journal of Neurosurgery. Pediatrics
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