scholarly journals Rehabilitation and clinical-evolutive aspects in a case of paraparesis after multilevel lumbar disc herniation, spinal canal stenosis and spondylolisthesis iteratively operated, in a pluripathological context

2020 ◽  
pp. 536-537
Author(s):  
Mihaela OPREA (MANDU) ◽  
Elena CONSTANTIN ◽  
Cristinel Dumitru BADIU ◽  
Alina BAJENARU ◽  
Alexandru STAVRICA ◽  
...  
Keyword(s):  
Training Program ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Spinal Canal ◽  
Lumbar Disc ◽  
Spinal Canal Stenosis ◽  
Lumbar Region ◽  
Active Recovery ◽  
Canal Stenosis ◽  
Active Training

Introduction. Disc herniation occurs most commonly in the lumbar region (95% of the cases). The current trend is to have surgery on patients with disc herniation if the kinetic treatment was not beneficial. The data from the literature suggest that early active recovery after lumbar disc herniation is more beneficial than a traditional, less active training program. Material and method. Having the patient's consent and the approval of the Ethics Committee of “Bagdasar-Arseni” Clinical Emergency Hospital, N.O. 17464 / 14.06.2019, the paper presents the case of a 75-year-old patient with paraparesis after multilevel lumbar disc herniation, spinal canal stenosis and spondylolisthesis iteratively operated, in pluripathological context (hyperplastic type II obesity, hypertension, prostate adenocarcinoma operated in 2015, Clostridium enterocolitis). The patient was clinically and functionally evaluated, according to the standardized protocols implemented in our clinic, through the assessment scales (ASIA, FIM, FAC, QoL, Ashworth and Penn) and also paraclinically, in order to evaluate his biological reserve and his bearing availability of the recovery program. Results and discussions. The patient presented a slowly favorable evolution (slowed down not only by his multiple above-mentioned comorbidities) from a dysfunctional point of view. Conclusions. Early active recovery after lumbar disc herniation surgery is more beneficial than a traditional, less active training program for operated herniated discs. Keywords: Schizophrenia, spinal cord injury, multidisciplinary, suicide attempt, rehabilitation,

scholarly journals Significance of lumbar canal stenosis in lumbar disc herniation.

1984 ◽  
Vol 32 (4) ◽  
pp. 1021-1023
Author(s):  
N. Kuwata ◽  
S. Kawai ◽  
T. Imagama ◽  
H. Oda ◽  
K. Sakai
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Lumbar Canal Stenosis ◽  
Canal Stenosis

scholarly journals Sudden Quadriplegia after Acute Cervical Disc Herniation

2005 ◽  
Vol 32 (3) ◽  
pp. 356-358 ◽  
Author(s):  
Venkatraman Sadanand ◽  
Michael Kelly ◽  
George Varughese ◽  
Daryl R. Fourney
Keyword(s):  
Disc Herniation ◽  
Spinal Canal ◽  
Imaging Study ◽  
Spinal Canal Stenosis ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Canal Stenosis ◽  
History Of ◽  
External Trauma ◽  
Acute Neurological Deterioration

ABSTRACT:Background:Acute neurological deterioration secondary to cervical disc herniation not related to external trauma is very rare, with only six published reports to date. In most cases, acute symptoms were due to progression of disc herniation in the presence of pre-existing spinal canal stenosis.Case report:A 42-year-old man developed weakness and numbness in his arms and legs immediately following a sneeze. On physical examination he had upper motor neuron signs that progressed over a few hours to a complete C5 quadriplegia. An emergent magnetic resonance imaging study revealed a massive C4/5 disc herniation. He underwent emergency anterior cervical discectomy and fusion. Postoperatively, the patient remained quadriplegic. Eighteen days later, while receiving rehabilitation therapy, he expired secondary to a pulmonary embolus. Autopsy confirmed complete surgical decompression of the spinal cord.Conclusions:Our case demonstrates that acute quadriplegia secondary to cervical disc herniation may occur without a history of myelopathy or spinal canal stenosis after an event as benign as a sneeze.

scholarly journals Recurrent Lumbar Disc Herniation. Relationship with Lumber Canal Stenosis.

