keyword
https://read.qxmd.com/read/38515409/-clinical-study-on-the-treatment-of-postoperative-recurrence-of-lumbar-disc-herniation-with-intervertebral-fusion
#1
JOURNAL ARTICLE
Lian-Sheng Zheng, Xue-Min Li, Yu-Long Li
OBJECTIVE: To explore clinical effect of different intervertebral fusion devices (cage) in treating postoperative recurrent lumbar disc herniation (LDH). METHODS: One hundred and forty-two LDH patients with recurrence after simple intervertebral disc nucleus pulpoideectomy from January 2019 to January 2021 were retrospectively analyzed. All patients were treated with combined underchannel fixation and interbody fusion and divided into a single anatomical group,two-anatomical group and a single banana group according to types and numbers of implanted cage...
March 25, 2024: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/38515408/-effect-and-complication-among-different-kinds-of-spinal-endoscopic-surgery-for-lumbar-disc-herniation
#2
JOURNAL ARTICLE
Kang Chen, Fu-Guo Yang, Yuan-Chao Luo, Ren-Jian He
OBJECTIVE: To compare clinical efficacy and complication rate of percutaneous endoscopic transforaminal discectomy(PETD),percutaneous endoscopic interlaminar discectomy (PEID) and unilateral biportal endoscopic (UBE) in treating single-segment lumbar disc herniation(LDH). METHODS: From October 2019 to August 2021,121 LDH patients with single-segment treated by spinal endoscopy were retrospectively analyzed and divided into three groups. In PETD group,there were 48 patients,including 19 males and 29 females,aged from 18 to 72 years old with an average of (44...
March 25, 2024: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/38515407/-clinical-outcomes-and-bone-resection-analysis-of-unilateral-double-channel-endoscopic-technique-in-treating-lumbar-disc-herniation
#3
JOURNAL ARTICLE
Qing-Yun Xin, Wen-Zheng Li, Jun-Jian Han, Qi-Tao Liu, Chao Feng, Xiu-Sheng Guo, Jie Wei, Jie-Fu Song, De-An Qin, Deng-Jun Zhang
OBJECTIVE: To explore clinical outcomes and bone resection of interlaminar fenestration decompression and unilateral biportal endoscopic (UBE) technique in treating lumbar disc herniation(LDH). METHODS: A retrospective study was performed on 105 patients with single-level LDH treated from December 2019 to December 2021. Fifty-four patients in UBE group,including 32 males and 22 females,aged from 18 to 50 years old with an average of(38.7±9.3) years old,were treated with UBE,29 patients with L4,5 and 25 patients with L5 S1 ...
March 25, 2024: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/38497581/the-impact-of-the-placement-of-the-l5-vertebra-in-relation-to-the-intercrest-line-on-the-level-of-disc-herniation
#4
JOURNAL ARTICLE
Recai Engin, Yunus Emre Durmus, Fatih Tomakin, Aykan Ulus, Alparslan Senel
AIM: The objective of this study is to determine whether there is a correlation between a deeply situated L5 vertebra in relation to the intercrest line and the level of degeneration of the lumbar discs. MATERIAL AND METHODS: The study comprised 152 patients who underwent surgery for lumbar disc herniation. After analyzing the radiographs, the patients were separated into two groups. The first group had an intercrest line passing via the L4 corpus, while the second group had an intercrest line passing through the L4-5 disc distance or L5 vertebra...
February 19, 2024: Turkish Neurosurgery
https://read.qxmd.com/read/38425067/-molecular-mechanism-of-residual-lumbago-and-leg-pain-after-transforaminal-endoscopic-treatment-of-lumbar-disc-herniation
#5
JOURNAL ARTICLE
Kun Yang, Zi-Long Chen, Yan-Xi Chen, Li-Jun Ren, Lei Hou
OBJECTIVE: To observe the residual of lumbago and leg pain with contained type (CT) and non-contained type (NCT) lumbar disc herniation (LDH) after transforaminal endoscopic treatment, and to explore the role of hypoxia-inducible factor-1α(HIF-1α) and transient receptor potential vanillate 1(TRPV1) pathway. METHODS: A total of 68 single-segment LDH patients were selected from July 2021 to October 2022, including 44 males and 24 females;aged 26 to 67 years old with an average of(43...
