scholarly journals Lumbar Disc Herniations in Children. A Five-Year Single Center Experience

2021 ◽  
Vol 28 (2) ◽  
pp. 209-213
Author(s):  
Horatiu Alexandru MOISA ◽  
◽  
Dan Aurel NICA ◽  
Maria Alexandra ANDREI ◽  
Ramona Manuela SAVU ◽  
...  
Keyword(s):  
Management Strategy ◽  
Lumbar Disc ◽  
The Other ◽  
Disc Prolapse ◽  
Single Center ◽  
Disc Disease ◽  
Single Center Experience ◽  
Lumbar Disc Prolapse ◽  
Disc Herniations ◽  
Multimodal Management

Lumbar disc herniations represent one of the most common complications of degenerative disc disease in adults and have a favorable outcome with surgery. In children, on the other hand, disc prolapse is a relatively rare pathologic entity mandating cautious multimodal management. This paper presents the five-year long experience of a single pediatric neurosurgical unit and our management strategy for children diagnosed with lumbar disc prolapse.

scholarly journals Comparison between Results of Microdiscectomy and Open Discectomy in Management of High-Level Lumbar Disc Prolapse

2019 ◽  
Vol 7 (17) ◽  
pp. 2851-2857
Author(s):  
Amr Abdelmonam Abdelaziz Mostafa Elkatatny ◽  
Tarek M. Hamdy ◽  
Khaled Mamoun Moenes
Keyword(s):  
Blood Loss ◽  
Lumbar Disc ◽  
Disc Prolapse ◽  
Randomised Study ◽  
Lumbar Microdiscectomy ◽  
Lumbar Disc Prolapse ◽  
Analgesic Agents ◽  
Disc Herniations ◽  
High Level ◽  
Pain Improvement

AIM: This work aims to compare between results of microdiscectomy and open discectomy in management of high-level lumbar disc prolapse. METHODS: This is a controlled randomised study, where patients having upper lumbar disc herniations were evaluated preoperatively both clinically and radiologically, randomisation was planned to perform open discectomy in odd number patients and to perform microdiscectomy in even number patients, patients were evaluated and followed up for deficits and outcomes. RESULTS: We operated ten patients in this study, five cases were operated upon with microdiscectomy, and five cases were operated upon with open discectomy, the median age of presentation in this study was 44 years, there were five males and five females, postoperative pain improvement was better in microdiscectomy. Hospital stay, blood loss, bone loss and postoperative complications were less in microdiscectomy. CONCLUSION: Microdiscectomy allows good surgical visualisation and is less traumatic to the involved tissues. The results of this study indicated that microsurgery reduces hospitalisation time, improves the overall surgery-related outcome. The main differences between the two procedures were the length of the incision and blood loss. We found that lumbar microdiscectomy allows patients earlier return to work and normal life with less reliance on postoperative narcotic analgesic agents.

scholarly journals Caudal epidural steroid injection ultrasound-guided versus fluoroscopy-guided in treatment of refractory lumbar disc prolapse with radiculopathy

2020 ◽  
Vol 51 (1) ◽  
Author(s):  
Mohamed Ahmed Elashmawy ◽  
Reham M. Shaat ◽  
A. M. Abdelkhalek ◽  
Ebrahim El Boghdady
Keyword(s):  
Steroid Injection ◽  
Lumbar Disc ◽  
Epidural Steroid Injection ◽  
Successful Outcome ◽  
Post Injection ◽  
Disc Prolapse ◽  
Lumbar Disc Prolapse ◽  
Straight Leg Raising ◽  
Epidural Steroid ◽  
Caudal Epidural

Abstract Background Lumbar disc prolapse is a localized herniation of disc beyond intervertebral disc space and is the most common cause of sciatica; the aim of this study is to investigate the efficacy of ultrasound (US)-guided caudal epidural steroid injection (CESI) compared with fluoroscopy (FL)-guided CESI in treatment of patients with refractory lumbar disc prolapse (LDP) with radiculopathy. Results At the beginning of the study, there was no significant difference between both groups in all parameters. (a) Group 1 had significantly improved the straight leg raising and modified Schober tests, VAS, and ODI at 1-month and 3-month post-injection evaluation in comparison to baseline recordings (p < 0.001); (b) Group 2 had significantly improved the straight leg raising and modified Schober tests, VAS, and ODI at 1-month and 3-month post-injection evaluation in comparison to baseline recordings (p < 0.001); and (c) US-guided CESI was not statistically different from the FL-guided CESI in the improvement of the straight leg raising (p = 0.87, 0.82) and modified Schober tests (p = 0.87, 0.82) as well as VAS (p = 0.40, 0.43) and ODI (p = 0.7, 0.2) at 1-month and 3-month post-injection evaluation. In a multivariate analysis using CI = 95%, the significant predictors for a successful outcome were duration < 6 months (p = 0.03, OR = 2.25), target level not L2-3/L3-4 (p < 0.001, OR = 4.13), and LDP other than foraminal type (p = 0.002, OR = 3.78). However, age < 40 years was found to be non-significant in predicting a successful outcome (p = 0.38, OR = 0.98). Conclusion US is excellent in guiding CESI with similar treatment outcomes as compared with FL-guided CESI. Trial registration ClinicalTrials.gov Identifier: NCT03933150.

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