Using data obtained by questionnaire in a retrospective review of pat sciatic pain (eighty-five treated i ents with low-back by injection of chy and ‘rnopapain and seventy-one, by open discectomy), the results at one and ten years after treatment were analyzed. For this analysis we used six measures of pain relief, six measures of the patients’ course during the ten-year period since primary tr...

BACKGROUND Literature recommends that refractory cases with lumbar disc herniation and appropriate indications are better to be treated surgically, but do all the patients throughout the world consent to the surgery with a same disability and pain threshold? We aim to elucidate the prevalence and severity of disabilities and pain in Iranian patients with lumbar disc herniation who have consente...

STUDY DESIGN Case series. PURPOSE The aim of this study was to describe translaminar microendoscopic herniotomy (TL-MEH) for cranially migrated lumbar disc herniations encroaching on the exiting nerve root in the preforaminal and foraminal zones and to report preliminary results of the procedure. OVERVIEW OF LITERATURE Conventional interlaminar approaches for preforaminal and foraminal lumb...

STUDY DESIGN A depression screener was used to determine positive responses amongst patients with two disorders commonly treated with surgery. OBJECTIVE To examine the relation between positive responses to the depression screener and pain characteristics, sociodemographic responses, and Short-Form 36-Item Health Survey subscale scores among patients with lumbar disc herniation or spinal sten...

OBJECTIVES To investigate the occupational and genetic risk factors inducing lumbar disc degeneration in a Chinese population, and to explore their synergistic interactions. METHODS A case-control study involving 178 low back pain patients with lumbar disc degeneration and 284 controls was carried out. Five types of work-related factors were investigated using questionnaires. Polymerase chain...

OBJECTIVE Recurrent lumbar disc herniation has been defined as disc herniation at the same level, regardless of ipsilateral or contralateral herniation, with a pain-free interval greater than 6 months. The aim of this study is to analyze outcomes and identify the potential risk factors for recurrent lumbar disc herniation. METHODS The authors retrospectively reviewed the cases of 178 patients...

This paper proposed an automated three-dimensional (3D) lumbar intervertebral disc (IVD) segmentation strategy from Magnetic Resonance Imaging (MRI) data. Starting from two user supplied landmarks, the geometrical parameters of all lumbar vertebral bodies and intervertebral discs are automatically extracted from a mid-sagittal slice using a graphical model based template matching approach. Base...

The management of a patient with L4 radiculopathy with side posture spinal manipulative therapy (SMT) is described. Dramatic improvement both subjectively and objectively followed a short course of SMT of the lumbar spine. This case is used to illustrate aspects of the natural history of lumbar discogenic radiculopathy, safety and effectiveness of SMT for disc herniations, diagnostic imaging, a...

STUDY DESIGN  Systematic review. STUDY RATIONALE  Disc degeneration is a common process starting early in life. Often disc herniation is an early step in disc degeneration, which may cause pain or stenosis. How quickly this subsequent disc degeneration occurs following a disc herniation and subsequent surgical treatment and whether certain spinal procedures increase the rate of degeneration r...