February 25, 2024: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/38410409/case-report-acute-common-peroneal-nerve-injury-after-posterior-lumbar-decompression-surgery
#6
Peng Wei Wang, Ming Hsuan Chung, Dueng Yuan Hueng, Chung Ching Hsia
Spine surgery is a prevalently performed procedure. Some authors have proposed an age-related surge in surgical and general complications. During spine surgery, patients are placed in positions that are not physiologic, would not be tolerated for prolonged periods by the patient in the awake state, and may lead to complications. Understanding these uncommon complications and their etiology is pivotal to prevention and necessary. The patient is a 76-year-old woman referred to the outpatient department of neurosurgery in February 2022 by her physiatrist with a chief complaint of chronic low back pain and numbness over the left leg...
2024: Frontiers in Surgery
https://read.qxmd.com/read/38405075/male-spondyloarthritis-patients-and-those-with-longer-disease-duration-have-less-severe-disc-degeneration-propensity-score-matched-comparison
#7
JOURNAL ARTICLE
Samuel Tin Yan Cheung, Helen Hoi Lun Tsang, Prudence Wing Hang Cheung, Jason Pui Yin Cheung
OBJECTIVE: Using whole spine sagittal T2 MRI, we aimed to compare the severity and prevalence of disc degeneration (DD) in axial SpA patients vs the general population and to determine any association between spinal inflammation, structural changes, mobility and DD among SpA patients. METHODS: Two prospectively collected cohorts of SpA patients ( n  = 411) and the general population ( n  = 2007) were recruited. Eventually, 967 participants from the populational cohort and 304 participants from the SpA cohort were analysed...
2024: Rheumatology Advances in Practice
https://read.qxmd.com/read/38390643/neuromuscular-ultrasound-changes-in-unilateral-symptomatic-subacute-lumbosacral-radiculopathy-a-prospective-simple-blinded-cohort-study
#8
JOURNAL ARTICLE
David Cuendet, Daniele Valsecchi, Hugo Najberg, Gianluca Maestretti, Friedrich Medlin
INTRODUCTION/AIMS: Lumbosacral radiculopathy (LR) is a common disorder. Neuromuscular ultrasound (NMU) is a rapidly evolving technique for the investigation of peripheral nerve and muscle disorders, but studies using NMU in LR are lacking. The aim of the present study was to investigate ultrasonographic neuromuscular changes distant from root compression in patients with subacute to chronic compressive LR with motor impairment. METHODS: Patients with unilateral subacute to chronic L4, L5, or S1 radiculopathy with motor impairment and confirmed by magnetic resonance imaging were included...
February 23, 2024: Muscle & Nerve
https://read.qxmd.com/read/38371082/transforaminal-epidural-injection-for-far-lateral-lumbar-disc-herniations-an-alternative-to-surgery-or-just-a-delay
#9
JOURNAL ARTICLE
Luay Serifoglu, Mustafa U Etli
OBJECTIVE:  Far lateral lumbar disc herniations (FLLDH) are known for causing severe and persistent radicular pain due to direct nerve root and dorsal root ganglion compression. This study evaluates the effectiveness of transforaminal epidural steroid injection (TFSI) in patients with FLLDH, assessing its role as a potential alternative to surgery. METHODS:  The study retrospectively analyzed 42 patients with radicular pain caused by FLDH, confirmed via lumbar magnetic resonance imaging, who had not benefited from conservative treatment...
January 2024: Curēus
https://read.qxmd.com/read/38361008/the-effect-of-diabetes-mellitus-on-lumbar-disc-degeneration-an-mri-based-study
#10
JOURNAL ARTICLE
Xiaoming Tian, Hongwei Zhao, Sidong Yang, Wenyuan Ding
PURPOSE: This study aims to analyse the effect of diabetes mellitus (DM) on the radiological changes of Magnetic Resonance Imaging (MRI) on the intervertebral discs and paravertebral muscle to investigate the effect of DM on spinal degeneration. METHODS: This retrospective study initially included 262 patients who underwent treatment between January 2020 and December 2021 because of lumbar disc herniation. Amongst these patients, 98 patients suffered from type 2 diabetes mellitus (T2DM) for more than five years; this is the poorly controlled group (haemoglobin A1c (HbA1c) ≥ 6...
February 15, 2024: European Spine Journal
https://read.qxmd.com/read/38350597/risks-associated-with-surgical-management-of-lumbosacral-transitional-vertebrae-systematic-review-of-surgical-considerations-and-illustrative-case
#11
JOURNAL ARTICLE
Stephen Albano, Nolan J Brown, Zach Pennington, Andrew Nguyen, Timothy I Hsu, Martin H Pham, Michael Y Oh
INTRODUCTION: Lumbosacral transitional vertebrae (LSTV) are congenital anomalies of the L5-S1 segments characterized by either sacralization of the most caudal lumbar vertebra or lumbarization of the most cephalad sacral vertebra. This variation in anatomy exposes patients to additional surgical risks. METHODS: In order to shed light on surgical considerations reported for lumbar spine cases involving LSTV as described in the extant literature, we performed a systematic review in accordance with PRISMA guidelines...
