Search results for "disc hernia"

Reoperations after first lumbar disc herniation surgery; a special interest on residives during a 5-year follow-up

2007

Abstract Background The overall rate of operations after recurrent lumbar disc herniation has been shown to be 3–11%. However, little is known about the rate of residives. Thus the aim of this study was to explore the cumulative rates of re-operations and especially residive disc herniations at the same side and level as the primary disc herniation after first lumbar disc herniation surgery and the factors that influence the risk of re-operations over a five year follow-up study. Methods 166 virgin lumbar disc herniation patients (mean age 42 years, 57% males) were studied. Data on patients' initial disc operations and type and timing of re-operations during the follow-up were collected fro…

Posterior epidural intervertebral disc migration and sequestration: A systematic review

2022

Posterior epidural intervertebral disc migration and sequestration (PEIMS) is a rare and debilitating complication of degenerative disc disease. Radiological differential diagnosis is often challenging, complicating the accurate planning of appropriate treatment strategies. We systematically reviewed the literature on PEIMS, focusing on clinical-radiological features and available treatments. PubMed, Scopus, Web of Science, and Cochrane were searched to include studies reporting clinical data of patients with PEIMS. Clinical characteristics, treatment strategies, and functional outcomes were analyzed. We included 82 studies comprising 157 patients. Median age was 54 years (range, 19-91). PE…

Lumbosacral disc herniation: spinal interventional chemonucleolysis with CT-intradiscal oxygen-ozone (O2-O3) mixture with periradicular and perigangl…

2007

Identification of an Unknown Corpse by Means of Computed Tomography (CT) of the Lumbar Spine

1995

For the first time, a case is described in which an unknown corpse is identified by the comparison of antemortem and postmortem computed tomographic (CT) images. A posterolateral disc herniation at L5-S1 on the right side, Schmorl's nodes and a lucency in the ilium were found in identical locations in each case. Additionally there were characteristic morphological similarities in the vertebral bodies, spinous processes, transverse processes and neural arches. In CT identification, as in conventional radiographic identification, one must try to reproduce comparable scanning conditions and images because apparent differences in the roentgenological morphology can occur as a result of differen…

Early Onset of Guillain–Barré Syndrome Following Lumbar Disc Herniation Surgery: An Unexpected Clinical Evolution

2021

Letter: Guillain–Barré syndrome (GBS), is a neurologic complication rarely reported following a spinal surgery procedure.1, 2, 3, 4, 5, 6 GBS is a potentially fatal, immune-mediated disease of the peripheral nerves and nerve roots that is usually triggered by infections. It is the most common cause of acute flaccid paralysis, with an annual global incidence of approximately 1–2 per 100,000 person-years.7 Although the clinical presentation of the disease is heterogeneous, patients typically present with weakness and sensory signs in the legs that progress to the arms and cranial muscles. Disease progression can be rapid in approximately 20% of patients with respiratory failure requiring mech…

Ossovenography and Epidural Venography

1976

Henning (1940) and Ehrhardt and Kneip (1943) were the first to report injection of contrast medium into bone. In 1952 Fischgold et al. reported that contrast injections into a human spinous process resulted in an outline of the venous plexus of the attached vertebral body. In subsequent years improvements have been made which now permit contrast visualization of the venous plexuses of the entire vertebral axis.

Finite element analysis of a Bionate ring-shaped customized lumbar disc nucleus prosthesis

2021

[EN] Study design: Biomechanical study of a nucleus replacement with a finite element model. Objective: To validate a Bionate 80A ring-shaped nucleus replacement. Methods: The ANSYS lumbar spine model made from lumbar spine X-rays and magnetic resonance images obtained from cadaveric spine specimens were used. All materials were assumed homogeneous, isotropic, and linearly elastic. We studied three options: intact spine, nucleotomy, and nucleus implant. Two loading conditions were evaluated at L-3-L-4, L-4-L-5, and L-5-S-1 discs: a 1000 N axial compression load and this load after the addition of 8 Nm flexion moment in the sagittal plane plus 8 Nm axial rotation torque. Results: Maximum nuc…

Neurogenic bladder and disc disease: a brief review.

2013

Neurogenic bladder refers to morphofunctional alterations of the bladder-sphincter complex secondary to central or peripheral neurological lesions. Discal etiology can be suggested by clinical observation in patients complaining of classical lower back pain, but not excluded even without musculoskeletal pain. This review provides a brief overview of associations between neurogenic bladder and disc disease, analyzing neuroanatomy, pathophysiology, clinical and urodynamic findings. Therapy is reviewed focusing on etiological treatments.The literature search was performed on PubMed, Medline and Google scholar using the following keywords: 'neurogenic bladder', 'disc herniation', 'disc prolapse…

Anterior Cervical Subaxial Treatment (Fusion)

2019

Cervical radiculopathy caused by a soft disc herniation or a foraminal stenosis is a common problem. While symptoms from soft disc herniations have high chances to recover after conservative therapy persisting radicular pain or a neurological deficit are accepted as an indication for surgical treatment. The surgical technique regarded as gold standard for cervical radiculopathy due to a disc herniation or foraminal stenosis is an anterior cervical discectomy followed by fusion. The chapter will outline the indications for anterior cervical discectomy, the clinical and radiographic results as well as the potential complications and secondary problems.

Influence of Manual Therapies in Lumbar Disc Herniation A Case Study

2017

Magnetic Resonance Imaging (MRI) has so far been the best way to diagnose disc herniation, the high resolution of images taken on various vertebral tissues allowing the observation, in different planes, of situations such as: the displacement of dural sac and nerve roots, the disc hydration status, which are important data forthe diagnosis and prognosis of disc disease.Manual therapies mainly aim at restoring the lost joint mobility, but also the balance of muscular, skeletal and cranial systems. To this purpose, manipulationtechniques are used for decompression ofthe nerve root affected by disc herniation, spinal hypomobilityandnormalisation ofthe muscles that are peripheral to the lesion.…