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Herniated disc treatment

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https://www.readbyqxmd.com/read/28904328/a-narrative-review-of-non-operative-treatment-especially-traditional-chinese-medicine-therapy-for-lumbar-intervertebral-disc-herniation
#1
Bo Zhang, Haidong Xu, Juntao Wang, Bin Liu, Guodong Sun
Lumbar intervertebral disc herniation (LIDH), as the main contributor to low back pain and sciatica, imposes a heavy burden on both the individual and society. Non-operative treatment or conservative treatment has proven effective in alleviation of the symptoms of LIDH and are considered to be a first-line choice for most cases. Active lifestyle, physical therapy, complementary and alternative medicine therapy or Traditional Chinese medicine (TCM) therapy, and pharmacotherapy are routinely used as effective non-operative treatment for LIDH patients...
2017: Bioscience Trends
https://www.readbyqxmd.com/read/28894679/management-of-thoracic-disc-herniations-via-posterior-unilateral-modified-transfacet-pedicle-sparing-decompression-with-segmental-instrumentation-and-interbody-fusion
#2
Daniel A Carr, Andrey A Volkov, David L Rhoiney, Pradeep Setty, Ryan J Barrett, Roderick Claybrooks, Peter L Bono, Doris Tong, Teck M Soo
STUDY DESIGN: Retrospective consecutive case series. OBJECTIVE: The objective of this case series was to demonstrate the safety of a modified transfacet pedicle-sparing decompression and instrumented fusion in patients with thoracic disc herniations (TDHs). METHODS: Consecutive patients undergoing operative management of TDH from July 2007 to December 2011 using a posterior unilateral modified transfacet pedicle-sparing approach were identified...
September 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28882709/short-term-outcome-comparison-between-the-full-endoscopic-interlaminar-approach-versus-open-minimally-invasive-microsurgical-technique-for-treatment-of-lumbar-disc-herniation
#3
https://www.readbyqxmd.com/read/28881110/endoscopic-spine-surgery
#4
REVIEW
Gun Choi, Chetan S Pophale, Bhupesh Patel, Priyank Uniyal
Surgical treatment of the degenerative disc disease has evolved from traditional open spine surgery to minimally invasive spine surgery including endoscopic spine surgery. Constant improvement in the imaging modality especially with introduction of the magnetic resonance imaging, it is possible to identify culprit degenerated disc segment and again with the discography it is possible to diagnose the pain generator and pathological degenerated disc very precisely and its treatment with minimally invasive approach...
September 2017: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/28874986/neuropathic-pain-related-with-spinal-disorders-a-systematic-review
#5
REVIEW
Kwang-Sup Song, Jae Hwan Cho, Jae-Young Hong, Jae Hyup Lee, Hyun Kang, Dae-Woong Ham, Hyun-Jun Ryu
Systematic literature review. To review the evidence from high-quality studies regarding the treatment of neuropathic pain originating specifically from spinal disorders. In general, treatment guidelines for neuropathic pain cover all its various causes, including medical disease, peripheral neuropathy, and cancer. However, the natural history of neuropathic pain originating from spinal disorders may differ from that of the pain originating from other causes or lesions. An expert research librarian used terms related to neuropathic pain and spinal disorders, disc herniation, stenosis, and spinal cord injury to search in MEDLINE, Embase, and Cochrane CENTRAL for primary research from January 2000 to October 2015...
August 2017: Asian Spine Journal
https://www.readbyqxmd.com/read/28870820/is-there-a-place-for-the-posterior-approach-in-cases-of-acute-myelopathy-on-thoracic-disc-hernia
#6
David Brauge, Rachid Madkouri, Vincent Reina, Saad Bennis, Bertrand Baussart, Etienne Mireau, Sorin Aldea, Stephan Gaillard
BACKGROUND: Acute myelopathy in the case of thoracic disc herniation (TDH) is an exceptional condition, for which the treatment is not codified. We present here the results of a standardized procedure on ten patients operated between December 2009 and December 2016 for acute myelopathy on TDH. METHOD: Our strategy consists of a cautious laminectomy without resection of the hernia on the day of admission. In the following days, a complementary thoracoscopic procedure is organized according to the neurological recovery and the nature of the hernia (calcified or fibrous)...
September 1, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28869374/application-of-esophageal-radiography-technique-in-the-treatment-of-herniation-of-cervical-disc-with-radiofrequency-thermocoagulation-and-target-ablation
#7
Ke Ji, Suchun Wang, Wei Miao, Jingcheng Yu, Zhirong Wang
No abstract text is available yet for this article.
September 4, 2017: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/28842234/t1-t2-herniated-disc-presenting-with-horner-s-syndrome
#8
Joaquim C Teixeira, Maria M Santos, João L Melancia
BACKGROUND: The incidence of thoracic disc herniation (TDH) is estimated to be 1,000 to 1,000,000. Upper thoracic disc herniation is an exceedingly rare pathology with unique neurological features. We report a case of a young patient who presented with Horner's Syndrome causedd by a T1-T2 disc herniation CASE DESCRIPTION: A 34-year-old female patient was admitted to the emergency department presenting a sudden onset history of ptosis and miosis on the left eye (Horner's Syndrome). She reported a 2-month history of neck, scapular and medial left arm and forearm pain and numbness...
