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Conservative treatment AND disc herniation

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https://www.readbyqxmd.com/read/27858699/adolescent-lumbar-disc-herniation-impact-diagnosis-and-treatment
#1
Mustafa Karademir, Olcay Eser, Ergün Karavelioglu
BACKGROUND: Symptomatic lumbar intervertebral disc herniation (LDH) is rare in children and adolescents. To date, the treatments available for child and adolescent LDH, and the effect of each treatment, have not been fully reviewed. OBJECTIVE: The purpose of this retrospective study is to report the etiology, familial history, presenting symptoms, level of herniation, duration of symptoms, radiological findings, as well as treatment methods and outcome. METHODS: We retrospectively reviewed medical records of all patients with inclusion criteria of being younger than 20 years...
November 11, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27858672/guide-wire-breakage-during-posterolateral-endoscopic-lumbar-discectomy-procedure-a-case-report
#2
Xiaofei Guan, Shan Zhao, Xin Gu, Hailong Zhang, Shisheng He
OBJECTIVE: To present a unique case of guide wire breakage as a rare complication during posterolateral endoscopic lumbar discectomy. BACKGROUND: Posterolateral endoscopic lumbar discectomy (PELD) has become a routinely performed minimally invasive spinal procedure. However, several complications of PELD have attracted our concerns, including the intraoperative injury to neural and vascular structures and failure of the surgery. We have countered a rare intraoperative complication of guidewire breakage during a PELD procedure, as far as we know, this has not been reported previously, and we wish to draw attention to this hazard...
November 4, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27843689/transition-of-a-herniated-lumbar-disc-to-lumbar-discal-cyst-a-case-report
#3
Rohit Bansil, Yoshitaka Hirano, Hideo Sakuma, Kazuo Watanabe
BACKGROUND: Another rare cause of lower back pain with radiculopathy is the discal cyst. It is believed to arise from degeneration of a herniated disc, although many other theories of its origin have been proposed. Here, we report a patient with lower back pain/radiculopathy attributed originally to a herniated lumbar disc, which transformed within 6 months into a discal cyst. CASE DESCRIPTION: A 42-year-old male had a magnetic resonance (MR) documented herniated lumbar disc at the L4-5 level...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/27792115/stand-alone-lateral-recess-decompression-without-discectomy-in-patients-presenting-with-claudicant-radicular-pain-and-mri-evidence-of-lumbar-disc-herniation-a-prospective-study
#4
Arvind G Kulkarni, Ravish Patel, Shumayou Dutta, Vishwanath Patil
STUDY DESIGN: Prospective study. OBJECTIVE: To analyze the outcomes of stand-alone lateral recess decompression without discectomy in patients with claudicant radicular pain and MRI showing LRS (lateral recess stenosis) with lumbar disc herniation. SUMMARY OF BACKGROUND DATA: Discectomy is the gold standard treatment for symptomatic lumbar disc herniations refractory to conservative care. Typically patients with positive SLR (Straight leg raising test) and flexion dominant leg pain are the ideal candidates who can be benefited from discectomy...
October 25, 2016: Spine
https://www.readbyqxmd.com/read/27790328/ten-important-tips-in-treating-a-patient-with-lumbar-disc-herniation
#5
REVIEW
Farzad Omidi-Kashani, Hamid Hejrati, Shahrara Ariamanesh
Lumbar disc herniation is a common spinal disorder that usually responds favorably to conservative treatment. In a small percentage of the patients, surgical decompression is necessary. Even though lumbar discectomy constitutes the most common and easiest spine surgery globally, adverse or even catastrophic events can occur. Appropriate patient selection and effective neural decompression constitute the most important points for better surgical outcomes and avoidance of unpleasant complications. Other important tips include timely performance of magnetic resonance imaging, correct interpretation of scan data, preoperative detection of underlying instability, exclusion of non-discogenic sciatica, determination of the main cause of clinical pathology, avoidance of the wrong side or level, and being sure that the more detailed procedure does not necessarily mean the more effective procedure...
