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Lumbar hernia

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https://www.readbyqxmd.com/read/27919706/extreme-lateral-lumbar-interbody-fusion-surgical-technique-outcomes-and-complications-after-a-minimum-of-one-year-follow-up
#1
I Domínguez, R Luque, M Noriega, J Rey, J Alia, F Marco-Martínez
«Minimally invasive» techniques have been recently been developed in order to achieve good clinical results with a low incidence of complications. The extralateral interbody fusion or direct transpsoas is a minimally invasive anterior arthrodesis. A total of 97 patients with 138 segments received surgery between May 2012 and May 2015. The follow-up was from 12-44 months. The mean age was 68 years (41-86). The most common cause of intervention was the adjacent segment (30%), deformity (22%), and lumbar disc disease (21%)...
December 2, 2016: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/27869497/appendicular-abscess-as-an-unprecedented-cause-of-an-inferior-lumbar-hernia
#2
S M Ali, S Subramaniam
Inferior lumbar hernias are uncommon hernias resulting from a defect in the abdominal wall. They can occur during infancy (congenital defect), albeit less frequently, or spontaneously after trauma or surgery with a lumbar incision. With fewer than 300 cases reported over the past 3 centuries, clinical diagnosis is often confusing owing to non-specific symptoms, relating to the gastrointestinal, genitourinary or musculoskeletal systems. We present a case of an inferior lumbar hernia following spontaneous rupture of a retrocaecally tracked appendicular abscess and a brief literature review...
November 21, 2016: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27799995/transforaminal-percutaneous-endoscopic-discectomy-in-parkinson-disease-preliminary-results-and-short-review-of-the-literature
#3
Stylianos Kapetanakis, Eirini Giovannopoulou, Triphonas Thomaidis, George Charitoudis, Pavlos Pavlidis, Konstantinos Kazakos
OBJECTIVE: To study the effectiveness of Transforaminal Percutaneous Endoscopic Discectomy (TPED) for lumbar disc herniation in patients with Parkinson disease (PD). METHODS: Fifteen patients diagnosed with PD and lumbar disc hernia were recruited to the study. All patients underwent TPED. Mean age was 61.27±6 years, with 8 male (53.3%) and 7 female patients (46.7%). Level of operation was L3-4 (33.3%), L4-5 (33.3%) and L5-S1 (33.3%). Visual analogue scale (VAS) for leg pain and Oswestry Disabillity Index (ODI) for back pain, as well as the Medical Outcomes Study Questionnaire Short-Form 36 Health Survey (SF-36) for health-related quality of life (HRQoL) were assessed right before surgery and at 6 weeks, 3, 6, and 12 months after surgery...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27734797/deep-vein-thrombosis-of-the-lower-limb-secondary-to-lumbar-discal-hernia-compression-a-rarity-review-of-the-literature
#4
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
https://www.readbyqxmd.com/read/27676669/comparison-of-the-effects-of-epidural-anesthesia-and-local-anesthesia-in-lumbar-transforaminal-endoscopic-surgery
#5
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
https://www.readbyqxmd.com/read/27559453/an-outcome-measure-of-functionality-and-pain-in-patients-with-low-back-disorder-a-validation-study-of-the-iranian-version-of-low-back-outcome-score
#6
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
https://www.readbyqxmd.com/read/27559446/transforaminal-percutaneous-endoscopic-discectomy-for-lumbar-disc-herniation-in-parkinson-s-disease-a-case-control-study
#7
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
https://www.readbyqxmd.com/read/27550040/which-level-is-responsible-for-gluteal-pain-in-lumbar-disc-hernia
#8
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
https://www.readbyqxmd.com/read/27549670/a-diagnostic-algorithm-for-eosinophilic-granulomatosis-with-polyangiitis-initially-diagnosed-as-lumbar-disc-hernia-or-lumbar-spinal-stenosis-personal-experience-and-review-of-the-literature
#9
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
https://www.readbyqxmd.com/read/27534082/-anterior-small-incision-focus-debridement-with-posterior-internal-fixation-for-the-treatment-of-lumbar-spinal-tuberculosis
#10
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
https://www.readbyqxmd.com/read/27491627/laparoscopic-mesh-repair-for-lumbar-hernia-after-iliac-crest-bone-harvest
#11
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
https://www.readbyqxmd.com/read/27452738/the-japanese-orthopedic-association-back-pain-evaluation-questionnaire-a-turkish-validation-study
#12
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
https://www.readbyqxmd.com/read/27412809/strangulated-lumber-hernias-in-adults-a-case-report-and-review-of-the-literature
#13
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
https://www.readbyqxmd.com/read/27396272/congenital-lateral-abdominal-wall-hernia
#14
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
https://www.readbyqxmd.com/read/27353846/laparoscopic-management-of-non-midline-incisional-hernia-a-multicentric-study
#15
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
https://www.readbyqxmd.com/read/27311414/the-nfl-orthopaedic-surgery-outcomes-database-no-sod-the-effect-of-common-orthopaedic-procedures-on-football-careers
#16
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
https://www.readbyqxmd.com/read/27268102/differential-diagnosis-and-treatment-of-acute-cauda-equina-syndrome-in-the-human-immunodeficiency-virus-positive-patient-a-case-report-and-review-of-the-literature
#17
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
https://www.readbyqxmd.com/read/27261983/auricular-acupuncture-diagnosis-in-patients-with-lumbar-hernia
#18
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
https://www.readbyqxmd.com/read/27215430/the-triangles-of-grynfeltt-and-petit-and-the-lumbar-tunnel-an-anatomo-radiologic-study
#19
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
https://www.readbyqxmd.com/read/27161923/tearing-of-the-left-iliac-vessels-in-lumbar-surgery-revealed-by-multiphase-post-mortem-ct-angiography-mpmcta
#20
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
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