Outcome of Surgical Treatment for Lumber Disc Herniation Causing Painful Incomplete Foot-Drop

Objective: To determine the outcome of surgical treatment for lumder disc herniation causing the painful incomplete foot drop. Material and Methods: This retrospective observational study was conducted at the Department of Neurosurgery Lady Reading Hospital, Peshawar. Both Male and female patients with lumbar disc disease causing unilateral incomplete painful foot drop were included in our study. Patients with complete or painless foot drop, bilateral foot-drop, Multiple level disc prolapse, cauda equina syndrome or sciatic neuropathy due to injection injury were excluded. Patients were followed was post-operatively in terms of power in foot dorsiflexion, medical research council (MRC) grade and pain relief on a Visual Analogue Scale (VAS) after 1 month and then after 6 months. Results: Total number of patients included were 43. Age was ranging from 18 years to 54 years and mean age was 33 years. Before surgery, power of MRC grade 3 or less, but greater than 1 in dorsiflexion was noted in all patients. The pain was scaled using VAS. Post peratively, at 1 month follow up, the foot-drop improved to MRC grade 4 or 5 along with pain relief of ≥ 2 points on VAS in 81. 4% (n = 35) patients and at 6 month follow-up, the figure rose to 93% (n = 40). Conclusion: Lumbar disc disease can cause a debilitating foot-drop and pain. Improving or restoring a neurology early surgical intervention has proven benefits.

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A 6.5-year follow-up of 14 patients who underwent ProDisc total disc arthroplasty for combined long-standing degenerative lumbar disc disease and recent disc herniation

Journal of Clinical Neuroscience ◽

10.1016/j.jocn.2011.04.024 ◽

2011 ◽

Vol 18 (12) ◽

pp. 1677-1681 ◽

Cited By ~ 8

Author(s):

Thomas-Marc Markwalder ◽

Markus Wenger ◽

Serge Marbacher

Keyword(s):

Disc Herniation ◽

Lumbar Disc ◽

Total Disc Arthroplasty ◽

Disc Disease ◽

Lumbar Disc Disease ◽

Disc Arthroplasty

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Lumbar Disc Disease in Children

Neurosurgery ◽

10.1227/00006123-197801000-00004 ◽

1978 ◽

Vol 2 (1) ◽

pp. 22-26 ◽

Cited By ~ 29

Author(s):

Eddy Garrido ◽

Robin P. Humphreys ◽

Bruce E. Hendrick ◽

Harold J. Hoffman

Keyword(s):

Surgical Treatment ◽

Clinical Experience ◽

Lumbar Disc ◽

Surgical Results ◽

Disc Disease ◽

Lumbar Disc Disease ◽

Children's Hospital ◽

Children’S Hospital

Abstract The clinical experience with lumbar disc disease in 38 patients at a large children's hospital is reviewed. Thirty children underwent surgical treatment; eight patients were not operated upon. The surgical results were excellent, with 93% of the children cured or markedly improved on follow-up. The main differential aspects of lumbar disc disease between children and adults are emphasized.

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Results of Surgical Lysis of Lumbar Adhesive Arachnoiditis

Neurosurgery ◽

10.1227/00006123-197905000-00005 ◽

1979 ◽

Vol 4 (5) ◽

pp. 401-409 ◽

Cited By ~ 16

Author(s):

Harold A. Wilkinson ◽

Nancy Schuman

Keyword(s):

Pain Relief ◽

Lumbar Disc ◽

Neurological Status ◽

Neurological Dysfunction ◽

Disc Disease ◽

Lumbar Disc Disease ◽

Neurological Improvement ◽

Complete Lysis ◽

Time Of Operation

abstract From a series of 681 patients with lumbar disc disease treated between 1966 and 1978, 17 patients required surgical lysis of lumbar adhesive arachnoiditis, 8 having initially been operated upon by another surgeon. All patients had severe pain as a predominant feature, with pain being bilateral in 9 patients. Pain was the only major symptom in 3; the other 14 exhibited varying combinations of progressive neurological dysfunction. Three patients developed late symptoms after trauma, 8 to 21 years after back surgery. At operation, multisegmental arachnoiditis was found in 5 patients and anular or subtotal adhesions were found in 12. Complete lysis could not be obtained in 4 patients. Fourteen patients were treated with steroids at the time of operation. Follow-up after lysis was less than 1 year for 5 patients but averaged 4.8 years for the remaining 12. During the 1st year after operation, 76% experienced improvement in pain (35%, good to excellent), and 71% experienced improvement in neurological status. Follow-up after at least 1 year revealed 50% still enjoying pain relief (25%, good to excellent) and 45% experiencing neurological improvement. Pain relief persisted in 4 of 5 patients followed 5 years or more. The etiological role of myelography and lumbar disc surgery in arachnoiditis has probably been over-rated. Arachnoiditis may be symptomatic or asymptomatic and may mask other, treatable lumbar lesions. More frequent intradural exploration for discrepancies between operative and myelographic findings might reveal, and benefit, more cases of spontaneous arachnoiditis mimicking lumbar disc disease.

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Preoperative paraspinal and psoas major muscle atrophy and paraspinal muscle fatty degeneration as factors influencing the results of surgical treatment of lumbar disc disease

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-021-03754-x ◽

2021 ◽

Author(s):

Agnieszka Stanuszek ◽

Adrian Jędrzejek ◽

Eliza Gancarczyk-Urlik ◽

Izabela Kołodziej ◽

Magdalena Pisarska-Adamczyk ◽

...

Keyword(s):

Surgical Treatment ◽

Muscle Atrophy ◽

Lumbar Disc ◽

Fatty Degeneration ◽

Paraspinal Muscle ◽

Disc Disease ◽

Lumbar Disc Disease ◽

Factors Influencing ◽

Psoas Major Muscle ◽

Psoas Major

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Lumbar Disc Disease: A Twenty-Year Clinical Follow-Up Study.

Archives of Internal Medicine ◽

10.1001/archinte.1973.00320100145044 ◽

1973 ◽

Vol 131 (4) ◽

pp. 617

Author(s):

Robert S. Siffert

Keyword(s):

Lumbar Disc ◽

Disc Disease ◽

Lumbar Disc Disease ◽

Follow Up Study

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Encouraging Medium-term Results of Wallis Second Generation Dynamic Stabilisation Device

Ortopedia Traumatologia Rehabilitacja ◽

10.5604/01.3001.0012.0429 ◽

2018 ◽

Vol 20 (2) ◽

pp. 149-156

Author(s):

Awaiz Ahmed ◽

Abdulla Jawed ◽

Murali Venkatesan ◽

James Doyle

Keyword(s):

Oswestry Disability Index ◽

Second Generation ◽

Lumbar Disc ◽

Leg Pain ◽

Medium Term ◽

Disc Disease ◽

Lumbar Disc Disease ◽

Dynamic Stabilisation ◽

The Mean

Background. Aim of this prospective study was to evaluate safety and efficacy of second generation Wallis system for degenerative lumbar disc disease. Material and methods. 25 patients underwent discectomy and insertion of Wallis system. Outcome assessment was done using Modified Oswestry disability index (ODI) and visual analogue scale (VAS) for backache and leg pain. Results. The mean follow-up was 20.5 months. The mean VAS for backache and leg pain showed significant improvement from 7.2 to 3.0 (p<0.001) and mean modified Oswestry disability index showed significant improvement from 59.1 to 24.7 (p<0.001). Only one patient (4%) underwent revision surgery for persistent pain due to granulation tissue deep to the implant. There were no other complications. Conclusion. The Wallis spine system is a safe and effective implant for treating degenerative lumbar disc disease.

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