Cross-sectional areas of lumbar muscles after surgical treatment of lumbar disc herniation

Objective To determine whether pain is associated with gait instability in patients with lumbar disc herniation (LDH). Methods This retrospective cross-sectional study used data from electronic medical records. Among patients with lumbar back pain caused by LDH between January 2017 and July 2019, patients that underwent gait analysis were included. LDH was diagnosed using magnetic resonance imaging. An OptoGait photoelectric cell system was used for gait evaluation. Instability was measured using a gait symmetry index. Multivariate linear regression analysis was performed to determine the association between lumbar pain and gait instability. Results A total of 29 patients (12 females [41.4%] and 17 males [58.6%]; mean ± SD age, 40.6 ± 12.0 years) with LDH were enrolled in the study. With each 1-point increase in lumbar pain on the numeric rating scale, the symmetry index of the stance phase (0.33; 95% confidence interval [CI] 0.04, 0.62), swing phase (0.78; 95% CI 0.14, 1.43) and single support (0.79; 95% CI 0.15, 1.43) increased. Conclusions Gait instability in patients with LDH may occur due to an increase in pain.

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SwissDisc Registry (SDR) – The Register of Patients undergoing Surgical Treatment of lumbar Disc Herniation in Switzerland

10.1055/s-0037-1603878 ◽

2017 ◽

Author(s):

O. Wetzel ◽

S. Rey ◽

C. Perren ◽

J. Fandino ◽

J.C. Kienzler

Keyword(s):

Surgical Treatment ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc

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Surgical treatment of the lumbar disc herniation complicated by lumbar spinal stenosis

Ukrainian Neurosurgical Journal ◽

10.25305/unj.182625 ◽

2020 ◽

Vol 26 (1) ◽

pp. 5-12 ◽

Cited By ~ 1

Author(s):

Mykhaylo V. Khyzhnyak ◽

Artur Yu. Ksenzov ◽

Tymur A. Ksenzov

Keyword(s):

Surgical Treatment ◽

Spinal Stenosis ◽

Lumbar Spinal Stenosis ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Lumbar Spinal

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Clinical results of surgical treatment of the lumbar disc herniation.

Orthopedics & Traumatology ◽

10.5035/nishiseisai.34.372 ◽

1985 ◽

Vol 34 (1) ◽

pp. 372-378

Author(s):

Kazumori Arimura ◽

Ken Takara ◽

Hiroshi Fukuyama ◽

Masatoshi Matsuoka

Keyword(s):

Surgical Treatment ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Clinical Results

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LUMBAR ENDOSCOPIC PERCUTANEOUS DISCECTOMY - CLINICAL OUTCOME. PROSPECTIVE STUDY

Coluna/Columna ◽

10.1590/s1808-185120171603166520 ◽

2017 ◽

Vol 16 (3) ◽

pp. 177-179 ◽

Cited By ~ 1

Author(s):

ANDRÉ LUÍS SEBBEN ◽

XAVIER SOLER I GRAELLS ◽

MARCEL LUIZ BENATO ◽

PEDRO GREIN DEL SANTORO ◽

ÁLYNSON LAROCCA KULCHESKI

Keyword(s):

Surgical Treatment ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Gold Standard ◽

Lumbar Disc ◽

Surgical Techniques ◽

Preoperative Period ◽

Percutaneous Discectomy ◽

Common Indication ◽

Endoscopic Techniques

ABSTRACT Objective: Lumbar disc herniation is a common indication for surgical treatment of the spine. Open microdiscectomy is the gold standard. New surgical techniques have emerged, such as spinal endoscopy. We compared and evaluated two endoscopic techniques: the transforaminal and the interlaminar. Methods: Fifty-five patients underwent endoscopic technique and were assessed by VAS and ODI in the preoperative period, and in the first and sixth month after the procedure. Results: We had 89.1% of good results and 10.9% of complications. Conclusion: We conclude that endoscopic techniques are safe and effective for the surgical treatment of lumbar disc herniation.

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Surgical Treatment of Upper Lumbar Disc Herniation

Spinal Surgery ◽

10.2531/spinalsurg.17.113 ◽

2003 ◽

Vol 17 (2) ◽

pp. 113-118

Author(s):

Kinya Nakanishi ◽

Junya Hanakita ◽

Yoshihiro Kawahara ◽

Tsukasa Satou ◽

Masashi Oda ◽

...

Keyword(s):

Surgical Treatment ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Upper Lumbar Disc Herniation

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“Visualization” of Pain using Cerebral 18 F-FDG PET/CT Following Surgical Treatment of Lumbar Disc Herniation

10.21203/rs.3.rs-745097/v1 ◽

2021 ◽

Author(s):

Christian Christensen Støttrup ◽

Caius Constantinescu ◽

Reza Piri ◽

Mohsen Khosravi ◽

Andrew Newberg ◽

...

Keyword(s):

Surgical Treatment ◽

Glucose Metabolism ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Fdg Pet ◽

Lumbar Disc ◽

Leg Pain ◽

Standardized Uptake Values ◽

Pet Ct ◽

Fdg Pet Ct

Abstract We hypothesised that unilateral leg pain following surgical treatment of lumbar disc herniation (LDH) is associated with an increase in the glucose metabolism of the contralateral thalamus. Patients scheduled for surgery due to LDH underwent 18F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) less than two weeks prior to surgery. Their thalamic FDG uptake was measured and expressed as the mean and partial volume corrected mean standardized uptake values (SUVmean and cSUVmean). These measures were compared with patient-related outcome measures collected pre- and 1-year postoperatively: back and leg pain on a 0-100 VAS scale and health related quality of life as measured by the EuroQol-5D (EQ-5D). Twenty-six patients (10 females) aged 49.7 ± 7.4 (mean ± SD) years were included. There was a significant correlation between painful body side and increased contralateral thalamic uptake of FDG, with regard to cSUVmean values. Correlation analyses including clinical parameters and cSUVmean indicated some association with 1-year change in EQ-5D. These preliminary data sustain the hypothesis that unilateral pain in patients with LDH is associated with increased glucose metabolism in the contralateral thalamus, suggestion a central role of thalamus in chronic pain perception.

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