Analysis of in-hospital analgesic pharmacotherapy costs and regimen and impact on postoperative pain-related function in degenerative lumbar intervertebral disc disease

Background and Objectives: Lumbar traction is widely used as a non-operative treatment for lumbar intervertebral disc disease. The effect of traditional traction (TT) using linear-type traction devices remains controversial for various reasons, including technical limitations. Thus, the purpose of this study was to compare the effects of the newly developed lumbar lordotic curve-controlled traction (L-LCCT) and TT on functional changes in patients and morphological changes in the vertebral disc. Materials and Methods: A total of 40 patients with lumbar intervertebral disc disease at the L4/5 or L5/S1 level as confirmed by magnetic resonance imaging were recruited and divided into two groups (L-LCCT or TT). The comprehensive health status changes of the patients were recorded using pain and functional scores (the visual analogue scale, the Oswestry Disability Index, and the Roland–Morris Disability Questionnaire) and morphological changes (in the lumbar central canal area) before and after traction treatment. Results: Pain scores were significantly decreased after traction in both groups (p < 0.05). However, functional scores and morphological changes improved significantly after treatment in the L-LCCT group only (p < 0.05). Conclusions: We suggest that L-LCCT is a viable option for resolving the technical limitations of TT by maintaining the lumbar lordotic curve in patients with lumbar intervertebral disc disease.

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A critical evaluation of discography in patients with lumbar intervertebral disc disease

The Spine Journal ◽

10.1016/j.spinee.2006.10.005 ◽

2008 ◽

Vol 8 (4) ◽

pp. 624-629 ◽

Cited By ~ 9

Author(s):

Gaetano J. Scuderi ◽

Georgiy V. Brusovanik ◽

S. Raymond Golish ◽

Ronald DeMeo ◽

Jonathan Hyde ◽

...

Keyword(s):

Intervertebral Disc ◽

Critical Evaluation ◽

Intervertebral Disc Disease ◽

Disc Disease ◽

Lumbar Intervertebral Disc

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Microsurgical management of the lumbar intervertebral disc-disease

Neurosurgical Review ◽

10.1007/bf00383724 ◽

1995 ◽

Vol 18 (3) ◽

pp. 183-188 ◽

Cited By ~ 4

Author(s):

Alpaslan Kulali ◽

Klaus von Wild

Keyword(s):

Intervertebral Disc ◽

Intervertebral Disc Disease ◽

Disc Disease ◽

Lumbar Intervertebral Disc

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Comparison of intervertebral disc disease treatment by chymopapain injection and open surgery

Journal of Neurosurgery ◽

10.3171/jns.1975.42.4.0397 ◽

1975 ◽

Vol 42 (4) ◽

pp. 397-400 ◽

Cited By ~ 26

Author(s):

Clark Watts ◽

Gary Hutchison ◽

Jack Stern ◽

Kemp Clark

Keyword(s):

Intervertebral Disc ◽

Open Surgery ◽

Intervertebral Disc Disease ◽

Disc Disease ◽

Disease Treatment ◽

Lumbar Intervertebral Disc ◽

Content Type ◽

Fine Print

✓ Chymopapain chemonucleolysis was performed on 100 patients with primary lumbar intervertebral disc disease. The results were compared with those of 174 patients who underwent laminotomy, foraminotomy, and discectomy. Primary lumbar intervertebral disc disease was arbitrarily divided into degenerative, complex, previous surgical, and simple disc syndromes. No difference was seen between chemonucleolysis and surgery in the first three divisions; between 55% and 60% of patients responded successfully to treatment. In the simple disc division 89% of the surgical and 60% of the chemonucleolysis patients had successful results.

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