a 25-year old man presented with chronic low back pain for about 5 years due to mild congenital lumbar kyphosis (l1-l3 25° with congenital posterior wedge vertebra l2). preoperative neurologic examination was normal. after posterior spinal fusion and instrumentation with moderate curve correction, the patient gradually developed the symptoms and signs of cauda equina syndrome due to intraoperat...

Three-level Cervical Disc Replacement (CDR) is very rare and has been little reported. Many clinical surgeons are worrying about its efficacy and safety. Considering the little knowledge of three-level CDR, we present this special case of three-level Prestige LP CDR with a six-year follow-up duration. This case reports a 44-year-old female patient presenting multilevel cervical disc herniation ...

OBJECTIVE The objective of this study was to compare the clinical outcomes of the cervical interlaminar epidural steroid injection (CIESI) for unilateral radiculopathy by the midline or paramedian approaches and to determine the prognostic factors of CIESI. MATERIALS AND METHODS We retrospectively analyzed 182 patients who underwent CIESI from January 2009 to December 2012. Inclusion criteria...

Lumbar disc herniation is one of the most common medical and surgical problems all over the world. The vast majority of lumbosacral radiculopathies are caused by paracentral herniation. However, Hood reported that far lateral lumbar disc herniation (FLLDH) accounts for 2.8 – 10% of all disc herniations. Over 75% of FLLDHs occur at the L3 –L4 and L4 – L5 levels. In addition, FLLDH presents a cli...

The traditional view that the etiology of lumbar disc herniation is primarily due to age, gender, occupation, smoking and exposure to vehicular vibration dominated much of the last century. Recent research indicates that heredity may be largely responsible for the degeneration as well as herniation of intervertebral discs. Since 1998, genetic influences have been confirmed by the identification...

Tophaceous gout involving the intervertebral disc is rare and may present with neurologic symptoms secondary to spinal cord or nerve root compression. We report a case of a 50-year-old male with a history of hyperuricemic gout who received intermittent medical treatment and had a history of alcoholism. Quadriparesis developed over a period of one month. Magnetic resonance imaging of the cervica...

BACKGROUND Radiopaque gelified ethanol (RGE; DiscoGel, Gelscom SAS, France) is used as a chemonucleolysis substance in treating intradiscal herniation, showing good results without complications. It has also been used in cervical disc herniations (CDHs), demonstrating the potential efficacy of this substance. OBJECTIVE The aim of the study is to investigate the long-term effectiveness and saf...