Intradural disc herniation is found in only 0.3% of cases of disc herniation. The majority of these (>95%) are found in the lumbar region, with fewer than 5% occurring in the thoracic region [1,2]. While imaging occasionally raises suspicion of an intradural component to a herniated disc, the majority of cases are diagnosed intraoperatively [1-6]. We describe a case of an intradural thoracic di...

BACKGROUND The purpose of this study was to review surgery-proven lumbar disc herniation in adolescents with an emphasis on the distinguishing features. METHODS Twenty-eight adolescents between 14 and 18 years old had lumbar discectomy after conservative treatment for 9 months. Indications for surgery were intractable pain and failure of conservative treatment for more than 6 weeks. Lumbar sp...

The authors provide an overview of the minimally invasive transforaminal lumbar interbody fusion (TLIF) procedure including indications, technique, and complications. This novel technique is a method of achieving circumferential lumbar fusion using a unilateral dorsal approach. Minimally invasive TLIF uses a tubular retractor that is inserted via a muscle-dilating exposure, thereby minimizing t...

results at three days, one month, three months, and six months after pea compared to pre-pea evaluations, the pain scores and medication intake were significantly decreased. significant pain relief declined from 95% at three days to 75% at six months. conclusions pea for low back pain due to contained disc herniation is a safe and effective procedure. therefore, it may be considered as an optio...

The development in technology and informatics in the last decades enables integrated analysis of biomechanical and clinical data and facilitates the understanding of relations between human gait characteristic and different medical conditions of a patient. The aim of the study was to demonstrate the importance of gait temporospatial parameters analysis [opposite foot off, opposite foot contact,...

BACKGROUND Caudal epidural injection of local anesthetics with or without steroids is one of the most commonly used interventions in managing chronic low back and lower extremity pain. However, there has been a lack of well-designed randomized, controlled studies to determine the effectiveness of caudal epidural injections in various conditions - disc herniation and radiculitis, post-lumbar lam...

OBJECTIVE The anterior approach for C7-T1 disc herniation may be challenging because of obstruction by the manubrium and the narrow operative field. This study aimed to investigate the clinical and neurological outcomes of anterior approach for C7-T1 disc herniation. METHODS We retrospectively evaluated 13 patients who underwent the anterior approach for C7-T1 disc herniation by a single surg...

BACKGROUND Lumbar discectomy and laminectomy in patients with intervertebral disc herniation (IDH) is common, with variable reported reoperation rates. Our study examined which baseline characteristics might be risk factors for reoperation and compared outcomes between patients who underwent reoperation and those who did not. METHODS We performed a retrospective subgroup analysis of patients ...

OBJECTIVE To explore factors predicting failure of conservative treatment in lumbar-disc herniation. BACKGROUND Sciatica due to lumbar-disc herniation is a common complaint of spine patients. Even though the natural course is favorable, surgery is necessary in at least 10% of cases. Current trends show surgery to be more cost-effective than prolonged conservative care. However; there is limit...