October 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27689222/-surgical-treatment-of-lumbar-disc-herniation
#6
F C Heider, H M Mayer
OBJECTIVE: Herniated disc tissue removal to decompress the spinal nerve/cauda equina. Minimization of iatrogenic trauma and associated injuries. INDICATIONS: Conservative treatment did not sufficiently improve clinical symptoms. This is true for progressive or persisting neurological deficits, as well as for persisting pain which alters the quality of the patient`s life. Results of surgery are strongly dependent on the preoperative duration of symptoms. Paramount is the "timing" of surgery: poorer surgical results associated with increasing preoperative duration of symptoms...
September 29, 2016: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/27683697/far-lateral-microdiscectomy-a-minimally-invasive-surgical-technique-for-the-treatment-of-far-lateral-lumbar-disc-herniation
#7
Kevin Phan, Alexander E Dunn, Prashanth J Rao, Ralph J Mobbs
Lumbar disc herniation arises when the annulus fibrosus of the vertebral disc fails, thus allowing displacement of the nucleus pulposus and other tissue. The term far lateral is used variably in the literature and usually refers to an extraforaminal displacement in the peridiscal zone peripheral to the sagittal plane of the most lateral part of the pedicle at the same level. Non-surgical treatments of far lateral disc herniation include physical therapy, anti-inflammatory medication, and corticosteroid injections...
March 2016: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/27678542/motor-control-exercise-for-symptomatic-lumbar-disc-herniation-protocol-for-a-systematic-review-and-meta-analysis
#8
Mohammad Reza Pourahmadi, Morteza Taghipour, Ismail Ebrahimi Takamjani, Mohammad Ali Sanjari, Mohammad Ali Mohseni-Bandpei, Abbas Ali Keshtkar
INTRODUCTION: Lumbar disc herniation (LDH) is a common condition in adults and can impose a heavy burden on both the individual and society. It is defined as displacement of disc components beyond the intervertebral disc space. Various conservative treatments have been recommended for the treatment of LDH and physical therapy plays a major role in the management of patients. Therapeutic exercise is effective for relieving pain and improving function in individuals with symptomatic LDH...
September 27, 2016: BMJ Open
https://www.readbyqxmd.com/read/27635392/an-outcome-study-of-anterior-cervical-discectomy-and-fusion-among-iranian-population
#9
Ali Haghnegahdar, Mahsa Sedighi
Background and Aim. First-line treatment strategy for managing cervical disc herniation is conservative measures. In some cases, surgery is indicated either due to signs/symptoms of severe/progressive neurological deficits, or because of persistence of radicular pain despite 12 weeks of conservative treatment. Success for treatment of cervical disc herniation using ACDF has been successfully reported in the literature. We aim to determine the outcome of ACDF in treatment of cervical disc herniation among Iranians...
2016: Neuroscience Journal
https://www.readbyqxmd.com/read/27610119/advances-in-the-pathogenesis-diagnosis-and-treatment-of-bow-hunter-s-syndrome-a-comprehensive-review-of-the-literature
#10
REVIEW
Guangxin Duan, Jiaping Xu, Jijun Shi, Yongjun Cao
Bow hunter's syndrome (BHS), also known as rotational vertebral artery (VA) occlusion syndrome, is a rare yet treatable type of symptomatic vertebrobasilar insufficiency resulting from mechanical occlusion or stenosis of the VA during head and neck rotation or extension. The symptoms of BHS range from transient vertigo to posterior circulation stroke. The underlying pathology is dynamic stenosis or compression of the VA by abnormal bony structures with neck rotation or extension in many cases, such as osteophyte, disc herniation, cervical spondylosis, tendinous bands or tumors...
