Preoperative paraspinal and psoas major muscle atrophy and paraspinal muscle fatty degeneration as factors influencing the results of surgical treatment of lumbar disc disease

Objective: To determine the outcome of surgical treatment for lumder disc herniation causing the painful incomplete foot drop. Material and Methods: This retrospective observational study was conducted at the Department of Neurosurgery Lady Reading Hospital, Peshawar. Both Male and female patients with lumbar disc disease causing unilateral incomplete painful foot drop were included in our study. Patients with complete or painless foot drop, bilateral foot-drop, Multiple level disc prolapse, cauda equina syndrome or sciatic neuropathy due to injection injury were excluded. Patients were followed was post-operatively in terms of power in foot dorsiflexion, medical research council (MRC) grade and pain relief on a Visual Analogue Scale (VAS) after 1 month and then after 6 months. Results: Total number of patients included were 43. Age was ranging from 18 years to 54 years and mean age was 33 years. Before surgery, power of MRC grade 3 or less, but greater than 1 in dorsiflexion was noted in all patients. The pain was scaled using VAS. Post peratively, at 1 month follow up, the foot-drop improved to MRC grade 4 or 5 along with pain relief of ≥ 2 points on VAS in 81. 4% (n = 35) patients and at 6 month follow-up, the figure rose to 93% (n = 40). Conclusion: Lumbar disc disease can cause a debilitating foot-drop and pain. Improving or restoring a neurology early surgical intervention has proven benefits.

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Surgical treatment of 63 cases of conjoined nerve roots

Journal of Neurosurgery ◽

10.3171/jns.1982.56.1.0114 ◽

1982 ◽

Vol 56 (1) ◽

pp. 114-117 ◽

Cited By ~ 30

Author(s):

James G. White ◽

Timothy A. Strait ◽

Joseph R. Binkley ◽

Samuel E. Hunter

Keyword(s):

Surgical Treatment ◽

Lumbar Disc ◽

Disc Disease ◽

Nerve Roots ◽

Lumbar Disc Disease ◽

Content Type ◽

Operative Results ◽

Conjoined Nerve Roots ◽

Conjoined Nerve Root ◽

Fine Print

✓ The operative results of 63 cases of lumbar disc disease with surgically confirmed conjoined nerve roots are reviewed. The first 55 patients were treated by standard hemilaminectomy and discectomy, with only 30% reporting a good result. Of the last eight patients treated by hemilaminectomy, pediculectomy, and discectomy, seven patients returned to work. The rationale for and the technique of pediculectomy are discussed in detail. Clinical, radiological, and surgical clues indicating the presence of the conjoined nerve root anomaly are reviewed.

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Lumbar Disc Disease in Children

Neurosurgery ◽

10.1227/00006123-197801000-00004 ◽

1978 ◽

Vol 2 (1) ◽

pp. 22-26 ◽

Cited By ~ 29

Author(s):

Eddy Garrido ◽

Robin P. Humphreys ◽

Bruce E. Hendrick ◽

Harold J. Hoffman

Keyword(s):

Surgical Treatment ◽

Clinical Experience ◽

Lumbar Disc ◽

Surgical Results ◽

Disc Disease ◽

Lumbar Disc Disease ◽

Children's Hospital ◽

Children’S Hospital

Abstract The clinical experience with lumbar disc disease in 38 patients at a large children's hospital is reviewed. Thirty children underwent surgical treatment; eight patients were not operated upon. The surgical results were excellent, with 93% of the children cured or markedly improved on follow-up. The main differential aspects of lumbar disc disease between children and adults are emphasized.

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32 Surgical Treatment of Degenerative Lumbar Disc Disease: A Critical Review

The Lumbar Intervertebral Disc ◽

10.1055/b-0034-73874 ◽

2010 ◽

Keyword(s):

Surgical Treatment ◽

Critical Review ◽

Lumbar Disc ◽

Disc Disease ◽

Lumbar Disc Disease

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Lumbar disc disease

The Neurosurgeon's Handbook ◽

10.1093/med/9780198570677.003.0685 ◽

2010 ◽

pp. 830-835

Author(s):

George Samandouras

Keyword(s):

Surgical Treatment ◽

Natural History ◽

Clinical Features ◽

Lumbar Disc ◽

Disc Disease ◽

Lumbar Disc Disease ◽

Basic Concepts

Chapter 16.11 covers lumbar disc disease, including basic concepts and areas such as epidemiology, natural history vs. surgery, clinical features, imaging, and surgical treatment.

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Does the Intradiscal Injection of Platelet Rich Plasma Have Any Beneficial Role in the Management of Lumbar Disc Disease?

Global Spine Journal ◽

10.1177/2192568221998367 ◽

2021 ◽

pp. 219256822199836

Author(s):

Sathish Muthu ◽

Madhan Jeyaraman ◽

Girinivasan Chellamuthu ◽

Naveen Jeyaraman ◽

Rashmi Jain ◽

...

Keyword(s):

Beneficial Effect ◽

Platelet Rich Plasma ◽

Lumbar Disc ◽

Meta Analysis ◽

Cochrane Library ◽

Significant Heterogeneity ◽

Disc Disease ◽

Lumbar Disc Disease ◽

Beneficial Role ◽

Sf 36

Study Design: Systematic review and meta-analysis. Objectives: We performed this meta-analysis to evaluate whether intradiscal Platelet Rich Plasma(PRP) injection has any beneficial role in the management of lumbar disc disease. Methods: We conducted independent and duplicate electronic database searches including PubMed, Embase, and Cochrane Library till September 2020 for studies investigating the role of intradiscal PRP in the management of lumbar disc disease. The analysis was performed in the R platform using OpenMeta[Analyst] software. Results: 13 studies including 2 RCTs, 5 prospective, and 6 retrospective studies involving 319 patients were included in the meta-analysis. A single-arm meta-analysis of the included studies showed a beneficial effect of the intervention in terms of pain relief outcomes like VAS score (p < 0.001), pain component of SF-36 (p = 0.003) while such improvement was not seen in functional outcome measures like ODI score (p = 0.071), the physical component of SF-36 (p = 0.130) with significant heterogeneity noted among the included studies. No structural improvement in magnetic resonance imaging was observed (p = 0.106). No additional procedure-related adverse events were noted in the included studies (p = 0.662). Conclusion: There is a paucity of high-quality studies to give conclusive evidence on the benefits of intradiscal PRP for lumbar disc disease. Although intradiscal PRP injection has shown some beneficial effect in controlling pain for lumbar disc disease, we could not find structural or functional improvement from the included studies. Hence, we recommend large double-blind double-arm randomized controlled studies to analyze the benefits of the intervention being analyzed.

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