Lumbar Disk Herniations

1991 ◽  
pp. 45-161
Author(s):  
Denis Krausé ◽  
Jean Luc Drapé ◽  
Daniel Maitrot ◽  
Bernard Woerly ◽  
Jean Tongio
Keyword(s):  
Lumbar Disk ◽  
Lumbar Disk Herniations

MR Imaging of Foraminal and Extraforaminal Lumbar Disk Herniations

1990 ◽  
Vol 14 (2) ◽  
pp. 243-249 ◽  
Author(s):  
Nicolas Grenier ◽  
Jean-François Gréselle ◽  
Catherine Douws ◽  
Jean-Marc Vital ◽  
Jacques Sénégas ◽  
...  
Keyword(s):  
Mr Imaging ◽  
Lumbar Disk ◽  
Lumbar Disk Herniations

Disk Area Is a More Reliable Measurement Than Anteroposterior Length in the Assessment of Lumbar Disk Herniations

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Anmol Gupta ◽  
Shivam Upadhyaya ◽  
Caleb M. Yeung ◽  
Peter J. Ostergaard ◽  
Harold A. Fogel ◽  
...  
Keyword(s):  
Reliable Measurement ◽  
Lumbar Disk ◽  
Lumbar Disk Herniations ◽  
Disk Area

scholarly journals Implementation of Transforaminal Endoscopic Lumbar Sequestrectomy in a German University Hospital Setting: A Long and Rocky Road

2019 ◽  
Vol 81 (01) ◽  
pp. 017-027
Author(s):  
Michael Bender ◽  
Carolin Gramsch ◽  
Lukas Herrmann ◽  
Seong Woong Kim ◽  
Eberhard Uhl ◽  
...  
Keyword(s):  
Blood Loss ◽  
Pain Score ◽  
Hospital Setting ◽  
University Hospital ◽  
Disk Herniation ◽  
Training Requirements ◽  
Lumbar Disk ◽  
Duration Of Surgery ◽  
Lumbar Disk Herniations

Abstract Objective Microsurgical diskectomy/sequestrectomy is the standard procedure for the surgical treatment of lumbar disk herniations. The transforaminal endoscopic sequestrectomy technique is a minimally invasive alternative with potential advantages such as minimal blood loss and tissue damage, as well as early mobilization of the patient. We report the implementation of this technique in a German university hospital setting. Methods One single surgeon performed transforaminal endoscopic sequestrectomy from February 2013 to July 2016 for lumbar disk herniation in 44 patients. Demographic as well as perioperative, clinical, and radiologic data were analyzed from electronic records. Furthermore, we investigated complications, intraoperative change of the procedure to microsurgery, and reoperations. The postoperative course was analyzed using the Macnab criteria, supplemented by a questionnaire for follow-up. Pre- and postoperative magnetic resonance imaging volumetric analyses were performed to assess the radiologic efficacy of the technique. Results Our study population had a median age of 52 years. The median follow-up was 15 months, and the median length of hospital stay was 4 days. Median duration of surgery was 100 minutes with a median blood loss of 50 mL. Surgery was most commonly performed at the L4–L5 level (63%) and in caudally migrated disk herniations (44%). In six patients, surgery was performed for recurrent disk herniations. The procedure had to be changed to conventional microsurgery in four patients. We observed no major complications. Minor complications occurred in six patients, and in four patients a reoperation was performed. Furthermore, a significantly lower Oswestry Disability Index score (p = 0.03), a lower Short Form 8 Health Survey (SF-8) score (p = 0.001), a lower visual analog scale (VAS) lower back pain score (p = 0.03) and VAS leg pain score (p = 0.0008) at the 12-month follow-up were observed in comparison with the preoperative examination. In MRI volumetry, we detected a median postoperative volume reduction of the disk herniation of 57.1% (p = 0.02). Conclusions The transforaminal endoscopic sequestrectomy can be safely implemented in a university hospital setting in selected patients with primary and recurrent lumbar disk herniations, and it leads to good clinical and radiologic results. However, learning curve, caseload, and residents' microsurgical training requirements clearly affect the implementation process.

A caveat to the treatment of lumbar disk herniations

2008 ◽  
Vol 70 (6) ◽  
pp. 673-675
Author(s):  
Levent Özçakar ◽  
Özlem Erol ◽  
Hatice Nursun Özcan
Keyword(s):  
Lumbar Disk ◽  
Lumbar Disk Herniations

The influence of lumbar disk herniations on gait

1993 ◽  
Vol 26 (3) ◽  
pp. 338
Author(s):  
O.D. Schipplein ◽  
G.B.J. Andersson ◽  
M. Hickey ◽  
T.P. Andriacchi
Keyword(s):  
Lumbar Disk ◽  
Lumbar Disk Herniations

High Lumbar Disk Herniations: Case Reports

Orthopedics ◽  
1989 ◽  
Vol 12 (2) ◽  
pp. 275-278
Author(s):  
Stephen J Bosacco ◽  
Arnold T Berman ◽  
Leonidas W Raisis ◽  
Richard I Zamarin
Keyword(s):  
Case Reports ◽  
Lumbar Disk ◽  
Lumbar Disk Herniations
Sign in / Sign up

Export Citation Format

Share Document