Three Cases Reports of the Lumber Disc Herniation Extruded to the Dorsal Epidural Space.

✓ The authors review 531 consecutive operations for lumbar disc herniation performed on 496 patients by one neurosurgeon to determine the effect of prophylactic antibiotics upon postoperative wound infections. In this retrospective analysis 16 instances of sepsis were found, 11 considered to be major and five minor. In the 128 cases in which no antibacterial agents were given, 11 major and 1 minor infection occurred. Four minor infections developed in the 402 occasions when antibiotics were given in the perioperative period. Men had a significantly greater risk of developing infection than women. These data suggest that pre- and postoperative antibiotic therapy directed at a narrow spectrum of microorganisms reduced the incidence of significant wound infections in patients undergoing laminectomy for lumbar disc herniation.

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Hyperexcitability and sensitization of sodium channels of dorsal root ganglion neurons in a rat model of lumber disc herniation

European Spine Journal ◽

10.1007/s00586-015-4171-z ◽

2015 ◽

Vol 25 (1) ◽

pp. 177-185 ◽

Cited By ~ 13

Author(s):

Jun Yan ◽

Kang Zou ◽

Xiaofeng Liu ◽

Shufen Hu ◽

Qianliang Wang ◽

...

Keyword(s):

Dorsal Root Ganglion ◽

Sodium Channels ◽

Disc Herniation ◽

Rat Model ◽

Dorsal Root ◽

Dorsal Root Ganglion Neurons ◽

Lumber Disc Herniation ◽

Ganglion Neurons

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Feasibility and Efficacy of Percutaneous Lateral Lumbar Discectomy in the Treatment of Patients with Lumbar Disc Herniation: A Preliminary Experience

BioMed Research International ◽

10.1155/2015/378612 ◽

2015 ◽

Vol 2015 ◽

pp. 1-6

Author(s):

Wenjin Jiang ◽

Bolin Sun ◽

Qirui Sheng ◽

Xuepeng Song ◽

Yanbo Zheng ◽

...

Keyword(s):

Lumbar Disc Herniation ◽

Disc Herniation ◽

Lumbar Disc ◽

Japanese Orthopaedic Association ◽

Japanese Orthopaedic Association Score ◽

Lumbar Discectomy ◽

Analog Scale ◽

Association Score ◽

Lumber Disc Herniation

Objective. This study was aimed at evaluating the effectiveness and safety of percutaneous lateral lumbar discectomy (PLLD) in treating patients with lumber disc herniation.Methods. A total of 183 patients with lumbar disc herniation were recruited to receive PLLD surgery from April 2006 to October 2011. All the adverse effects were recorded during the follow-up at 1, 3, 6, and 12 months after PLLD. The clinical outcomes were determined by visual analog scale and Japanese Orthopaedic Association score.Results. The surgery was performed successfully in all patients (102 males and 81 females aged from 21 to 66 years) with a mean 16.6-month follow-up (range from 26 to 65 months). No postoperative complications, including intestinal and vascular complications, nerve injuries, and postoperative infections, were associated with PLLD. At one month after surgery, visual analog scale (3.12±1.44versus6.76±2.31,P<0.05) was significantly lower than the baseline and was sustained until 24 months after surgery (3.25±1.78versus6.76±2.31,P<0.05). Besides that, Japanese Orthopaedic Association score (25.25±3.21versus11.78±2.38,P<0.05) was increased when compared to the baseline.Conclusions. PLLD was a promising, mini-invasive, and effective treatment for lumber disc herniation.

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Air in the L4-5 Epidural Space Appearing as Disc Herniation

JHN Journal ◽

10.29046/jhnj.007.2.005 ◽

2012 ◽

Vol 7 (2) ◽

Cited By ~ 1

Author(s):

Angud Mehdi ◽

Peter Amenta ◽

James Harrop

Keyword(s):

Disc Herniation ◽

Epidural Space

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LEFT COMMON ILIAC ARTERIOVENOUS FISTULA SUSPECTED TO BE COMPLICATED WITH SURGERY FOR LUMBER DISC HERNIATION DETECTED BECAUSE OF CARDIAC FAILURE 16 YEARS LATER-A CASE REPORT-

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) ◽

10.3919/jjsa.65.915 ◽

2004 ◽

Vol 65 (4) ◽

pp. 915-918

Author(s):

Hideaki MORI ◽

Yoshitaka OKAMURA ◽

Yoshihiko MOCHIZUKI ◽

Hiroshi IIDA ◽

Yasuyuki YAMADA ◽

...

Keyword(s):

Case Report ◽

Arteriovenous Fistula ◽

Disc Herniation ◽

Cardiac Failure ◽

Lumber Disc Herniation

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Targeted CT-Guided Epidural Blood Patch for Treatment of Spontaneous Intracranial Hypotension Due to Calcified Intradural Thoracic Disc Herniation

Interventional Neuroradiology ◽

10.1177/159101991301900118 ◽

2013 ◽

Vol 19 (1) ◽

pp. 121-126 ◽

Cited By ~ 6

Author(s):

V. Agarwal ◽

G. Sreedher ◽

W.E. Rothfus

Keyword(s):

Disc Herniation ◽

Epidural Space ◽

Intracranial Hypotension ◽

Epidural Blood Patch ◽

Spontaneous Intracranial Hypotension ◽

Csf Leak ◽

Fluoroscopic Guidance ◽

Ct Guided ◽

Blood Patch ◽

Disc Herniations

Calcified thoracic intradural disc herniations have recently been reported as a cause of spontaneous intracranial hypotension (SIH). We report successful treatment of SIH with a targeted CT-guided epidural blood patch. A 57-year-old man presented to the emergency department with a two-week history of progressively debilitating headache. CT and MRI of the brain showed findings consistent with intracranial hypotension and MRI of the spine showed findings consistent with CSF leak. Subsequent CT myelogram of the thoracic spine confirmed the presence of CSF leak and calcified disc herniations at the T6-7, T7-8 and T8-9 levels indenting the ventral dura and spinal cord. The calcified disc herniation at T6-7 had an intradural component and was therefore the most likely site of the CSF leak. Under CT fluoroscopic guidance, a 20-gauge Tuohy needle was progressively advanced into the dorsal epidural space at T6-7. After confirmation of needle tip position, approximately 18cc of the patient's own blood was sterilely removed from an arm vein and slowly re-injected into the dorsal epidural space. With satisfactory achievement of clot formation, the procedure was terminated. The patient tolerated the procedure well. The next morning, his symptoms had completely resolved and he was neurologically intact. At five-week follow up, he was symptom-free. Targeted epidural blood patch at the site of presumed CSF leak can be carried out in a safe and effective manner using CT fluoroscopic guidance and can be an effective alternative to open surgical management in selected patients.

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