June 2016: Interventional Neurology
https://www.readbyqxmd.com/read/27596554/-comparison-of-results-between-fenestration-discectomy-associated-with-annulus-repair-and-fenestration-discectomy-for-lumbar-disc-herniation-in-the-adolescents
#11
J Li, C Ma, Y M Li, Z H Wang, M Zhao, J Feng, W X Dai
OBJECTIVE: To compare the preliminary clinical outcomes of fenestration discectomy associated with annulus repair (FDAR) and fenestration discectomy (FD) for lumbar disc herniation in the adolescents. METHODS: The data of 26 adolescent patients with single segment lumbar disc herniation who were admitted to the Department of Orthopedics, Xuzhou Central Hospital from October 2012 to October 2014 were retrospectively studied. All patients were divided into 2 groups, including 12 patients undergoing FDAR and 14 patients undergoing FD respectively...
August 23, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27562589/sagittal-balance-parameters-correlate-with-spinal-conformational-type-and-mri-changes-in-lumbar-degenerative-disc-disease-results-of-a-retrospective-study
#12
Mihai Mardare, Manuel Oprea, Iulian Popa, Ancuța Zazgyva, Marius Niculescu, Dan V Poenaru
PURPOSE: Spinopelvic parameters can be useful in identifying risk factors for lumbar degenerative disc disease, but few studies assess patients with single-level disc herniation and most do not evaluate symptoms. This comparative retrospective study was aimed to analyse spinopelvic parameters, symptoms and MRI changes in patients with single-level lumbar disc herniation undergoing conservative or surgical treatment. METHODS: Patients with clinical and radiological assessment (Japanese Orthopaedic Association Score) and an MRI evaluation of the lumbar spine were identified and divided into two groups: surgically treated (group A) and not requiring surgery (group B)...
October 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27547686/use-of-pain-drawing-as-an-assessment-tool-of-sciatica-for-patients-with-single-level-lumbar-disc-herniation
#13
Toshiya Tachibana, Keishi Maruo, Shinichi Inoue, Fumihiro Arizumi, Kazuki Kusuyama, Shinichi Yoshiya
The objectives of this study were to examine the diagnostic accuracy of pain drawing (PD) in determining the level of involvement and to investigate how the quantitative evaluation results of PD using a grid score (GS) correlates with the results of other clinical evaluation measures in diagnosis and assessment of patients with lumber disc herniation (LDH) involving a single nerve root. Thirty-one patients with single level LDH who were diagnosed and conservatively treated by the first author constituted the study population...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27517021/evaluation-of-epidural-blockade-as-therapy-for-patients-with-sciatica-secondary-to-lumbar-disc-herniation
#14
Rogerio Carlos Sanfelice Nunes, Elenir Rose Jardim Cury Pontes, Izaias Pereira da Costa
OBJECTIVE: Sciatic pain secondary to lumbar disc herniation is a complex condition that is often highly limiting. The causes of pain in disc herniation are multifactorial. Two physiopathological mechanisms are involved in discogenic pain: mechanical deformation of nerve roots and a biochemical inflammatory component resulting from contact between the intervertebral disc and neural tissue, by way of the nucleus pulposus. The aim of this study was to evaluate the efficacy and safety of epidural blockade as therapy for bulging lumbar disc herniation...
July 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27497886/a-systematic-review-of-preoperative-predictors-for-postoperative-clinical-outcomes-following-lumbar-discectomy
#15
Courtney A Wilson, Darren M Roffey, Donald Chow, Fahad Alkherayf, Eugene K Wai
BACKGROUND CONTEXT: Sciatica is often caused by a herniated lumbar intervertebral disc. When conservative treatment fails, a lumbar discectomy can be performed. Surgical treatment via lumbar discectomy is not always successful and may depend on a variety of preoperative factors. It remains unclear which, if any, preoperative factors can predict postsurgical clinical outcomes. PURPOSE: This review aimed to determine preoperative predictors that are associated with postsurgical clinical outcomes in patients undergoing lumbar discectomy...
