Lumbosacral myelography with Dimer-X

1973 ◽  
Vol 39 (3) ◽  
pp. 359-361 ◽  
Author(s):  
Isaac Z. Kosary ◽  
Rina Tadmor ◽  
George Ouaknine ◽  
Jackson Braham
Keyword(s):  
Side Effects ◽  
Contrast Media ◽  
Contrast Medium ◽  
Lumbar Disc ◽  
Water Soluble ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Content Type ◽  
Fine Print

✓ The authors report the use of the water-soluble spinal contrast medium Dimer-X in 100 cases of suspected lumbar disc disease. It was particularly valuable in delineating small laterally-placed protrusions causing root compression, which are often difficult to demonstrate with oily contrast media. Side effects were mild and transient, and no serious complications were encountered.

Surgical treatment of 63 cases of conjoined nerve roots

1982 ◽  
Vol 56 (1) ◽  
pp. 114-117 ◽  
Author(s):  
James G. White ◽  
Timothy A. Strait ◽  
Joseph R. Binkley ◽  
Samuel E. Hunter
Keyword(s):  
Surgical Treatment ◽  
Lumbar Disc ◽  
Disc Disease ◽  
Nerve Roots ◽  
Lumbar Disc Disease ◽  
Content Type ◽  
Operative Results ◽  
Conjoined Nerve Roots ◽  
Conjoined Nerve Root ◽  
Fine Print

✓ The operative results of 63 cases of lumbar disc disease with surgically confirmed conjoined nerve roots are reviewed. The first 55 patients were treated by standard hemilaminectomy and discectomy, with only 30% reporting a good result. Of the last eight patients treated by hemilaminectomy, pediculectomy, and discectomy, seven patients returned to work. The rationale for and the technique of pediculectomy are discussed in detail. Clinical, radiological, and surgical clues indicating the presence of the conjoined nerve root anomaly are reviewed.

Surgically treated lumbar disc disease in the pediatric population: an outcome study

2000 ◽  
Vol 92 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Susan R. Durham ◽  
Peter P. Sun ◽  
Leslie N. Sutton
Keyword(s):  
Back Pain ◽  
Pediatric Population ◽  
Lumbar Disc ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Content Type ◽  
Sf 36 ◽  
Study Population ◽  
Fine Print

Object. This outcome study was undertaken to investigate the long-term results obtained in surgically treated pediatric patients with lumbar disc disease by using standardized medical outcome scales and clinical follow-up examination. Methods. Twenty nine patients 17 years of age or younger underwent surgery between 1968 and 1998 for lumbar disc disease. The follow-up period ranged from 4 months to 30.5 years (mean 8.5 years). Outcome scores (health profiles) were generated using a standardized medical outcome scale, the Short Form health survey questionnaire (SF-36), and a condition-specific back pain outcome scale. Clinical follow-up data were obtained by telephone interview. The health profile of the study population closely paralleled that of the normal population and was distinctly different from the health profile of adults with low-back pain. Only physical functioning, as measured by a scale of the SF-36, was found to be impaired in a subset of the study population. The rate of reoperation was 24% over the course of the follow-up period. In contrast to similar studies in adults, there were no identifiable predictive factors for either reoperation or poor outcome. Conclusions. Lumbar disc disease in the pediatric population does not appear to lead to chronic complaints of back pain, and it does not appear to have a negative impact on overall health. This finding suggests that pediatric lumbar disc disease may be a separate entity distinct from adult lumbar disc disease, and therefore, the same conclusions regarding long-term outcome cannot be applied to the pediatric population.

Spinal subarachnoid hemorrhage during myelography

1978 ◽  
Vol 48 (4) ◽  
pp. 645-648 ◽  
Author(s):  
John F. Rice ◽  
Christopher B. Shields ◽  
Charles F. Morris ◽  
Byron D. Neely
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Lumbar Disc ◽  
Fluid Pressure ◽  
Cauda Equina ◽  
Conus Medullaris ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Content Type ◽  
Spinal Subarachnoid Hemorrhage ◽  
Fine Print

✓ Neoplasms of the conus medullaris and cauda equina have been shown to cause subarachnoid hemorrhage (SAH). In such instances, the hemorrhage has been the presenting symptom. A patient with a neurofibroma at T12—L1 experienced spinal SAH during myelography for suspected lumbar disc disease. The roentgenograms showing the lesion itself first and the subarachnoid clot subsequently may be unique. The cause of hemorrhage in this patient may have been the shearing of bridging capsular veins because of diminished cerebrospinal fluid pressure below the almost obstructing lesion.

