scholarly journals Cervical Spondylopathy and Lumbar Intervertebral Disc Herniation Coexist in Free Radical Metabolism and Focus Separation in the Body

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Song Yan ◽  
Tian Taotao ◽  
Yun Shunwei ◽  
Li Haitao ◽  
Chang Cheng
Keyword(s):  
Free Radical ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
The Body ◽  
Clinical Effects ◽  
Intervertebral Foramen ◽  
Free Radical Damage ◽  
Lumbar Intervertebral Disc Herniation ◽  
Free Radical Metabolism

Lumbar disc herniation is a common lumbar disease in clinics, which is related to improper use of lumbar vertebrae and osteoporosis. Surgical removal of nucleus pulposus and maintenance of lumbar structural stability are important for the treatment of lumbar disc herniation. At present, in clinical percutaneous intervertebral foramen endoscopic surgery for lumbar disc herniation, interlaminar and intervertebral foramen approaches can be selected. Different approaches have different degrees of difficulty in the treatment of lumbar disc herniation, and the clinical effects that may be obtained are different. In this study, we observed the influencing factors of plasma nitric oxide (NO) and free radical metabolism in patients with lumbar disc herniation and the correlation between the effects of focus separation. The organic combination of local and total illness differentiation and dialectics, conventional acupuncture, and electrical stimulation was highlighted in this study, which linked local acupoints squeezed by nerve roots with distant acupoints along meridians. The use of authoritative quantitative standards and a multifactor assessment of the disease can accurately represent the disease's severity. The patient's condition changes in each period may be expressed more accurately, thoroughly, and objectively through the rise or reduction of the score, making self-evaluation easier for the patient. Electroacupuncture at point may be one of the most important strategies to minimize free radical damage, based on changes in plasma levels.

scholarly journals Treatment of Calcified Lumbar Disc Herniation by Intervertebral Foramen Remolding a Retrospective Study

2021 ◽  
Author(s):  
Ao-lin Yuan ◽  
Xin Shen ◽  
Bin Chen
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Perioperative Outcomes ◽  
Intervertebral Foramen ◽  
Oswestry Disability Index Score ◽  
Disc Herniations ◽  
Dural Leak ◽  
Vas Scores ◽  
Endoscopic Lumbar Discectomy

Abstract Background: The percutaneous intervertebral foramen mirror technology is a new solution for lumbar disorders. However, like other minimally-invasive treatments for calcified lumbar discs, it is still controversial. The aim of this study was to investigate the use of the percutaneous intervertebral foramen lens technology for secondary molding of the intervertebral foramen in the treatment of calcified lumbar discs. Methods: The study included 50 patients aged (mean ± standard deviation) 49.9 ± 14.5 years, 30 (60%) females, who were diagnosed with calcified lumbar disc herniation by computed tomography and magnetic resonance imaging. Patients underwent a percutaneous endoscopic lumbar discectomy surgery in our hospital from January 1, 2017 to December 31, 2019. Demographic characteristics before the surgery and perioperative outcomes were retrospective reviewed. The treatment outcome was analyzed using the visual analog scale (VAS) score, the Oswestry Disability Index score, and modified Macnab criteria. Results: We evaluated those patients who showed significant improvement in both the VAS and ODI scores after the surgery and maintained relatively low ODI and VAS scores during subsequent follow-ups. Ninety-four percent of patients rated the results as "excellent" or "good" according to the modified Macnab criteria at the 3-month follow-up. One patient developed neck pain during the surgery, which was diagnosed as spinal hypertension syndrome, and the surgery was suspended until the patient improved. No patient had a dural leak, infection, or other related complications. Conclusions: Our results indicate that transforaminal remolding is effective in the treatment of calcified lumbar disc herniations, with few intraoperative and postoperative complications.Our results indicate that secondary reconstruction of the intervertebral foramen under visual conditions using microscopic knife is an effective method for treating calcified lumbar disc herniation, with few intraoperative and postoperative complications.

scholarly journals Nursing care plan for patients operated on for Lumbar Herniated Disc at CCOI Frank País

2021 ◽  
Vol 6 (3) ◽  
Keyword(s):  
Lumbar Disc Herniation ◽  
Nursing Care ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
The Body ◽  
International Medical ◽  
World Health ◽  
Care Plan ◽  
Personal Hygiene ◽  
Medical Attention