February 11, 2024: World Neurosurgery
https://read.qxmd.com/read/38324242/wiltse-approach-for-lumbar-microdiscectomy-and-foraminotomy-2-dimensional-operative-video
#12
JOURNAL ARTICLE
Jason Trang, Cher Shui, Yingda Li
Far lateral disc herniations account for between 7% and 12% of all disk herniations and occur predominantly at L3/4 and L4/5.1,2 They can cause severe radicular pain due to dorsal root ganglion involvement and are exacerbated by lateral bending to the side of the lesion. Back pain is less of a feature with this pathology.3 The Wiltse approach was first described in the 1960s as an approach to L5/S1 noninstrumented fusion for isthmic spondylolisthesis4; its use in pedicle screws and far lateral discs was described in 1988...
February 6, 2024: Operative Neurosurgery (Hagerstown, Md.)
https://read.qxmd.com/read/38316417/treatment-of-l5-s1-floating-calcified-lumbar-disc-herniation-with-percutaneous-endoscopic-interlaminar-discectomy
#13
JOURNAL ARTICLE
GuoNing Gu, Teng Liu, HuiZhi Guo, YongChao Tang, ShunCong Zhang, ZhiDong Yang, YongXian Li, Kai Yuan
OBJECTIVE: The floating calcified tissue in floating calcified lumbar disc herniation (FCLDH) is hard and often adheres to the dura mater, which can easily cause nerve root damage during surgery, making the operation challenging. We proposed the classification of FCLDH and a new technique for removing floating calcified tissue and reported the clinical efficacy and safety of this new technique in clinical practice. METHODS: From January 2019 to October 2021, 24 patients (13 males and 11 females, 46...
February 5, 2024: Orthopaedic Surgery
https://read.qxmd.com/read/38305634/lumbar-degeneration-and-quality-of-life-in-patients-with-lumbar-disc-herniation-a-case-control-long-term-follow-up-study
#14
JOURNAL ARTICLE
Sebastian Pontén, Tobias Lagerbäck, Sebastian Blomé, Karin Jensen, Mikael Skorpil, Paul Gerdhem
BACKGROUND AND PURPOSE: Adults treated surgically for lumbar disc herniation in adolescence have a higher degree of lumbar disc degeneration than controls. We aimed to establish whether the degree of lumbar degeneration differs at diagnosis or at follow-up between surgically and non-surgically treated individuals. METHODS: We identified individuals with a lumbar disc herniation in adolescence diagnosed with magnetic resonance imaging (MRI) and contacted them for follow-up MRI...
February 2, 2024: Acta Orthopaedica
https://read.qxmd.com/read/38252307/transforaminal-endoscopic-lumbar-discectomy-using-a-45%C3%A2-puncture-angle-and-foraminotomy-versus-traditional-thesys-for-l5-s1-lumbar-disc-herniation-a-prospective-randomized-controlled-trial
#15
JOURNAL ARTICLE
Yuxuan Qian, Zhiheng Chen, Guowang Zhang, Xin Wang, Ji Liu, Aofei Yang, Jianguang Xu, Xiaofeng Lian
PURPOSE: Prospective comparison of the efficacy and safety of transforaminal endoscopic lumbar discectomy (TELD) with a 45° puncture angle versus traditional Thomas Hoogland endoscopy spine systems (THESYS) for the surgical treatment of L5/S1 lumbar disc herniation (LDH). METHODS: Consecutive patients with L5/S1 LDH who underwent TELD were randomized (1:1) assigned to the 45° TELD group and the THESYS group. Clinical outcomes were assessed at pre-operation, 1-day and 3/6-months post-operation till final follow-up...
January 22, 2024: European Spine Journal
https://read.qxmd.com/read/38218844/percutaneous-endoscopic-transforaminal-vs-interlaminar-discectomy-for-l5-s1-lumbar-disc-herniation-a-retrospective-propensity-score-matching-study
#16
JOURNAL ARTICLE
Tusheng Li, Guangnan Yang, Wei Zhong, Jiang Liu, Zhili Ding, Yu Ding
OBJECTIVE: Percutaneous endoscopic lumbar discectomy (PELD) is a safe and effective minimally invasive surgery for treating lumbar disc herniation (LDH); however, the comparative clinical efficacy of percutaneous endoscopic transforaminal discectomy (PETD) and percutaneous endoscopic interlaminar discectomy (PEID) in treating L5-S1 LDH remains unclear. This study compared the clinical advantages of PEID and PETD for treating L5-S1 LDH. METHODS: This was a single-centre retrospective study analysing clinical data from 120 patients with L5-S1 LDH between February 2016 and May 2020...
