Modified disc rongeur

1975 ◽  
Vol 43 (4) ◽  
pp. 504
Author(s):  
Peter A. Lake
Keyword(s):  
Lumbar Disc ◽  
Abdominal Cavity ◽  
Lumbar Disc Surgery ◽  
Content Type ◽  
Disc Surgery ◽  
Fine Print

✓ The author presents a modification of a standard pituitary rongeur, designed to avoid instrument penetration into the abdominal cavity during lumbar disc surgery.

Ureteral injury incident to lumbar disc surgery

1972 ◽  
Vol 36 (1) ◽  
pp. 90-92 ◽  
Author(s):  
Mauro P. Gangai
Keyword(s):  
Early Recognition ◽  
Lumbar Disc ◽  
Ureteral Injury ◽  
Lumbar Disc Surgery ◽  
Mechanism Of Injury ◽  
Content Type ◽  
Disc Surgery ◽  
Fine Print

✓ A case is reported in which combined vascular and ureteral injury occurred during lumbar disc surgery. The mechanism of injury is described and the importance of its early recognition emphasized.

Paresthesias after lumbar disc removal and their relationship to epidural hematoma

1982 ◽  
Vol 57 (1) ◽  
pp. 135-136 ◽  
Author(s):  
Leonardo Di Lauro ◽  
Roberto Poli ◽  
Marco Bortoluzzi ◽  
Giovanni Marini
Keyword(s):  
Epidural Hematoma ◽  
Lumbar Disc ◽  
Lumbar Disc Surgery ◽  
Good Recovery ◽  
Content Type ◽  
Disc Surgery ◽  
Fine Print

✓ The authors present two cases of epidural hematoma causing paresthesias and paresis after lumbar disc surgery. Good recovery followed removal of the hematomas.

Reduction of postoperative lumbar hemilaminectomy pain with Marcaine

1979 ◽  
Vol 51 (1) ◽  
pp. 126-127 ◽  
Author(s):  
John B. Mullen ◽  
Wesley A. Cook
Keyword(s):  
Postoperative Pain ◽  
Local Anesthetic ◽  
Marked Reduction ◽  
Lumbar Disc ◽  
Lumbar Disc Surgery ◽  
Content Type ◽  
Disc Surgery ◽  
Long Acting ◽  
Fine Print

✓ A technique is described using intraoperative infiltration of paravertebral musculature with Marcaine, a long-acting local anesthetic. This has resulted in a marked reduction of postoperative pain following lumbar disc surgery.

Spondylolisthesis following lumbar disc surgery in a child

1971 ◽  
Vol 34 (4) ◽  
pp. 563-568 ◽  
Author(s):  
Arthur Kobrine ◽  
Paul C. Bucy
Keyword(s):  
Intervertebral Disc ◽  
Case Reports ◽  
Lumbar Disc ◽  
Lumbar Disc Surgery ◽  
Lumbar Intervertebral Disc ◽  
Related Case ◽  
Content Type ◽  
Disc Surgery ◽  
Roentgenographic Examination ◽  
Fine Print

✓ The case of a 13-year-old boy with a gelatinous, herniated lumbar intervertebral disc is reported. Roentgenographic examination 8 years following laminectomy demonstrated spondylolysis and spondylolisthesis of L-5 on S-1. Related case reports and theories are tabulated and discussed.

Exposure of two interspaces for lumbar disc surgery

1975 ◽  
Vol 42 (1) ◽  
pp. 59-60 ◽  
Author(s):  
W. Robert Hudgins
Keyword(s):  
Lumbar Disc ◽  
Lumbar Disc Surgery ◽  
Matched Pairs ◽  
Content Type ◽  
Disc Surgery ◽  
Additional Surgery ◽  
Fine Print

✓ In a study of matched pairs of patients with a single ruptured disc, exploration of an additional lumbar interspace did not increase the morbidity of surgery. The author believes that the desire to avoid additional surgery does not, by itself, justify routine myelography.

Lumbar disc surgery: technique of radical removal and early mobilization

1973 ◽  
Vol 39 (2) ◽  
pp. 265-269 ◽  
Author(s):  
William Beecher Scoville ◽  
Guy Corkill
Keyword(s):  
Lumbar Disc ◽  
Early Mobilization ◽  
Lumbar Disc Surgery ◽  
Content Type ◽  
Exercise Regime ◽  
Disc Surgery ◽  
Disc Material ◽  
Radical Removal ◽  
Immediate Mobilization ◽  
Fine Print

✓ The operative technique and results of radical removal and early mobilization in lumbar disc surgery are presented. The operation involves decompression of the nerve root ventrally and dorsally and radical removal of disc material. The importance of immediate mobilization and an exercise regime without braces is stressed. Spondylolisthesis with sciatica is treated as a simple disc. The results were good to excellent in 96% of the patients, with a return to work in 2 to 4 weeks. The recurrence rate in 779 cases over 10 years has averaged 2.7%.

Intraspinal extradural sensory rhizotomy in patients with failure of lumbar disc surgery

1981 ◽  
Vol 54 (2) ◽  
pp. 193-196 ◽  
Author(s):  
Timothy A. Strait ◽  
Samuel E. Hunter
Keyword(s):  
Lumbar Disc ◽  
Lumbar Disc Surgery ◽  
Content Type ◽  
Operative Results ◽  
Disc Surgery ◽  
Level Of Activity ◽  
Back Surgery ◽  
Fine Print

✓ Questionnaires were sent to 60 patients who had undergone an intraspinal extradural sensory rhizotomy after failure of back surgery to assess the efficacy of the procedure. Questionnaires were returned from 47 patients. The operative results were uniformly poor in improving the level of activity of the patient. However, nearly 60% of the patients obtained relief of their pain. Section of only one root, either L-5 or S-1, relieved pain in 50% of the cases. Section of both roots, L-5 and S-1, appeared more effective, since 66% of these patients were relieved of their pain. The technique of performing an intraspinal extradural sensory rhizotomy is discussed in detail.