August 22, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28838872/the-value-of-short-term-pain-relief-in-predicting-the-long-term-outcome-of-lumbar-transforaminal-epidural-steroid-injections
#9
Holger Joswig, Armin Neff, Christina Ruppert, Gerhard Hildebrandt, Martin Nikolaus Stienen
BACKGROUND: A previous report demonstrated the predictive power of short-term leg pain relief after lumbar transforaminal epidural steroid injection for 1-month treatment response. The question whether the long-term response could be similarly predicted remained unanswered. METHODS: A prospective cohort of n=57 patients who underwent transforaminal epidural steroid injection for sciatica secondary to a lumbar disc herniation was followed for 24 months. Leg and back pain on the visual analog scale, health-related quality of life with the Short Form-12 and functional outcome with the Oswestry Disability Index were assessed...
August 21, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28830249/the-debate-on-most-ideal-technique-for-managing-recurrent-lumbar-disc-herniation-a-short-review
#10
Chiazor U Onyia, Sajesh K Menon
BACKGROUND: Though different techniques have been successfully employed in the treatment of recurrent lumbar disc herniation, the one which should be considered most ideal has remained a controversy, particularly since there are currently no generally accepted guidelines for surgical care. OBJECTIVE: To review previous publications comparing the available operative options, with the aim of determining if any of the available interventions gives better outcomes compared to others...
August 22, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28829828/choosing-the-right-rehabilitation-setting-after-herniated-disc-surgery-motives-motivations-and-expectations-from-the-patients-perspective
#11
Margrit Löbner, Janine Stein, Melanie Luppa, Alexander Konnopka, Hans Jörg Meisel, Lutz Günther, Jürgen Meixensberger, Katarina Stengler, Matthias C Angermeyer, Hans-Helmut König, Steffi G Riedel-Heller
OBJECTIVES: This study aims to investigate (1) motives, motivations and expectations regarding the choice for a specific rehabilitation setting after herniated disc surgery and (2) how rehabilitation-related motivations and expectations are associated with rehabilitation outcome (ability to work, health-related quality of life and satisfaction with rehabilitation) three months after disc surgery. METHODS: The longitudinal cohort study refers to 452 disc surgery patients participating in a subsequent rehabilitation...
2017: PloS One
https://www.readbyqxmd.com/read/28828579/quantitative-evaluation-of-the-compressed-l5-and-s1-nerve-roots-in-unilateral-lumbar-disc-herniation-by-using-diffusion-tensor-imaging
#12
Jiulong Zhang, Feng Zhang, Fuxia Xiao, Zuogang Xiong, Dong Liu, Ting Hua, Nekitsing Indima, Guangyu Tang
BACKGROUND AND PURPOSE: Nerve root compression by lumbar disc herniation (LDH) induces a series of clinical symptoms, seriously affecting the patient's life and work. The purpose of this study is to investigate microstructural changes and fiber bundle abnormalities of the compressed L5 and S1 nerve roots in young patients with unilateral LDH by using diffusion tensor imaging (DTI). METHODS: Forty young patients with unilateral LDH and 17 healthy volunteers participated in the study, and 33 patients received follow-up DTI examination after one month of conservative treatment...
August 21, 2017: Clinical Neuroradiology
https://www.readbyqxmd.com/read/28810568/mechanism-of-microrna-146a-mediated-il-6-stat3-signaling-in-lumbar-intervertebral-disc-degeneration
#13
Tao Zhou, Hao Lin, Ziao Cheng, Chaochao Ji, Chao Zhang, Jiwei Tian
The aim of the study was to investigate the mechanism of microRNA (miR)-146a-mediated activation of interleukin-6/signal transducer and activator of transcription 3 (IL-6/STAT3) in lumbar intervertebral disc degeneration. To obtain intervertebral tissue, we recruited 5 patients with lumbar intervertebral disc herniation (experimental group) and 5 patients with lumbar burst fracture (control group). Nucleus pulposus tissue was extracted by surgery and cultured. miR-146a empty vector, mimic, and inhibitor were transfected into the two groups of cells for 24 h and the levels of IL-6, type II collagen (Col II), aggrecan, STAT3, matrix metalloproteinase (MMP)-3, and a disintegrin and metalloproteinase with thrombospondin type I motifs (ADAMTS) were detected...
August 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/28796647/cauda-equina-syndrome-due-to-vigorous-back-massage-with-spinal-manipulation-in-a-patient-with-pre-existing-lumbar-disc-herniation-a-case-report-and-literature-review
#14
Si-Dong Yang, Qian Chen, Wen-Yuan Ding
Cauda equina syndrome (CES) resulting from acute lumbar disc herniation due to spinal massage is extremely rare. We present a case of CES caused by the acute worsening of a lumbar disc herniation after a vigorous back massage that included spinal manipulation. After vigorous back massage with spinal manipulation performed by a massage therapist, a 38-yr-old male patient experienced CES with severe numbness in both lower limbs, inability to walk due to weakness of bilateral lower limbs, and incontinence of urine and feces...