January 13, 2024: Journal of Orthopaedic Surgery and Research
https://read.qxmd.com/read/38214088/l4-5-disc-herniation-not-unusually-accompanied-with-l5-s1-low-grade-spondylolytic-spondylolisthesis
#17
JOURNAL ARTICLE
Haicheng Zhou, Qingshuang Zhou, Bin Wang, Yong Qiu, Zezhang Zhu, Zhen Liu, Xu Sun
OBJECTIVE: Isthmic spondylolisthesis (IS) is distinguished by a congenital defect or acquired fracture of the pars interarticularis. Numerous studies on L5 low-grade IS have been carried out; however, there is a paucity of data regarding the condition of L5 IS concomitant with L4/5 disc herniation. This study aimed to identify the incidence rate and to illustrate the possible risk factors for L4/5 disc herniation in L5 low-grade IS patients. METHODS: A total of 268 consecutive patients diagnosed as L5/S1 low-grade IS between May 2017 and May 2022 were retrospectively enrolled in this study...
January 12, 2024: Orthopaedic Surgery
https://read.qxmd.com/read/38196212/relationship-between-facet-joint-tropism-with-lumbar-disc-herniation-at-a-particular-motion-segment
#18
JOURNAL ARTICLE
Sandesh Shrestha, Rajesh Bahadur Lakhey, Sharma Paudel, Sushil Paudel
BACKGROUND: Lumbar disc herniation is one of the important and common causes of low back pain. There are various modifiable and non-modifiable risk factors for the development of lumbar disc herniation. Any change in the orientation or asymmetry of the facet joint i.e. facet tropism may lead to abnormal shearing stress on the intervertebral disc and may lead to development of disc herniation. METHODS: This is a cross-sectional observational study of 46 patients aged 18-40 years with clinical features of Prolapsed Intervertebral Disc and Magnetic Resonance Imaging evidence of single level prolapsed disc who presented to Tribhuvan University Teaching Hospital from December 2019 to June 2021...
December 13, 2023: Journal of Nepal Health Research Council
https://read.qxmd.com/read/38171312/interlaminar-endoscopic-lumbar-discectomy-versus-microscopic-lumbar-discectomy-a-preliminary-analysis-of-l5-s1-lumbar-disc-herniation-outcomes-in-prospective-randomized-controlled-trials
#19
JOURNAL ARTICLE
Yanting Liu, Youngjin Kim, Chan Woong Park, Siravich Suvithayasiri, Khanathip Jitpakdee, Jin-Sung Kim
OBJECTIVE: A preliminary report from a single institution, noninferiority, prospective randomized controlled trial is conducted to determine the effectiveness of interlaminar endoscopic lumbar discectomy (IELD) versus microscopic lumbar discectomy (MLD) for the treatment of L5-S1 lumbar disc herniation (LDH). METHODS: This prospective, noncrossover, randomized controlled trials was conducted at a single neurosurgical center. Patients with symptomatic radiculopathy or intermittent neurogenic claudication caused by LDH were enrolled from July 2016 to July 2021...
December 2023: Neurospine
https://read.qxmd.com/read/38168685/relationship-between-paravertebral-muscle-degeneration-and-spinal-pelvic-sagittal-parameters-in-patients-with-lumbar-disc-herniation
#20
JOURNAL ARTICLE
Tianlian Bao, Chunmei Wang, Yongjiang Wang, Tiantian Wang, Qingxin Zhang, Feng Gao, Hao Liu, Xiaoyang Tao, Gang Gao, Tinxin Zhang, Wupeng Yang, Keyu Zhao
Lumbar disc herniation (LDH) is a clinically common degenerative disease of the spine, and spinal-pelvic sagittal balance and paravertebral muscle degeneration have been a research focus in recent years. To explore the relationship between the degeneration of paravertebral muscle and the changes in the spinal-pelvic sagittal parameters in LDH patients, 105 LDH patients (experimental group) and 63 healthy volunteers (control group) hospitalized in Ordos Central Hospital from January 2020 and January 2023 were included as study subjects...
January 2, 2024: Scientific Reports
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