Vascular complications related to lumbar disc surgery

2004 ◽  
Vol 100 (3) ◽  
pp. 249-253 ◽  
Author(s):  
Hakan Bingol ◽  
Faruk Cingoz ◽  
Ahmet Turan Yilmaz ◽  
Mehmet Yasar ◽  
Harun Tatar
Keyword(s):  
Vascular Injury ◽  
Postoperative Period ◽  
Lumbar Disc ◽  
Vascular Complications ◽  
Lumbar Disc Surgery ◽  
Dacron Graft ◽  
Content Type ◽  
Disc Surgery ◽  
Late Postoperative Period ◽  
Fine Print

Object. Vascular complications related to lumbar disc operations are rare but extremely fatal conditions. The authors analyzed data retrospectively obtained in 13 patients with vascular complications that occurred during lumbar disc operations performed between January 1990 and January 2002. Methods. One patient underwent an L5—S1 procedure and the remaining underwent L4–5 surgery. Missed injuries, which were found during the late postoperative period, included pseudoaneurysm in four cases and an arteriovenous fistula in one. In all cases except one in which complication occurred early in the postoperative period, the retroperitoneal area was reached via a transperitoneal approach. In eight patients with complications occurring early in the postoperative period, Dacron graft was placed in four with arterial injuries and saphenous vein graft in one. In three cases of arterial injury and five of venous injury, the lesion was repaired using the primer suture technique. The most commonly affected vessels were left common iliac arteries (76.9%) and left common iliac vein (30.8%). In eight early cases, shock or preshock due to hemorrhage developed during the early phase. During the late postoperative period, graft-related infection occurred in two cases in which Dacron graft was placed, and axillofemoral extraanatomical bypass surgery was later performed. There was no surgery-related death. During a mean follow-up period of 5.6 years, none of the patients suffered any problems related to vascular injury. Conclusions. Despite its low incidence, iatrogenic vascular injury related to lumbar disc surgery is a possible complication. During lumbar disc operations early diagnosis of vascular injuries and urgent transperitoneal surgery can save patients' lives.

Superior rectal artery injury following lumbar disc surgery

2001 ◽  
Vol 95 (1) ◽  
pp. 108-110 ◽  
Author(s):  
Yu-Duan Tsai ◽  
Pao-Chu Yu ◽  
Tao-Chen Lee ◽  
Han-Shiang Chen ◽  
Shih-Ho Wang ◽  
...  
Keyword(s):  
Lumbar Disc ◽  
Traumatic Injury ◽  
Vena Cava ◽  
Lumbar Disc Surgery ◽  
Anulus Fibrosus ◽  
Superior Rectal Artery ◽  
Content Type ◽  
Artery Injury ◽  
Disc Surgery ◽  
First Case

✓ Traumatic injury of the aorta, inferior vena cava, and iliac vessels due to penetration of the anterior anulus fibrosus and anterior longitudinal ligament is a recognized complication of lumbar disc surgery. The authors report, to the best of their knowledge, the first case of discectomy-related superior rectal artery injury treated by endovascular intervention.

Microsurgical reoperation following lumbar disc surgery

1989 ◽  
Vol 70 (3) ◽  
pp. 397-404 ◽  
Author(s):  
Uwe Ebeling ◽  
H. Kalbarcyk ◽  
H. J. Reulen
Keyword(s):  
Lumbar Disc ◽  
Time Interval ◽  
Epidural Fibrosis ◽  
Lumbar Intervertebral Disc ◽  
Disc Protrusion ◽  
Content Type ◽  
Disc Surgery ◽  
True Recurrence ◽  
Working Capability ◽  
Fine Print

✓ Ninety-two patients who underwent microsurgical reoperation for persistent or new complaints following initial lumbar intervertebral disc surgery were evaluated retrospectively. Sixty percent of all pain relapses occurred within 1 year following the first operation; thereafter, the probability of a relapse declined steadily and was as low as 0.1% per year between 5 and 20 years. The results of microsurgical reoperation in terms of pain relief and working capability were considered “excellent” in 22% of patients, “good” in 30%, and “satisfactory” in 29%. Thus, 81% of the patients could be considered as treated successfully and in 19% the result was not successful. The most common intraoperative findings were: a true recurrence at the same level in 43% of cases, a new herniation at another level in 15%, and a small recurrent fragment embedded in epidural fibrosis in 23%. Five percent of patients had severe epidural fibrosis as the only pathology. In 15%, reoperation was performed within 1 month to treat persisting pain, and either a missed disc fragment, an inadequately decompressed lateral recess, or an unrecognized second-level disc protrusion was found. The clinical outcome is affected predominantly by the intraoperative pathology and the time interval between the first and second operation. An excellent or good outcome was usually achieved in patients with a recurrence of pain after 1 year resulting from a true recurrent disc or a new herniation at another level. In contrast, very unfavorable results were noted with most reoperations performed during the 1st year when extensive epidural fibrosis (or fibrosis with a small recurrence) was present.

Sign in / Sign up

Export Citation Format

Share Document