Recurrent lumbar disc herniation is a common disease process. It has been noted to occur in 5 to 15% of cases surgically treated for primary lumbar disc herniation. Outcomes in one series approached those after the initial operations, although this is not the case in the experience of most surgeons. The removal of recurrent lumbar disc herniations requires meticulous surgical technique. Great c...

OBJECTIVE There are many causes of cervical myelopathy including trauma, degenerative conditions, tumors and demyelinating disorders. However, myelopathy caused by soft disc herniation might be seen rarely than the spondylosis caused by hard disc. Here, authors retrospectively analyzed the clinical features and results of cervical myelopathy caused by soft disc herniation. METHODS From March ...

BACKGROUND Back pain attributable to lumbar disc herniation is a substantial cause of reduced workplace productivity. Disc herniation surgery is effective in reducing pain and improving function. However, few studies have examined the effects of surgery on worker productivity. QUESTIONS/PURPOSES We wished to determine the effect of disc herniation surgery on workers' earnings and missed workd...

OBJECTIVE To determine abnormal MRI findings in adults hospitalized with acute severe axial LBP. METHOD Sixty patients with back pain were divided into 3 groups consisting of 1) 23 adults with acute axial severe LBP who could not sit up or stand up for several days, but had not experienced previous back-related diseases or trauma (group A), 2) 19 adults who had been involved in a minor traffi...

BACKGROUND Low back pain with or without lower extremity pain is the most common problem among chronic pain disorders with significant economic, social, and health impact. This study was conducted to determine the frequency of lumbar disc herniation and its different levels, among patients with chronic backache. METHODS This cross sectional study was conducted in the department of Neurosurger...

As a significant determinant of low back pain, intervertebral disc degeneration (IDD) has attracted more and more attention of both investigators and physicians. Disc herniation, termed as intervertebral disc displacement, is amongst the most prevalent spinal diseases closely linked with IDD. Due to the same origins and similar pathophysiology, the ambiguity regarding the similarity and differe...

BACKGROUND Biomechanical benefits of Total Disc Replacement (TDR) including both the restoration of normal segmental range of motion and the prevention of physiological lumbar lordosis encourage spine surgeons to perform TDR for lumbar disc disease. METHODS A total of twenty patients (mean age: 39.5) who had degenerative disc disease with unilateral disc herniation were operated on between 20...

* Sports Injury & Rehabilitation Center, 2780 Jane Street, Suite 202, Downsview, Ontario M3N 2J2. Tel: (416) 745-2162. Fax: (416) 745-2168. © JCCA 1999. Lumbar disc herniations are rare in children. The etiology and clinical picture may be different in children than in adults. Conservative management is the treatment of choice. Tae Kwon Do is a Korean martial art which is notorious for its high...

Clinical evolution. It is extremely difficult to study clinically the natural history of a condition causing pain, since patients almost inevitably undergo some form of treatment. This may explain the paucity of information on the natural evolution of the clinical symptoms and signs of disc herniation. In a multicentre prospective study, Weber, Holme and Amlie analysed 208 patients who presente...

Between 1970 and 1980, at the National Murayama Hospital, 15 patients with thoracic disc herniation underwent total discectomy by an anterior approach, followed by interbody fusion using autogenous ifiac bone. The results in all 15 patients were favourable. The extrapleural approach to the thoracic vertebrae is preferred because of simplified postoperative care and easier prevention of respirat...