scholarly journals SURGICAL TREATMENT OF PAIN SYNDROME RECURRENCE AFTER REMOVAL OF LUMBAR INTERVERTEBRAL DISC HERNIA

2005 ◽  
pp. 087-092 ◽  
Author(s):  
Aleksandr Evgenyevich Simonovich ◽  
Andrey Aleksandrovich Baikalov
Keyword(s):  
Surgical Treatment ◽  
Interbody Fusion ◽  
Lumbar Disc ◽  
Surgical Techniques ◽  
Pain Syndrome ◽  
Neurovascular Compression ◽  
Lumbar Intervertebral Disc ◽  
Disc Hernia ◽  
Peridural Fibrosis ◽  
Lumbar Disc Hernia

Objective. To define optimal pathogenetic surgical techniques for pain syndrome recurrence after lumbar discectomy. Materials and Methods. The study included 176 patients operated on for pain syndrome recurrence. Decompressive and decompressive-stabilizing (posterior or anterior interbody fusion, dynamic fixation with DYNESYS instrumentation) reoperations were performed. The results were followed for 3 to 24 months. The dynamics of neurologic status and pain syndrome intensity were assessed with visual-analog scale and Osvesty index. Results. The main causes of pain syndrome recurrence were a herniation of the operated disc (52.8 %) and its combination with degenerative stenosis (9.7 %). Degenerative stenosis alone was a cause of pain recurrence in 21.6 % of cases. Hernia recurrence of the operated disc caused a pain syndrome more frequently within 2 years after surgery. Degenerative stenosis both alone and in combination with operated disc hernia occurred more often in a later follow-up period. Hypertrophic articular processes and vertebral arches, osteophytes, thickened yellow ligament and peridural fibrosis were the pathomorphologic substrate of stenosis. Fibrous changes were revealed intraoperatively in all cases. Peridural fibrosis never was a single cause of neurovascular compression but always was combined with other stenosing factors. Treatment results were better in patients who underwent decompressive-stabilizing surgery. Repeated recurrences of pain syndrome occurred in 9.8 % of cases after surgical decompression and in 1.4 % after decompressivestabilizing surgery. Conclusion. Decompressive-stabilizing surgery with posterior interbody fusion is a pathogenetical and technically adequate surgical treatment of pain syndrome recurrence after lumbar disc hernia removal.

Value of Using Interbody Fusion Technique in Recurrent Lumbar Disc Hernia Patients

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Ahmed Mahmoud ◽  
Tarek Elhewala ◽  
Amr El-Adawy ◽  
Mohamed Elsofy
Keyword(s):  
Interbody Fusion ◽  
Lumbar Disc ◽  
Fusion Technique ◽  
Disc Hernia ◽  
Lumbar Disc Hernia

scholarly journals Minimum Invasive Stabilizing and Decompressive-Stabilizing Methods of Surgical Treatment for Degenerative-Dystrophic Lesions of Spine

2011 ◽  
Vol 18 (4) ◽  
pp. 3-10
Author(s):  
A V Krut'ko ◽  
Shamil' Al'firovich Akhmet'yanov ◽  
D M Kozlov ◽  
A V Peleganchuk ◽  
A V Bulatov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Surgical Techniques ◽  
Pain Syndrome ◽  
Early Postoperative Period ◽  
Main Group ◽  
Control Group ◽  
Surgical Interventions ◽  
Comparative Group ◽  
Operative Wound

Results of randomized prospective study with participation of 94 patients aged from 20 to 70 years with monosegmental lumbar spine lesions are presented. Minimum invasive surgical interventions were performed in 55 patients from the main group. Control group consisted of 39 patients in whom decompressive-stabilizing operations via conventional posteromedian approach with skeletization of posterior segments of vertebral column were performed. Average size of operative wound in open interventions more than 10 times exceeded that size in minimum invasive interventions and made up 484 ± 56 and 36 ± 12 sq.cm, respectively. Mean blood loss was 326.6 ± 278.0 ml in the main group and 855.1 ± 512.0 ml in the comparative one. In the main group no one patient required substitution hemotransfusion, while in 13 patients from the comparative group donor erythrocytic mass and/or fresh-frozen plasma were used to eliminate the deficit of blood components. Intensity of pain syndrome in the zone of surgical intervention by visual analog scale in the main group was lower than in comparative group. In the main and comparative groups the duration of hospitalization made up 6.1 ± 2.7 and 9.7 ± 3.7 bed days, respectively. In no one patient from the main group complications in the zone of operative wound were noted. Three patients from the comparative group required secondary debridement and in 1 patient early deep operative wound suppuration was observed. Application of low invasive surgical techniques for the treatment of patients with degenerative lumbar spine lesions enabled to perform radical surgical treatment with minimal iatrogenic injury. The method possessed indubitable advantages over the conventional open operations especially intraoperatively and in early postoperative period.

