Driving reaction time before and after surgery for lumbar disc herniation in patients with radiculopathy

OBJECTIVEThe positive effect of primary lumbar disc surgery on braking reaction time (BRT) has already been shown. The authors investigated the effect of recurrent lumbar disc herniation surgery on BRT.METHODSTwenty-four patients (mean age 49.9 years) were investigated for BRT 1 day before surgery, postoperatively before hospital discharge, and 4 to 5 weeks after surgery. Thirty-one healthy subjects served as a control group.RESULTSSignificant improvement of BRT following surgery was found in all patients (p < 0.05). For patients with right-sided recurrent disc herniation, median BRT was 736 msec before surgery, 685 msec immediately postoperatively, and 662 msec at follow-up. For patients with left-sided recurrent disc herniation, median BRT was 674 msec preoperatively, 585 msec postoperatively, and 578 msec at follow-up. Control subjects had a median BRT of 487, which differed significantly from the patient BRTs at all 3 test times (p < 0.05).CONCLUSIONSA significant reduction in BRT in patients with recurrent disc herniation was found following lumbar disc revision surgery, indicating a positive impact of surgery. Due to the improvement in BRT observed immediately after surgery, we conclude that it is appropriate to recommend that patients keep driving after being discharged from the hospital.

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Therapeutic Effects of Chinese Osteopathy in Patients with Lumbar Disc Herniation

The American Journal of Chinese Medicine ◽

10.1142/s0192415x13500663 ◽

2013 ◽

Vol 41 (05) ◽

pp. 983-994 ◽

Cited By ~ 4

Author(s):

Wei Zhang ◽

Wei Guo ◽

Ping Zhao ◽

Wei Zhou ◽

Jie Wei ◽

...

Keyword(s):

Nucleus Pulposus ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Pain Perception ◽

Lumbar Disc ◽

Symptomatic Relief ◽

Therapeutic Effects ◽

Symptom Index ◽

Before And After ◽

Asymptomatic Subjects

A clinical study was conducted in 72 lumbar disc herniation (LDH) patients and 40 asymptomatic subjects to evaluate the efficacy of Feng's spinal manipulation (FSM). FSM was performed twice a week for less than 20 days. Changes in the symmetrical index of spinal column (SISC) and quantified symptom index (QSI) before and after FSM in both groups were collected. The QSI consisted of the visual analogue scale (VAS), score of the Japanese Orthopedic Association, and straight leg raising test, for measurement of pain perception, dysfunction of lower limb extension or flexion, and symptomatic relief. A correlation analysis was conducted to compare the difference in protruded nucleus pulposus size using computerized projection grating profilometry, SISC, and QSI before and after the therapy. The results showed that the SISC and QSI significantly decreased after treatment in the LDH group (p < 0.01). The SISC before and after treatment was closely correlated with the improvement of QSI, although there was no change in protruded nucleus pulposus following the therapy. Among the five components in SISC, the LR was found to be an ideal indicator for evaluation of the real circumstances in LDH patients. Our data suggested that FSM achieved satisfactory therapeutic effects in relieving the symptom of LDH while no effects were observed in asymptomatic subjects.

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Pain During Sex Before and After Surgery for Lumbar Disc Herniation

Spine ◽

10.1097/brs.0000000000003675 ◽

2020 ◽

Vol 45 (24) ◽

pp. 1751-1757

Author(s):

Siril T. Holmberg ◽

Øyvind O. Salvesen ◽

Vetle Vangen-Lønne ◽

Sozaburo Hara ◽

Olav M. Fredheim ◽

...

Keyword(s):

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Before And After

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A novel vertebral trench technique (VTT) involving transforaminal endoscopic lumbar foraminotomy (TELF) for very highly up-migrated lumbar disc herniation above L5

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-04548-3 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Yong Yu ◽

Ye Jiang ◽

Fuling Xu ◽

Yuhang Mao ◽

Lutao Yuan ◽

...

