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

2005 ◽  
Vol 2 (5) ◽  
pp. 513-514 ◽  
Author(s):  
Edward Benzel ◽  
Volker K. H. Sonntag ◽  
Paul Mccormick
Keyword(s):  
Surgical Treatment ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Degenerative Disc Disease ◽  
Lumbar Disc ◽  
Disc Disease ◽  
Degenerative Disc

Effectiveness of Traction in Young Patients Representing Different Stages of Degenerative Disc Disease

2019 ◽  
Vol 21 (3) ◽  
pp. 187-196 ◽  
Author(s):  
Tomasz Kuligowski ◽  
Agnieszka Dębiec-Bąk ◽  
Anna Skrzek
Keyword(s):  
Young People ◽  
Functional Status ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Degenerative Disc Disease ◽  
Lumbar Disc ◽  
Clinical Status ◽  
Young Patients ◽  
Disc Disease ◽  
Degenerative Disc

Background. Low back pain (LBP) currently ranks among the most frequent musculoskeletal pathologies, and the average age of those affected is constantly decreasing. One of the causes of LBP is lumbar disc herniation (LDH). If untreated, it causes disability and leads to socio-economic problems. Traction techniques are a popular method of treating this condition. The stage of LDH (protrusion, extrusion) in young people appears to determine patients’ clinical status, necessitating diversification of treatment methods with regard to the type of damage. Material and methods. The study enrolled 37 people aged 22-35. The subjects underwent radiological evalu­ation (MRI), which constituted the basis for assigning them to one of two groups: a protrusion group (PRO) or an extrusion group (EXT). During the experiment, the patient was in the supine position while the therapist administered three-dimensional traction using a manual therapy belt. The Oswestry questionnaire, MRC scale, NRS, SLR test, PLE test and measurements of lumbar segment mobility were used for clinical evaluation. Statistica 12.5 was used to perform statistical calculations. Results. An analgesic effect was noted with regard to the following two parameters in both groups: ODI (PRO 28 → 14 and EXT 30 → 28, p <0.01) and NRS (PRO 6 → 2 and EXT 6 → 3, p <0.01). The subjects improved clinically, with regard to PLE (EXT 22% → 0%, p <0.04) and SLR (PRO 100% → 29%, p <0.01, and EXT 100% → 57%, p <0.01). Conclusions. 1. The type of intervertebral disc damage determines the functional status of young people with degenerative disc disease. 2. The study demonstrated and confirmed a positive effect of traction on the functional status of subjects with lumbar disc herniation. 3. Traction techniques are safe and can be successfully used in the treatment of LDH.

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.

scholarly journals A Transforaminal Endoscopic Surgical Technique for Treating Lumbar Disc Herniation in the Setting of Spina Bifida

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Albert E. Telfeian ◽  
Adetokunbo Oyelese ◽  
Jared Fridley ◽  
Rohaid Ali ◽  
Deus Cielo ◽  
...  
Keyword(s):  
Spina Bifida ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Recent Literature ◽  
Lumbar Disc ◽  
Surgical Techniques ◽  
Surgical Decompression ◽  
Minimally Invasive Approach ◽  
Disc Disease ◽  
Invasive Approach

Recent literature suggests that adult patients with spina bifida receive surgery for degenerative disc disease at higher rates than the general population. However, sometimes the complex anatomic features of co-occurring spina bifida and lumbar disc herniation can significantly challenge standard surgical techniques. Here, the technical steps are presented for treating a foraminal lumbar 4-5-disc herniation in the setting of a patient with multifaceted degenerative and spina bifida occulta anatomy. Utilized is a minimally invasive approach that does not require general anesthesia or fusion and allows the patient to leave the same day. To the best of our knowledge, this is the first-reported case of endoscopic surgical decompression of a lumbar disc in a patient with spina bifida.

scholarly journals Differences in 30- and 90-Day Readmission Rates After Surgical Treatment for Lumbar Degenerative Disc Disease in Elderly Patients (³ð65 Years): A National Readmission Database Study

