BACKGROUND The observed rate of recurrent disc herniation after limited posterior lumbar discectomy is highest in patients with posterior wide annular defects, according to the Carragee classification of type II (fragment-defect) disc hernia. Although the recurrent herniation rate is lower in both type III (fragment-contained) and type IV (no fragment-contained) patients, recurrent persistent s...

Background and purpose - The outcome of surgical treatment of lumbar disc herniation (LDH) has been thoroughly evaluated in middle-aged patients, but less so in elderly patients. Patients and methods - With validated patient-reported outcome measures (PROMs) and using SweSpine (the national Swedish Spine Surgery Register), we analyzed the preoperative clinical status of LDH patients and the 1-y...

Although there are publishings about the natural course of lumbar disc herniation, the natural course of this disease has not been proved literally. Spontaneous regression, which can be seen in natural course of lumbar disc hernias, takes place in literature frequently and draws attention in recent years. In clinical studies submitted in literature, it is identified that spontaneous regression ...

Case 1-A man aged 46 stated that five months ago he had strained his back at work lifting bags of cement. The pain was felt low on the left side, and later radiated down the left leg. He was unable to work for six weeks. The pain did not resolve completely and had recently become worse again, extending to the left foot. He walked with a forward stoop, favouring the left leg. All back movements,...

OBJECTIVE To study the effectiveness of Transforaminal Percutaneous Endoscopic Discectomy (TPED) for lumbar disc herniation in patients with Parkinson disease (PD). METHODS Fifteen patients diagnosed with PD and lumbar disc hernia were recruited to the study. All patients underwent TPED. Mean age was 61.27±6 years, with 8 male (53.3%) and 7 female patients (46.7%). Level of operation was L3-4...

The aim of this study was to determine whether early rehabilitation from the first postoperative day after lumbar disc herniation surgery improved functional status of patients compared to the rehabilitation that started 3 weeks after surgery. Oswestry index was used for functional status assessment before surgery and after rehabilitation in 60 patients divided in 2 groups, i.e., early and cont...