Keyword(s):

Nucleus Pulposus ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Japanese Orthopaedic Association ◽

Length Of Hospital Stay ◽

Visual Analogue Score ◽

Radiologic Findings ◽

Before And After ◽

Endoscopic Lumbar Discectomy

Abstract Background Percutaneous endoscopic lumbar discectomy (PELD) has become popular for the treatment of symptomatic lumbar disc herniation (LDH). The very highly up-migrated lumbar disc herniation (VHUM-LDH) is difficult to remove under PELD. The purpose of this research is to investigate the feasibility, clinical efficacy and operative nuances of a novel VTT involving TELF for this type of herniation. Methods Eleven patients with very highly up-migrated LDH who underwent VTT involving TELF discectomy from May 2016 to May 2019 were included in this study. The operative time, length of hospital stay, and postoperative complications were recorded. Pre-and postoperative radiologic findings were investigated. All the patients were followed more than 1 year. The visual analogue score (VAS), Oswestry Disability Index (ODI), Japanese Orthopaedic Association (JOA) scores and modified MacNab criteria were used to assess surgical efficacy. Results All the 11 patients underwent successful surgery. We compared the VAS, ODI, and JOA scores before and after surgery. The differences were statistically significant (P < 0.05). According to the modified MacNab criteria, 10 patients were assessed as “excellent”, 1 patient was assessed as “good” at the last follow up. Conclusion The novel VTT involving TELF discectomy is a supplement to the traditional PELD. This technique enables the endoscope with working cannula to get closer the sequestrated nucleus pulposus without irritating the exiting nerve root, and facilitates the nucleus pulposus be removed successfully under direct visualization. The VTT involving TELF discectomy can be a safe, effective and feasible surgical procedure for the treatment of LDH with very highly up-migrated.

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Quantitative Evaluation of Intraspinal Lumbar Disc Herniation-related Lumbosacral Radiculopathy Before and After Percutaneous Transforaminal Endoscopic Discectomy Using Diffusion Tensor Imaging

Spine ◽

10.1097/brs.0000000000003925 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Yin Shi ◽

Feng Zhao ◽

Weiqiang Dou ◽

Hongyuan Ding ◽

Yuefen Zou ◽

...

Keyword(s):

Diffusion Tensor Imaging ◽

Quantitative Evaluation ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Diffusion Tensor ◽

Lumbar Disc ◽

Lumbosacral Radiculopathy ◽

Endoscopic Discectomy ◽

Before And After ◽

Percutaneous Transforaminal Endoscopic Discectomy

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The effect of multimedia-based nursing visit on preoperative anxiety and vital signs in patients undergoing lumbar disc herniation surgery: A randomised clinical trial

Journal of Perioperative Practice ◽

10.1177/1750458917742045 ◽

2018 ◽

Vol 28 (1-2) ◽

pp. 7-15 ◽

Cited By ~ 5

Author(s):

Behrooz Zarei ◽

Sina Valiee ◽

Bijan Nouri ◽

Fatemeh Khosravi ◽

Mohammad Fathi

Keyword(s):

Clinical Trial ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Vital Signs ◽

Randomised Clinical Trial ◽

Preoperative Anxiety ◽

Nursing Visit ◽

Significant Difference ◽

Before And After

This study was a randomised clinical trial on 60 candidates undergoing lumbar disc herniation surgery. Anxiety rate and vital signs were measured before and after the intervention. There was a statistically significant difference between the two groups in terms of the preoperative anxiety, systolic and diastolic blood pressure, pulse and respiratory rate (P = 0.0001). Neurosurgery perioperative nurses can make use of multimedia in preoperative nursing visit based on the needs of patients.

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EVALUATION OF THE EFFECTS OF ELECTRONIC ACUPUNCTURE COMBINED WITH “THAN THONG TRUC U THANG” REMEDY IN THE TREATMENT OF SCIATICA DUE TO LUMBAR DISC HERNIATION

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2019.4.2 ◽

2019 ◽

pp. 15-21

Author(s):

Van Hung Nguyen ◽

Truc Quynh Nguyen ◽

Thi Tan Nguyen

Keyword(s):

Traditional Medicine ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Modern Medicine ◽

Herniated Disc ◽

Good Level ◽

Before And After ◽

A Prospective Study

Background: Sciatica due to lumbar disc herniation is one of the most common diseases in the world as well as in Viet Nam, sciatica impact on patient’s quality of life, ability to work and social interaction. Currently there are many methods of treatment with modern medicine and traditional medicine. Objectives: To investigate some clinical and paraclinical characteristics of sciatica due to herniated disc without surgery and to evaluate the effects of electronic acupuncture combined of with “Than thong truc u thang” remedy in the treatment of sciatica due to lumbar disc herniation. Methods: The sample is 27 patients diagnosed sciatica due to lumbar disc herniation. We examined and treated at Traditional Medicine Department of Hue Central Hospital. A prospective study, assess the results before and after the treatment. Results: Good level occupied 44.4%; fair good level occupied 37.0%; averge good level occupied 18.5%. Conclusion: This combination is effective treatment for sciatica due to lumbar disc herniation. Key words: Sciatica, lumbar disc herniation, electronic – acupuncture, “Than thong truc u thang” remedy

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Treatment for Lumbar Disc Herniation With Spinal Stenosisto Using Unilateral Biportal Endoscopy Technique: a Retrospective Study

10.21203/rs.3.rs-142781/v1 ◽

2021 ◽

Author(s):

Baojie Shen ◽

Xuwei Pan ◽

Di Ruan ◽

Danfeng Dai ◽

Xiaoliang Qian ◽

...

