Occupational and Other Predictors of Herniated Lumbar Disc Disease—A 33-Year Follow-up in The Copenhagen Male Study

Background. Aim of this prospective study was to evaluate safety and efficacy of second generation Wallis system for degenerative lumbar disc disease. Material and methods. 25 patients underwent discectomy and insertion of Wallis system. Outcome assessment was done using Modified Oswestry disability index (ODI) and visual analogue scale (VAS) for backache and leg pain. Results. The mean follow-up was 20.5 months. The mean VAS for backache and leg pain showed significant improvement from 7.2 to 3.0 (p<0.001) and mean modified Oswestry disability index showed significant improvement from 59.1 to 24.7 (p<0.001). Only one patient (4%) underwent revision surgery for persistent pain due to granulation tissue deep to the implant. There were no other complications. Conclusion. The Wallis spine system is a safe and effective implant for treating degenerative lumbar disc disease.

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Lumbar Disc Disease. A Twenty-Year Clinical Follow-up Study.

Annals of Internal Medicine ◽

10.7326/0003-4819-77-1-164_1 ◽

1972 ◽

Vol 77 (1) ◽

pp. 164

Keyword(s):

Lumbar Disc ◽

Disc Disease ◽

Lumbar Disc Disease ◽

Follow Up Study

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Little-known Swiss contributions to the description, diagnosis, and surgery of lumbar disc disease before the Mixter and Barr era

Journal of Neurosurgery Spine ◽

10.3171/2013.8.spine121008 ◽

2013 ◽

Vol 19 (6) ◽

pp. 767-773 ◽

Cited By ~ 7

Author(s):

Martin Nikolaus Stienen ◽

Werner Surbeck ◽

Ulrich Tröhler ◽

Gerhard Hildebrandt

Keyword(s):

Causal Relationship ◽

Case Reports ◽

Early Report ◽

Lumbar Disc ◽

Historical Context ◽

Traumatic Rupture ◽

Disc Disease ◽

Lumbar Disc Disease ◽

Herniated Lumbar Disc ◽

Lumbar Spinal

The understanding of lumbar spine pathologies made substantial progress at the turn of the twentieth century. The authors review the original publication of Otto Veraguth in 1929 reporting on the successful resection of a herniated lumbar disc, published exclusively in the German language. His early report is put into the historical context, and its impact on the understanding of pathologies of the intervertebral disc (IVD) is estimated. The Swiss surgeon and Nobel Prize laureate Emil Theodor Kocher was among the first physicians to describe the traumatic rupture of the IVD in 1896. As early as 1909 Oppenheim and Krause published 2 case reports on surgery for a herniated lumbar disc. Goldthwait was the first physician to delineate the etiopathogenes is between annulus rupture, symptoms of sciatica, and neurological signs in his publication of 1911. Further publications by Middleton and Teacher in 1911 and Schmorl in 1929 added to the understanding of lumbar spinal pathologies. In 1929, the Swiss neurologist Veraguth (surgery performed by Hans Brun) and the American neurosurgeon Walter Edward Dandy both published their early experiences with the surgical therapy of a herniated lumbar disc. Veraguth's contribution, however, has not been appreciated internationally to date. The causal relationship between lumbar disc pathology and sciatica remained uncertain for some years to come. The causal relationship was not confirmed until Mixter and Barr's landmark paper in 1934 describing the association of sciatica and lumbar disc herniation, after which the surgical treatment became increasingly popular. Veraguth was among the first physicians to report on the clinical course of a patient with successful resection of a herniated lumbar disc. His observations should be acknowledged in view of the limited experience and literature on this ailment at that time.

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Outcome of Surgical Treatment for Lumber Disc Herniation Causing Painful Incomplete Foot-Drop

Pakistan Journal Of Neurological Surgery ◽

10.36552/pjns.v24i3.398 ◽

2020 ◽

Vol 24 (3) ◽

Author(s):

MUSAWER KHAN ◽

AKRAM ULLAH ◽

ADNAN AHMED ◽

MUMTAZ ALI ◽

MANSOOR AHMAD

Keyword(s):

Surgical Treatment ◽

Pain Relief ◽

Disc Herniation ◽

Lumbar Disc ◽

Cauda Equina ◽

Foot Drop ◽

Disc Disease ◽

Lumbar Disc Disease ◽

Number Of Patients

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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