Neurosurgery ◽  
2019 ◽  
Vol 66 (Supplement_1) ◽  
Author(s):  
Aladine A Elsamadicy ◽  
Andrew B Koo ◽  
Megan Lee ◽  
Adam Kundishora ◽  
Joaquin Q Camara-Quintana ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Elderly Patients ◽  
Degenerative Disc Disease ◽  
Postoperative Infection ◽  
Lumbar Fusion ◽  
The Elderly ◽  
Disc Disease ◽  
Readmission Rates ◽  
Posterior Lumbar Fusion ◽  
Degenerative Disc

Abstract INTRODUCTION For spine surgery performed for degenerative disc disease (DDD), a paucity of nationwide studies exists describing common complications and readmission rates. The aim of this study was to investigate the differences and complications associated with 30- and 90-d readmissions following surgical treatment for lumbar DDD in the elderly. METHODS The Nationwide Readmission Database years 2013 to 2015 was queried. Elderly patients (>65 yr old) undergoing anterior lumbar interbody fusion (ALIF), posterior lumbar fusion (PLIF)/posterolateral lumbar fusion (PLF), or anterior and posterior lumbar fusion (APLF) for lumbar DDD were identified. Unique patient linkage numbers were used to follow patients and identify 30- and 31 to 90-d readmission rates. Patients were grouped by no readmission (Non-R), readmission within 30 d (30-R), and readmission within 31 to 90 d (90-R). RESULTS We identified 11 651 elderly patients undergoing ALIF, PLIF/PLF, or APLF for lumbar DDD, with 1213 (10.4%) patients encountering a readmission (30-R: n = 812[7.0%]; 90-R: n = 401[3.4%]; Non-R: n = 10 438). The greatest proportion of each cohort had 2 to 3 vertebral levels fused (30-R: 63.7%, 90-R: 69.2%, Non-R: 70.2%). Iliac crest bone graft was the most common fusion agent used (30-R: 59.9%, 90-R: 51.4%, Non-R: 53.5%), followed by bone morphogenetic protein (30-R: 24.6%, 90-R: 22.9%, Non-R: 21.2%). The most common inpatient complications observed were acute posthemorrhagic anemia (30-R: 26.6%, 90-R: 22.3%, Non-R: 18.2%), postoperative infection (30-R: 6.2%, 90-R: 9.7%, Non-R: 3.5%), and genitourinary complication (30-R: 7.7%, 90-R: 2.7%, Non-R: 3.5%). The most prevalent 30- and 90-d complications seen among the readmitted cohort were postoperative infection (30-R: 18.7%, 90-R: 8.9%), device complications (30-R: 5.2%, 90-R: 9.1%), and sepsis (30-R: 6.9%, 90-R: 4.9%). On multivariate regression analysis, obesity, chronic pulmonary disease, smoking, and any complication during index admission were independently associated with 30-d readmission; private insurance and coagulopathy were independently associated with 90-d readmission. CONCLUSION Our study suggests that 30- and 90-d readmissions for treatment of lumbar DDD in the elderly are common, and that multiple patient-level factors independently predict hospital readmission.

scholarly journals Clinical results of surgical treatment of the lumbar disc herniation.

1985 ◽  
Vol 34 (1) ◽  
pp. 372-378
Author(s):  
Kazumori Arimura ◽  
Ken Takara ◽  
Hiroshi Fukuyama ◽  
Masatoshi Matsuoka
Keyword(s):  
Surgical Treatment ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Clinical Results

Cross-sectional areas of lumbar muscles after surgical treatment of lumbar disc herniation

1995 ◽  
Vol 133 (1-2) ◽  
pp. 7-12 ◽  
Author(s):  
E. Kotilainen ◽  
A. Alanen ◽  
R. Parkkola ◽  
H. Helenius ◽  
S. Valtonen ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Cross Sectional

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.

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