Keyword(s):

Spinal Stenosis ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Operation Time ◽

Lower Extremities ◽

Surgical Instruments ◽

Clinical Effects ◽

Serious Adverse Events ◽

Before And After

Abstract Background: This paper is to describe Unilateral biportal endoscopy (UBE) in the treatment of lumbar disc herniation with spinal stenosis and to investigate the efficacy and safety of unilateral biportal endoscopy in the treatment of this kind of lumbar disc herniation with spinal stenosis in elderly patients. Method: Retrospective analysis of clinical and radiological data of patients receiving UBE or PEID treatment at the First People's Hospital of Yuhang District, Hangzhou, China, from July 2018 to June 2020 was performed. Result: The operation time of the UBE group was better than that of the PEID group (P<0.05). Based on the comparative analysis between the two groups, both the ODI score and the pain index were not statistically significant (P>0.05) but the intra-group comparison before and after the treatment was statistically significant (P<0.05). No marked intraoperative and postoperative complications occurred in the UBE group. In the PEID group, one patient developed transient pain in the lower extremities 3 days after surgery, while another patient developed numbness and discomfort in the lower extremities. Both groups were treated conservatively and recovered. During the follow-up, there were no serious adverse events that required another operation. Conclusion: UBE technology can achieve the same clinical effects as percutaneous endoscopic technology in the treatment of LDH with spinal stenosis. UBE technology is easy to apply during operation. For surgical instruments, UBE can not only use special instruments for endoscopes but also relaxes the conditions for application and use of open surgical instruments. During the operation, the operation is more effective and safe, and the learning curve is milder than that of the percutaneous endoscopic technique, which can be used as one of the options for surgical treatment of LDH and spinal stenosis in the future.

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Assessment of sexual dysfunction before and after surgery for lumbar disc herniation

Journal of Neurosurgery Spine ◽

10.3171/2010.5.spine09906 ◽

2010 ◽

Vol 13 (5) ◽

pp. 581-586 ◽

Cited By ~ 16

Author(s):

Naz B. Akbaş ◽

Sedat Dalbayrak ◽

Duygu G. Külcü ◽

Mesut Yılmaz ◽

Tevfik Yılmaz ◽

...

Keyword(s):

Sexual Dysfunction ◽

Sexual Intercourse ◽

Lumbar Disc Herniation ◽

Disc Herniation ◽

Sexual Desire ◽

Lumbar Disc ◽

Depression Scale ◽

Sexual Problems ◽

Sexual Life ◽

Before And After

Object Sexuality is an important aspect of human life. Sexual activity may be affected in lumbar disc herniation through different mechanisms. The aim of this study is to evaluate patients' sexual problems and sexual behavior patterns before and after surgical treatment of lumbar disc herniation. Methods Forty-three patients were included in the study (mean age 41.4 years). A visual analog scale, the Oswestry Disability Index, the Hospital Anxiety and Depression Scale, and a sexuality assessment questionnaire developed for this study were administered to the patients to evaluate pain and sexual dysfunction. Results Fifty-five percent of the men and 84% of the women reported experiencing sexual problems after the onset of low-back pain. The most common sexual problems were decreased sexual desire (18%) and premature ejaculation together with erectile dysfunction (18%) for the male patients, and decreased sexual desire (47%) for the female patients. The frequency of sexual intercourse before the operation was reduced in 78% of cases compared with the pain-free period. Postoperatively, the patients first attempted sexual intercourse a mean of 26.5 days after surgery. The frequency of intercourse was found to have increased (p = 0.01), while description of any type of sexual problem had decreased (p = 0.005) significantly. Conclusions Lumbar disc herniation has negative effects on sexual life, and not enough attention is given to the patients' sexual problems by the physicians. Decreased sexual desire and decreased sexual intercourse are the most commonly reported problems. Taking time during examination and giving simple recommendations may improve sexuality and life quality of the patients.

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