BACKGROUND Anterior cervical discectomy is a common procedure for treating patients for cervical disc prolapse. This study was conducted to study the surgical outcome and demographic characteristics of patients who were treated for anterior cervical disc prolapse. METHODS Study was conducted in the combined military hospital (CMH) Peshawar. Study interval was 3 years from 1st September, 2011 ...

We performed a prospective study to examine the influence of the patient's position on the location of the abdominal organs, to investigate the possibility of a true lateral approach for transforaminal endoscopic lumbar discectomy. Pre-operative abdominal CT scans were taken in 20 patients who underwent endoscopic lumbar discectomy. Axial images in parallel planes of each intervertebral disc fr...

Recent emerging data indicate that the increase in the expression and activity of the transforming growth factor beta 1 (Tgf-β1) signaling may have detrimental effect to mature articular cartilage of knee joints. However, there is no information about whether or not this is the case in condylar cartilages. The objective of this study is to investigate the protein expression and activity of Tgf-...

BACKGROUND Clinical adjacent-segment pathology (CASP) is an important problem after anterior cervical surgery. The purpose of this study was to predict prevalence of CASP and determine the possible risk factors for CASP after single-level anterior cervical discectomy and fusion surgery. MATERIAL AND METHODS We retrospectively reviewed a series of patients who underwent single-level cervical dis...

BACKGROUND Microendoscopic discectomy (MED) is less invasive than conventional open discectomy, but the long-term benefits of this technique are still debated. Controversy also remains regarding the surgical indications, patient selection, effectiveness, learning curve and complications. METHODS From Dec 2001 to Dec 2003, 26 patients with lumbar herniated disc disease received MED. The surgic...

STUDY DESIGN This was a prospective observational study of patients with low back pain and those without after laminotomy and discectomy. OBJECTIVES To determine, using a strict experimental design, the relative pain intensity response to provocative discography in symptomatic and asymptomatic subjects after lumbar discectomy for intervertebral disc herniation. BACKGROUND Provocative discog...

Introduction: From the beginning several surgical techniques have been invented to treat herniated cervical intervertebral disc. Long term results with well-designed studies have not been evaluated. Variation in Surgical Technique: The surgical techniques have varied with several variable factors and different variables used for evaluation. Postoperative interscapular pain following ACD has var...

Background : While microscopic lumbar disc herniation (LDH) surgery has been performed at our institution for >20 years, full-endoscopic discectomy (FELD) was introduced in 2019 to further minimize invasiveness. We aimed analyze and compare short-term results of patients who first underwent FELD with those LDH during the same period.

Aiming to achieve better results in microlumbar discectomy and foraminotomy, a double-hook retractor has been designed to retract lumbar paraspinal muscles away from the spinous process. A double-hook retractor obviates the limitations of single-hook systems.