1994 ◽  
Vol 43 (2) ◽  
pp. 522-525
Author(s):  
Satoshi Yamamura ◽  
Itsushi Baba ◽  
Yoshihisa Ishida ◽  
Tadayuki Sumida ◽  
Hideki Manabe ◽  
...  
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Canal Stenosis ◽  
Recurrent Lumbar Disc Herniation

scholarly journals A Rare Case of Spinal Subdural Hematoma Complicating Minimally Invasive Lumbar Micro Discectomy and Decompression for Recurrent Lumbar Disc Herniation

2019 ◽  
Vol 4 (3) ◽  
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Failed Back Surgery Syndrome ◽  
Neurological Deficits ◽  
Unusual Complication ◽  
Lumbar Region ◽  
Failed Back Surgery ◽  
Spinal Subdural Hematoma ◽  
Recurrent Lumbar Disc Herniation

Spinal subdural hematomas is a very rare and unusual complication of spinal interventions. We present a case of subacute SSDH in the lumbar region of a 60 year-old woman following microdiscectomy for recurrent lumbar disc herniation. By presenting this rarely seen case of postoperative subacute SSDH, we want to bring attention to the possible postoperative complications like spinal hematomas in the differential diagnosis of failed back surgery syndrome in patients who do not respond to conservative treatment or develop neurological deficits and to the importance of radiological imaging in such cases.

scholarly journals Criteria for selection of patients with lumbar intervertebral disc herniation complicated by spinal canal stenosis

2021 ◽  
Vol 23 (6) ◽  
pp. 828-833
Author(s):  
T. А. Ksenzov ◽  
M. V. Khyzhniak ◽  
A. Ю. Ksenzov ◽  
V. О. Tyshchenko
Keyword(s):  
Intervertebral Disc ◽  
Disc Herniation ◽  
Spinal Canal ◽  
Disease Duration ◽  
Spinal Canal Stenosis ◽  
Intervertebral Disc Herniation ◽  
Mri Findings ◽  
Lumbar Intervertebral Disc ◽  
Canal Stenosis ◽  
Lumbar Intervertebral Disc Herniation

Aim – to evaluate clinical and instrumental correlation (MRI data) in patients with lumbar intervertebral disc herniation complicated by spinal canal stenosis for optimizing the indications for differentiated surgical treatment. Materials and methods. Clinical and neurological manifestations and MRI data in 80 patients (men – 36, women – 44), aged 27 to 72 years with a diagnosis of intervertebral disc herniation complicated by spinal canal stenosis were retrospectively analyzed. Depending on the size of the spinal canal, there were 2 groups: the first – with relative spinal canal stenosis (n = 20) – 75–100 mm2, and the second group – with absolute spinal canal stenosis (n = 60) – less than 75 mm2. We examined the correlation between the clinical and neurological presentations and MRI findings. Results. Our retrospective analysis has found that the first group consisted mainly of younger patients (46 years) and with a mean intervertebral disc herniation of 8.35 mm, while the second group included older patients (51.7 years) and the mean size of intervertebral disc herniation was 7.3 mm. The group of relative spinal canal stenosis was dominated by patients with radiculopathy syndrome (70 %) and pain in one lower limb (85 %). Radiculoischemia syndrome (50 %), pain in both lower extremities (33 %), neurogenic intermittent claudication syndrome (46.6 %), knee reflex disorders (58.3 %), pelvic organ dysfunction (11.6 %) were more common in the second group of patients. In addition, the longest disease duration (more than 24 months) was observed among patients of this group. We have found a relationship between pain syndrome (according to VAS), muscle strength, the disease duration and the spinal canal area. Conclusions. The correlation of clinical and instrumental methods of examination in patients with intervertebral disc herniation complicated by spinal canal stenosis allows the indications for differentiated surgery to be optimized.

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