Intradiscal pressure-volume response: a methodological contribution to chemonucleolysis

1984 ◽  
Vol 60 (5) ◽  
pp. 1029-1032 ◽  
Author(s):  
Mario Brock ◽  
Hans-Hermann Görge ◽  
Gabriel Curio
Keyword(s):  
Contrast Medium ◽  
High Probability ◽  
Lumbar Disc ◽  
Intradiscal Pressure ◽  
Content Type ◽  
Volume Load ◽  
Rapid Injection ◽  
Volume Response ◽  
Pressure Changes ◽  
Fine Print

✓ A new method is presented to verify whether a lumbar disc is degenerated prior to chemonucleolysis. This consists in rapid injection of a 0.3-ml bolus of saline into the center of the disc (through the needle employed for chemonucleolysis), under continuous recording of the intradiscal pressure changes caused by this volume load. If the intradiscal pressure falls below 600 mm Hg within 2 minutes after the injection, there is a high probability (p < 0.001) that the disc is degenerated. This method has many advantages: it obviates additional injection of contrast medium prior to chemonucleolysis, it prevents inhibition of chymopapain by the contrast medium, it saves time, and it reduces the total amount of fluid injected during chemonucleolysis.

Diabetic polyradiculopathy simulating lumbar disc disease

1984 ◽  
Vol 60 (1) ◽  
pp. 183-186 ◽  
Author(s):  
Leonard F. Hirsh
Keyword(s):  
Lumbar Disc ◽  
Spinal Nerve ◽  
Spinal Diseases ◽  
Endocrine Disorders ◽  
Disc Disease ◽  
Nerve Roots ◽  
Lumbar Disc Disease ◽  
Content Type ◽  
The Common ◽  
Neurological Effects

✓ Most clinicians are aware of the common neurological effects of endocrine disorders. However, involvement of the spinal nerve roots is a poorly recognized complication of diabetes mellitus. Such involvement can closely simulate more common spinal diseases and thus lead to inappropriate therapy. Four cases of diabetic polyradiculopathy simulating lumbar disc disease are reported, and this distinctive entity is reviewed.

Seizures associated with the use of meglumine iothalamate 60% in ventriculography

1972 ◽  
Vol 36 (4) ◽  
pp. 474-480 ◽  
Author(s):  
Jorge A. Picaza ◽  
Sam E. Hunter ◽  
Ling Lee
Keyword(s):  
Contrast Media ◽  
Ventricular System ◽  
Water Soluble ◽  
Soluble Substance ◽  
Content Type ◽  
Emergency Procedures ◽  
Water Soluble Substance ◽  
Meglumine Iothalamate ◽  
Fine Print

✓ Meglumine iothalamate 60% (Conray) is a water-soluble substance being developed for the roentgenographic visualization of the cerebral ventricular system. Although it offer definite advantages compared to other contrast media, a recognized disadvantage is the possible development of seizures. This complication seems to be relatively rare and largely preventable, but once present may seriously endanger the patient's life. It appears to be a neurotoxic phenomenon, resistant to the usual anticonvulsant medications, and requires the availability of sophisticated personnel and emergency procedures to prevent death.

The long-term results of chymopapain chemonucleolysis for lumbar disc disease

1986 ◽  
Vol 65 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Robert J. Maciunas ◽  
Burton M. Onofrio
Keyword(s):  
Surgical Procedures ◽  
Lumbar Disc ◽  
Leg Pain ◽  
Long Term Results ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Content Type ◽  
Work Related ◽  
Effective Treatment Modality

