scholarly journals Influences of lumbar disc herniation on the kinematics in multi-segmental spine, pelvis, and lower extremities during five activities of daily living

2017 ◽  
Vol 18 (1) ◽  
Author(s):  
Shengzheng Kuai ◽  
Wenyu Zhou ◽  
Zhenhua Liao ◽  
Run Ji ◽  
Daiqi Guo ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Daily Living ◽  
Lumbar Disc ◽  
Lower Extremities

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.

Recurrence Rate of Lumbar Disc Herniation After Standard Discectomy and Microdiscectomy: A 5-Year Study

2019 ◽  
Vol 12 (2) ◽  
pp. 139-146
Author(s):  
Mladen E. Ovcharov ◽  
Iliya V. Valkov ◽  
Milan N. Mladenovski ◽  
Nikolay V. Vasilev
Keyword(s):  
Recurrence Rate ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Surgical Techniques ◽  
Reoperation Rate ◽  
University Hospital ◽  
Recurrence Rates ◽  
Chi Square ◽  
Common Procedure

Summary Lumbar disc herniation (LDH) is the most common pathology in young people, as well as people of active age. Despite sophisticated and new minimally invasive surgical techniques and approaches, reoperations for recurrent lumbar disc herniation (rLDH) could not be avoided. LDH recurrence rates, reported in different studies, range from 5 to 25%. The purpose of this study was to estimate the recurrence rates of LDH after standard discectomy (SD) and microdiscectomy (MD), and compare them to those reported in the literature. Retrospectively, operative reports for the period 2012-2017 were reviewed on LDH surgeries performed at the Neurosurgery Clinic of Dr Georgi Stranski University Hospital in Pleven. Five hundred eighty-nine single-level lumbar discectomies were performed by one neurosurgeon. The diagnoses of recurrent disc herniation were based on the development of new symptoms and magnetic resonance/computed tomography (MRI/CT) images showing compatible lesions in the same lumbar level as the primary lumbar discectomies. The recurrence rate was determined by using chi-square tests and directional measures. SD was the most common procedure (498 patients) followed by MD (91 patients). The cumulative reoperation rate for rLDH was 7.5%. From a total number of reoperations, 26 were males (59.1%) and 18 were females (40.9%). Reoperation rates were 7.6% and 6.6% after SD and MD respectively. The recurrence rate was not significantly higher for SD. Our recurrence rate was 7.5%, which makes it comparable with the rates of 5-25% reported in the literature.

EFFICACY OF ANTIBIOTICS PROPHYLAXIS IN PATIENTS WITH LUMBAR DISC HERNIATION UNDERGOING LUMBAR DISCETOMY

2018 ◽  
Vol 8 (5) ◽  
pp. 14-19
Author(s):  
Tri Truong Van ◽  
Tri Tran Duc Duy ◽  
Khai Vo Le Quang
Keyword(s):  
Surgical Site Infection ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Lumbar Discectomy ◽  
University Hospital ◽  
Site Infection ◽  
Surgical Wound ◽  
A Prospective Study ◽  
Length Of Hospitalization

Introduction: Surgical wound infection in developing coutries is about 3%. Antibiotics prophylaxis may help to reduce the surgical site infection. The objective of this study was to evaluate the efficacy of antibiotics prophylaxis in patients with lumbar disc herniation who were treated with lumbar discectomy at Hue University hospital. Materials and Methods: A prospective study was conducted at Hue University hospital from March 2015 to May 2018 on 54 patients with lumbar disc herniation who were used antibiotics prophylaxis when undergoing discectomy. Results: The infection rate in our study was 0%. Antibiotics prophylaxis reduced the length of hospitalization as well as the medical cost. Conclusion: Antibiotics prophylaxis was effective in preventing surgical site infection despite the fact that the condition of operating rooms did not meet the standard rules. Key words: prophylaxis antibiotics, lumbar disc herniation

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