August 7, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28779960/efficacy-and-safety-of-etanercept-in-the-treatment-of-sciatica-a-systematic-review-and-meta-analysis
#15
REVIEW
Shangfei Jing, Chenyuan Yang, Xiaofei Zhang, Shuzheng Wen, Yuankui Li
Etanercept might be promising to alleviate sciatica caused by lumbar disc herniation and spinal stenosis. However, the results remained controversial. We conducted a systematic review and meta-analysis to evaluate the efficacy of etanercept in patients with sciatica. PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases were systematically searched. Randomized controlled trials (RCTs) and Controlled clinical trials (CCT) assessing the efficacy of etanercept on sciatica caused by lumbar disc herniation and spinal stenosis were included...
October 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/28776544/quantitative-evaluation-of-pain-with-pain-index-extracted-from-electroencephalogram
#16
Jian-Xiong An, Yong Wang, Doris K Cope, John P Williams
BACKGROUND: The current pain assessment methods are strongly subjective and easily affected by outside influences, and there is an urgent need to develop a reliable objective and quantitative pain-monitoring indicator. The aim of this study was to evaluate the feasibility of using Pain index (Pi) to assess pain symptoms in pain patients. METHODS: Subjects were enrolled from patients seeking treatment at Pain Medicine Center of China Medical University Aviation General Hospital from October 2015 to December 2016, such as postherpetic neuralgia, spinal cord injury, femoral head necrosis, lumbar disc herniation, trigeminal neuralgia, complex regional pain syndrome, perineal pain, phantom limb pain, etc...
August 20, 2017: Chinese Medical Journal
https://www.readbyqxmd.com/read/28769985/long-term-course-to-lumbar-disc-resorption-patients-and-predictive-factors-associated-with-disc-resorption
#17
Jinho Lee, Joowon Kim, Joon-Shik Shin, Yoon Jae Lee, Me-Riong Kim, Seon-Yeong Jeong, Young-Jun Choi, Tae Kyung Yoon, Byung-Heon Moon, Su-Bin Yoo, Jungsoo Hong, In-Hyuk Ha
The long-term course to lumbar intervertebral disc herniation (LDH) patients receiving integrative Korean medicine treatment and predictive factors associated with disc resorption were investigated. LDH patients who received integrative Korean medicine treatment from February 2012 to December 2015 and were registered in the "longitudinal project for LDH on MRI" were included. Disc resorption amount was measured 3-dimensionally with disc degeneration and modic change levels on baseline and follow-up MRIs. Patient characteristics, Korean medicine use, pain, symptom recurrence, and satisfaction were assessed through medical records and phone surveys...
2017: Evidence-based Complementary and Alternative Medicine: ECAM
https://www.readbyqxmd.com/read/28763411/patient-decision-aids-improve-decision-quality-and-patient-experience-and-reduce-surgical-rates-in-routine-orthopaedic-care-a-prospective-cohort-study
#18
Karen Sepucha, Steven J Atlas, Yuchiao Chang, Janet Dorrwachter, Andrew Freiberg, Mahima Mangla, Harry E Rubash, Leigh H Simmons, Thomas Cha
BACKGROUND: Patient decision aids are effective in randomized controlled trials, yet little is known about their impact in routine care. The purpose of this study was to examine whether decision aids increase shared decision-making when used in routine care. METHODS: A prospective study was designed to evaluate the impact of a quality improvement project to increase the use of decision aids for patients with hip or knee osteoarthritis, lumbar disc herniation, or lumbar spinal stenosis...
August 2, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28761194/spontaneous-resorption-of-a-herniated-cervical-disc-in-a-dog-detected-by-magnetic-resonance-imaging
#19
Francesca Raimondi, Beatriz Moreno-Aguado, Phil Witte, Nadia Shihab
This report describes, for the first time in small animal literature, the spontaneous resorption of herniated Hansen type I intervertebral disc material in the cervical spine of a chondrodystrophic dog over a 4-month period, documented by magnetic resonance imaging. Clinical signs (cervical hyperpathia) responded to conservative treatment during the same period.
August 2017: Canadian Veterinary Journal. la Revue Vétérinaire Canadienne
https://www.readbyqxmd.com/read/28757523/operative-techniques-of-percutaneous-endoscopic-mini-hemilaminectomy-using-a-uniportal-approach-in-dogs
#20
Hee-Sup Moon, Yong-Hyun Hwang, Hee-Chun Lee, Jae-Hoon Lee
The present study aimed to investigate the technical feasibility of percutaneous endoscopic mini-hemilaminectomy via a uniportal approach, and to evaluate the possibility of decompression and endoscopic examination of the thoracic and lumbar spinal canals in small dogs during such procedures. Fresh canine cadavers of mixed-breed dogs (n=7) were used in this study. Following injection of a barium and agarose mixture (BA-gel) to stimulate intervertebral disc herniation, percutaneous endoscopic mini-hemilaminectomy was performed using a lateral approach to the thoracic and lumbar vertebrae...
July 31, 2017: Journal of Veterinary Medical Science
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