✓ The long-term clinical outcome is evaluated for 268 patients after chymopapain chemonucleolysis for radicular complaints referrable to documented intervertebral disc disease. The follow-up period for 92% of these patients was 10 years. No complications due to chymopapain toxicity were observed; 80.1% of patients were relieved of their presenting radicular leg pain and 75.1% were employed at a capacity equal to or more strenuous than before injection. Chemonucleolysis was demonstrated to be a safe and effective treatment modality, with long-term results that compare favorably with those of similarly selected patients undergoing open surgical procedures. In the patients whose chymopapain therapy failed, the outcome of subsequent open surgical procedures was not necessarily compromised by prior chemonucleolysis. A higher rate of failure and subsequent surgical intervention was seen in those patients with injections performed soon after an unsuccessful open procedure on the same side and at the same interspace, those with workmen's compensation or litigation pending, those with a history of work-related injury, those whose employment involved heavy manual labor or extensive driving, and those whose preinjection spine x-ray films indicated retrograde spondylolisthesis.

A novel surgical treatment of lumbar disc herniation in patients with long-standing degenerative disc disease

2005 ◽  
Vol 2 (5) ◽  
pp. 515-520 ◽  
Author(s):  
Markus Wenger ◽  
Thomas-Marc Markwalder
Keyword(s):  
Surgical Treatment ◽  
Lumbar Disc Herniation ◽  
Degenerative Disc Disease ◽  
Lumbar Disc ◽  
Herniated Disc ◽  
Total Disc Arthroplasty ◽  
Disc Disease ◽  
Disc Arthroplasty ◽  
Content Type ◽  
Fine Print

Object. In patients with long-standing lumbar degenerative disc disease (DDD) conventional surgical therapy of a herniated disc may worsen back pain due to further destabilization of the affected motion segment. In recent years, total-disc arthroplasty has been introduced to treat DDD while maintaining segmental mobility. To the best of the authors' knowledge, this is the first report involving lumbar disc herniation and long-standing DDD submitted to combined anterior microdiscectomy with sequestrectomy and total-disc arthroplasty. Methods. Fourteen patients with long-standing DDD and a recently herniated disc underwent total anterior lumbar microdiscectomy, with removal of the herniated disc, and total-disc arthroplasty. There were nine women and five men whose mean age was 39.6 years (range 22–56 years) in whom back and leg pain had been present for a mean of 75.4 (range 9–360) and 9.4 (range 0.33–36) months, respectively. Thirteen patients underwent L5—S1 and one underwent L4–5 surgery. In all cases the procedure and the postoperative courses were uneventful. After a mean follow-up period of 12.5 months (range 3.9–21.1 months), outcome was excellent in 11 and good in three patients. Conclusions. The aforementioned surgical treatment of a recently herniated lumbar disc in patients with long-standing DDD yielded very favorable early results.

Lumbar phlebography in the diagnosis of disc herniations

1978 ◽  
Vol 49 (4) ◽  
pp. 544-550 ◽  
Author(s):  
Jean Roland ◽  
Jacques Treil ◽  
Dominique Larde ◽  
Luc Picard ◽  
Claude Manelfe
Keyword(s):  
Lumbar Disc ◽  
Water Soluble ◽  
Radiological Anatomy ◽  
Content Type ◽  
Disc Herniations ◽  
Fine Print

✓ The authors report their experience with 240 cases with lumbar phlebography in the diagnosis of lumbar disc herniations. The normal radiological anatomy and the radiological signs of disc herniations are described. Indications for phlebography are given, and the reliability of this test is compared with that of myelography performed with water-soluble agents.

Double-contrast ventriculography with oxygen and water-soluble positive contrast medium, metrizamide (Amipaque)

1979 ◽  
Vol 51 (2) ◽  
pp. 211-218 ◽  
Author(s):  
Antti Servo ◽  
Viljo Halonen
Keyword(s):  
Contrast Medium ◽  
Computerized Tomography ◽  
Obstructive Hydrocephalus ◽  
Positive Contrast ◽  
Ct Scanning ◽  
Water Soluble ◽  
Double Contrast ◽  
Content Type ◽  
Contrast Ventriculography ◽  
Fine Print

✓ A technique for ventriculography using both gas and a positive contrast medium metrizamide (Amipaque) is presented. This ventriculographic method proved superior to computerized tomography (CT) scanning in revealing the cause of obstructive hydrocephalus. Small central tumors and intraventricular cysts, often missed with CT, were also well demonstrated. This technique has been used since 1975, and is simple an$ safe.

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