August 4, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27441176/transforaminal-full-endoscopic-lumbar-discectomy-in-obese-patients
#16
Jun Seok Bae, Sang-Ho Lee
BACKGROUND: Obese patients are at risk of complications such as slower wound healing and increased infection rates after spinal surgery. Transforaminal full-endoscopic lumbar discectomy (ELD) has advantages over conventional microdiscectomy because it decreases perioperative complications and increases favorable clinical outcomes. No clinical studies have reported ELD in obese patients. The purpose of this study is to evaluate the clinical outcomes of transforaminal ELD in obese patients...
2016: International Journal of Spine Surgery
https://www.readbyqxmd.com/read/27429818/spontaneous-regression-of-herniated-lumbar-disc-with-new-disc-protrusion-in-the-adjacent-level
#17
Tayfun Hakan, Serkan Gürcan
Spontaneous regression of herniated lumbar discs was reported occasionally. The mechanisms proposed for regression of disc herniation are still incomplete. This paper describes and discusses a case of spontaneous regression of herniated lumbar discs with a new disc protrusion in the adjacent level. A 41-year-old man was admitted with radiating pain and numbness in the left lower extremity with a left posterolateral disc extrusion at L5-S1 level. He was admitted to hospital with low back pain due to disc herniation caudally immigrating at L4-5 level three years ago...
2016: Case Reports in Orthopedics
https://www.readbyqxmd.com/read/27427994/bilateral-central-foot-drop-in-a-pediatric-patient
#18
Semra Işık, Akın Akakın, Murat Şakir Ekşi, Baran Yılmaz, Tamer Aksoy, Murat Konakçı, Zafer Orkun Toktaş, Türker Kılıç
Foot drop is an inability to dorsiflex the ankle and toe. Primary causes of foot drop are compression or lesion of the 5th lumbar nerve and entrapment of the peroneal nerve at the head of the fibula. Rarely, some central nervous system lesions lead to foot drop. A 16-year-old boy was admitted with blunt head trauma that had happened in an assault. The muscle strength of the bilateral tibialis anterior, bilateral extensor digitorum longus and bilateral extensor digitorum brevis were Medical Research Council grade 1...
2017: Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27310022/surgical-management-of-the-pregnant-patient-with-lumbar-disc-herniation-in-the-latter-stage-of-the-second-trimester
#19
Kazuo Hayakawa, Jun Mizutani, Nobuyuki Suzuki, Christopher Haas, Akira Kondo, Seiji Otsuka, Muneyoshi Fukuoka, Takanobu Otsuka
STUDY DESIGN: Case report. OBJECTIVES: To report on a pregnant woman successfully treated with micro-endoscopic discectomy in the left lateral position under general anesthesia at 24 weeks gestation. SUMMARY OF BACKGROUND DATA: Treatment for lumbar disc herniation in pregnant women poses a particular challenge due to the complexity of the clinical situation. Review of the literature emphasizes timely diagnosis with adequate management specific for each gestational period...
June 15, 2016: Spine
https://www.readbyqxmd.com/read/27276397/randomized-clinical-trial-comparing-lumbar-percutaneous-hydrodiscectomy-with-lumbar-open-microdiscectomy-for-the-treatment-of-lumbar-disc-protrusions-and-herniations
#20
Alexandre Fogaça Cristante, Ivan Diasda Rocha, Raphael MartusMarcon, Tarcísio Eloy Pessoade Barros Filho
OBJECTIVES: Hydrodiscectomy is a new technique used for percutaneous spinal discectomy that employs a high-intensity stream of water for herniated disc ablation and tissue aspiration. No previous clinical study has examined the effects of percutaneous hydrodiscectomy. The aim of this study is to evaluate the outcomes of hydrodiscectomy compared to open microdiscectomy regarding pain, function, satisfaction, complications and recurrence rates. METHODS: In this randomized clinical trial, patients referred to our tertiary hospital for lumbar back pain were recruited and included in the study if they had disc protrusion or small herniation in only one level, without neurological deficits and with no resolution after six weeks of conservative treatment...
May 2016: Clinics
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