Introduction: lumbar disc herniation is as old as mankind. It has been described since ancient times, when man began to adopt the bipedal position and to support the entire weight of the body on his spine. According to the World Health Organization, herniated discs represent a great universal health problem. Objective: To design a care plan for patients operated on for lumbar disc herniation in the International Medical Attention Service (AMI) of the Frank País International Orthopedic Scientific Complex, deepening the knowledge of said pathological entity and identifying the socio-demographic characteristics of the staff, as well as the needs affected in patients during the period 2018-2019. Methodology: Descriptive cross-sectional study at the Frank País International Orthopedic Scientific Complex during the period 2018-2019. The sample was represented by all the nurses who work in the service (N = 13). The following variables were taken into account: age, sex, nursing degree, postgraduate completion, assessment of the physical and emotional needs of the patient, and the actions of the nursing staff to meet the needs. Results: The age of 40 to 45 years predominated (61.5%), 100% belonged to the female sex and all were professionally overcome by training. 61.5% were graduates. The needs in patients operated on for lumbar disc herniation were pain, physical activity and personal hygiene, which were found in all the patients studied. 38.4% of the personnel carried out insufficient actions, this corresponded to those who were technician qualifications. Conclusions: The design of a standardized nursing care plan regulated by the taxonomies NANDA, NIC, NOC, allowed structuring the scientific practice from the assessment to the evaluation of the results in the patient operated on for lumbar disc herniation admitted to the service of International Medical Care.

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

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.

scholarly journals The Clinical Diagnostic Value of Lumbar Intervertebral Disc Herniation Based on MRI Images

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Kangxing Zheng ◽  
Zihuan Wen ◽  
Dehuai Li
Keyword(s):  
Intervertebral Disc ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Facet Joint ◽  
Lumbar Disc ◽  
Herniated Disc ◽  
Intervertebral Disc Herniation ◽  
Facet Joints ◽  
Lumbar Intervertebral Disc ◽  
Lumbar Intervertebral Disc Herniation

MRI was used to measure the changes in the angle of the facet joints of the lumbar spine and analyze the relationship between it and the herniated lumbar intervertebral disc. Analysis of the causes of lumbar disc herniation from the anatomy and morphology of the spine provides a basis for the early diagnosis and prevention of lumbar disc herniation. There is a certain correlation between the changes shown in MRI imaging of lumbar disc herniation and the TCM syndromes of lumbar intervertebral disc herniation. There is a correlation between the syndromes of lumbar disc herniation and the direct signs of MRI: pathological type, herniated position, and degree of herniation. Indirect signs with MR, nerve root compression and dural sac compression, are related. The MRI examination results can help syndrome differentiation to improve its accuracy to a certain extent. MRI has high sensitivity for the measurement of the angle of the facet joints of the lumbar spine and can be used to study the correlation between the changes of the facet joint angles and the herniated disc. Facet joint asymmetry is closely related to lateral lumbar disc herniation, which may be one of its pathogenesis factors. The herniated intervertebral disc is mostly on the sagittal side of the facet joint, and the facet joint angle on the side of the herniated disc is more sagittal. The asymmetry of the facet joints is not related to the central lumbar disc herniation, and the angle of the facet joints on both sides of the central lumbar disc herniation is partial sagittal.

Is the Effect of Intervertebral Foramen Endoscopic Surgery on Adjacent Segmental Degeneration Better Than That of Open Surgery?

2021 ◽  
Author(s):  
wang shunmin ◽  
kaiqiang sun ◽  
aigang liu ◽  
rongzi chen ◽  
xi luo ◽  
...  
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Endoscopic Surgery ◽  
Lumbar Disc ◽  
Adjacent Segment Degeneration ◽  
Adjacent Segment ◽  
Intervertebral Foramen ◽  
Significant Difference ◽  
Endoscopic Discectomy