scholarly journals LUMBAR ENDOSCOPIC PERCUTANEOUS DISCECTOMY - CLINICAL OUTCOME. PROSPECTIVE STUDY

2017 ◽  
Vol 16 (3) ◽  
pp. 177-179 ◽  
Author(s):  
ANDRÉ LUÍS SEBBEN ◽  
XAVIER SOLER I GRAELLS ◽  
MARCEL LUIZ BENATO ◽  
PEDRO GREIN DEL SANTORO ◽  
ÁLYNSON LAROCCA KULCHESKI
Keyword(s):  
Surgical Treatment ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Gold Standard ◽  
Lumbar Disc ◽  
Surgical Techniques ◽  
Preoperative Period ◽  
Percutaneous Discectomy ◽  
Common Indication ◽  
Endoscopic Techniques

ABSTRACT Objective: Lumbar disc herniation is a common indication for surgical treatment of the spine. Open microdiscectomy is the gold standard. New surgical techniques have emerged, such as spinal endoscopy. We compared and evaluated two endoscopic techniques: the transforaminal and the interlaminar. Methods: Fifty-five patients underwent endoscopic technique and were assessed by VAS and ODI in the preoperative period, and in the first and sixth month after the procedure. Results: We had 89.1% of good results and 10.9% of complications. Conclusion: We conclude that endoscopic techniques are safe and effective for the surgical treatment of lumbar disc herniation.

ASSESSMENT OF LOWER EXTREMITY MOTOR COORDINATION IN OPERATED PATIENTS

2008 ◽  
Vol 11 (03) ◽  
pp. 107-115 ◽  
Author(s):  
Yücel Yıldırım ◽  
Bilge Kara ◽  
Serhat Erbayraktar ◽  
Salih Sayhan
Keyword(s):  
Lower Extremity ◽  
Motor Coordination ◽  
Lumbar Disc ◽  
Initial Period ◽  
Stair Climbing ◽  
Preoperative Period ◽  
Disc Hernia ◽  
Pain Disability ◽  
Coordination Test ◽  
Lumbar Disc Hernia

Objective: To establish any changes up to the second postoperative month in pain, disability, performance, kinesiophobia, and lower extremity motor coordination of patients operated on for lumbar disc hernia. Methods: Forty-five patients with lumbar disc hernia were included in the study preoperatively, and were followed up until the second postoperative month. Pain and disability, walking and stair-climbing performances, and kinesiophobia were measured; and motor coordination tests were practiced with the Lower Extremity MOtor COordination Test (LEMOCOT). Results: The worst scores of pain, disability, performance, kinesiophobia, and LEMOCOT measurements were in the preoperative period; while the best ones were observed in the 2 months following the surgery. Conclusion: The measurements of pain, disability, performance, kinesiophobia, and lower extremity coordination usually performed in the cases operated on with a diagnosis of lumbar disc hernia are significantly affected from the initial period until the second postoperative month.

An unresolved discussion: presence of premature ejaculation and erectile dysfunction in lumbar disc hernia

2013 ◽  
Vol 45 (3) ◽  
pp. 659-667 ◽  
Author(s):  
Cenk Murat Yazici ◽  
Banu Sarifakioglu ◽  
Aliye Guzelant ◽  
Polat Turker ◽  
Ozkan Ates
Keyword(s):  
Erectile Dysfunction ◽  
Premature Ejaculation ◽  
Lumbar Disc ◽  
Disc Hernia ◽  
Lumbar Disc Hernia
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