i t 1s a t t emted t o rev1ew 3200 c a s e s of herniat ed lumbar d isc t o point out the i ndic a tions for ope ra t i o n , the value o f myelog raphy . t he r esult o f ope rat ion and the caus e s o f comp l i cat i ons . we believe tha t myelography s houl d be performed i n a l most a ll patients. i n ne a rl y 96 .8 pe rcent of cases my e l o grams co r r e s pond to clinical f i ndings....

BACKGROUND Patients who undergo lumbar disc surgery for herniated discs, are advocated two different postoperative management strategies: a watchful waiting policy, or referral for rehabilitation immediately after discharge from the hospital. A direct comparison of the effectiveness and cost-effectiveness of these two strategies is lacking. METHODS/DESIGN A randomised controlled trial will be...

OBJECTIVES The aim of this study was to determine the relation between the percent of canal compromise and success rate of epidural steroid injection (ESI) in patients with symptomatic lumbar herniated intervertebral discs. METHODS Patients with lumbar herniated intervertebral disc suffering from leg pain and treated with ESI were selected. The axial magnetic resonance (MR) image showing the ...

The cause of propriospinal myoclonus (PSM) is idiopathic. Cervical trauma, ischemic myelopathy secondary to a spinal dural arteriovenous fistula, syringomyelia, Lyme neuroborreliosis, human immunodeficiency virus central nervous system infection, and cervical disc herniation can be the cause of PSM, but lumbar herniated intervertebral disc (HIVD) induced PSM has not been reported. We describe a...

STUDY DESIGN Secondary analysis of randomized and nonrandomized prospective cohorts. OBJECTIVE To examine the effect of patient treatment expectations on treatment outcomes for patients with intervertebral disc herniation. SUMMARY OF BACKGROUND DATA Patient expectations about treatment effectiveness may have important relationships with clinical outcomes. METHODS Subgroup and reanalysis o...

OBJECTIVE This study aimed to determine if occupational exposure to whole-body vibration is associated with cervical intervertebral disc herniation among container truck drivers. METHODS We conducted a walk-through survey among container truck drivers and unexposed workers. We also measured the vibration hazard of the container truck over the driver's back and seat when the driver was loading...

BACKGROUND To assess the correlation between lumbar disc degeneration (LDD), multifidus muscle atrophy (LMA), and facet joints degeneration in patients with L4-L5 lumbar disc herniation (LDH). METHODS Sixty patients with L4-L5 LDH diagnosed by a 1.5 T MRI scanner were enrolled in the study group and another 60 patients with non-specific back pain were enrolled in the control group. LDD, LMA, ...

Magalhaes et al reported on randomized controlled trials of ozone therapy as a treatment for low back pain secondary to herniated intervertebral discs (HID) (1). We have read their article with interest and want to add important concerns. Ozone therapy has become an alternative treatment for low back pain secondary to a herniated disc. Although the exact mechanism of action of medical ozone is ...

Apoptosis plays pivotal role in the pathogenesis of degenerative disc diseases, which is the primary contributor to low back pain. Although the role of hydrogen sulfide (H2S) in cell apoptosis is well appreciated, the effects and mechanism that H2S regulates the program death of intervertebral disc cell are not yet elucidated. In this study, we utilized the nucleus pulposus (NP) from patients w...