Abstract Background To compare the clinical outcomes of transforaminal lumbar interbody fusion (TLIF) and endoscopic discectomy in the treatment of postoperative adjacent segment degeneration in patients with lumbar disc herniation. Methods From 2014 to 2017, 87 patients who were diagnosed with single-level lumbar disc herniation (LDH) and received surgery of TLIF (group X, n = 43) or endoscopic discectomy (group F, n = 44) were retrospectively analyzed. X-ray, MRI, CT and clinical symptoms were recorded before operation and at the last follow-up. The neurological function was originally evaluated by the (JOA) score of the Japanese Orthopaedic Association. Radiological evaluation included the height of intervertebral space (HIS), intervertebral foramen height (FH), intervertebral foramen area (FA), lumbar lordosis (CA) and intervertebral disc degeneration pfirrmann score.Results There was no significant difference in average operation age, JOA improvement rate, reoperation rate and complications between the two groups. The average blood loss, average hospital stays and average operation time in group F were lower than those in group X. During the last follow-up, HIS, CA and FA decreased in both groups, and the changes in group X were more significant than those in group X (P < 0.05). There was no significant difference in postoperative FH between the two groups, but it decreased more in group X (P < 0.05).Conclusion Both TLIF and endoscopic surgery can achieve good results in the treatment of LDH, but the risk of lumbar adjacent segment degeneration after intervertebral foraminal surgery is lower.

Computer Three-Dimensional Reconstruction and Pain Management for Lumbar Disc Herniation Treated by Intervertebral Foramen Endoscopy

2019 ◽  
Vol 9 (8) ◽  
pp. 1776-1781
Author(s):  
Zhaowen Peng ◽  
Wenwen Zhao ◽  
Shaohua Hu
Keyword(s):  
Lumbar Spine ◽  
Pain Management ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Three Dimensional ◽  
Operation Time ◽  
Control Group ◽  
Intervertebral Foramen ◽  
Experimental Group

Objective: Lumbar disc herniation leads the numbness and pain in the waist and lower limbs. Intervertebral foramen endoscopy is a minimally invasive procedure for the treatment of disc herniation. Adequate preoperative evaluation is conducive to this percutaneous skin surgery. The purpose of this study is to improve the efficacy of intervertebral foramen endoscopy in the treatment of lumbar disc herniation by preoperative computer three-dimensional reconstruction combined with pain management. Method: Fifty patients with lumbar disc herniation who met the indications of intervertebral foramen endoscopy were randomly divided into experimental group and control group. The control group was operated according to experience based on the common axial image. The experimental group was punctured according for three-dimensional visualization model of lumbar spine. Preoperative simulated puncture catheterization and perioperative pain management was applied. The catheterization time, operation time under endoscopy, fluoroscopy times during operation, the Visual Analogue Scale (VAS) and Japanese Orthopaedic Association (JOA) scores before and 1 d, 1 m and 3 m after operation were compared between two groups. Result: The three-dimensional visualization model of lumbar spine was reconstructed based on thin-layer data. According to the results of software measurement, the skin puncture point was located and the puncture angle was obtained. Compared with the control group, the catheterization time, operation time under endoscopy, fluoroscopy times during operation in experimental group were significantly reduced. There was no statistical difference in VAS and JOA scores between two groups before operation. Compared with control group, the VAS scores in experimental group at 1 d, and 1 m after operation were decreased statistically, while the JOA scores were increased statistically. Conclusion: Three-dimensional visualization model of lumbar spine and virtual operation planning can directly judge the feasibility of intervertebral foramen endoscopy in the treatment of lumbar disc herniation, improve the efficiency of operation, and further improve postoperative efficacy with pain management.

scholarly journals Clinical effects of transforaminal approach vs interlaminar approach in treating lumbar disc herniation

Medicine ◽  
2020 ◽  
Vol 99 (44) ◽  
pp. e22701
Author(s):  
Wei Chen ◽  
Yong Zheng ◽  
Guiqing Liang ◽  
Guangfu Chen ◽  
Yabin Hu
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Clinical Effects ◽  
Transforaminal Approach ◽  
Interlaminar Approach

Far-lateral Lumbar Disc Herniation: The Microsurgical Transmuscular Approach

Neurosurgery ◽  
2004 ◽  
Vol 54 (4) ◽  
pp. 939-942 ◽  
Author(s):  
Enrico Tessitore ◽  
Nicolas de Tribolet
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Lateral Approach ◽  
Good Knowledge ◽  
Intervertebral Foramen ◽  
Bone Removal ◽  
Far Lateral Approach ◽  
Disc Herniations ◽  
Far Lateral

Abstract INTRA- AND EXTRAFORAMINAL disc herniations can be treated via a lateral approach. The far-lateral approach is a muscle-splitting approach that allows surgeons to reach the disc herniation without any facet bone removal. The target of the surgical exposure is the isthmus. Good knowledge of the anatomic features of the intervertebral foramen and intertransverse space is mandatory. The transmuscular approach is discussed. We provide illustrations and a video to emphasize some operative aspects.

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