abstract   background: far lateral discal herniation is an uncommon disorder and is difficult to assess by physical examination alone. this study is designed to define clinical and epidemiological findings and to establish the indications of surgical and medical treatment for flldh.   methods: between 2000 and 2005, a total of 2035 patients with lumbar disc herniation underwent surgical discect...

Intervertebral disc herniation of the lumbar spine is a common disease presenting with low back pain and involving nerve root radiculopathy. Some neurological symptoms in the majority of patients frequently improve after a period of conservative treatment. This has been regarded as the result of a decrease of pressure exerted from the herniated disc on neighboring neurostructures and a gradual ...

STUDY DESIGN Retrospective analysis of radiological images. PURPOSE To determine the prevalence of lumbosacral transition vertebra (LSTV) and to study its significance with respect to clinically significant spinal symptoms, disc degeneration and herniation. OVERVIEW OF LITERATURE LSTV is the most common congenital anomaly of the lumbosacral spine. The prevalence has been debated to vary bet...

INTRODUCTION The development of a symptomatic herniated cervical disc before the age of 20 is extremely rare. Sporadically reported cases of patients with cervical disc herniation under the age of 20 usually have had underlying disease. CASE PRESENTATION Case 1: A 19-year-old Asian man visited our clinic and presented with progressive pain in his upper left scapula and weakness of the left de...

• Vertebral endplate changes/modic changes (MC) are the MRI-images of inflammatory vertebral endplate damage that are often related to general disc degeneration. • In patients with prolonged back pain, the prevalence of MC is 40%. • In individuals with MC, more than 90% will have back pain within 1 year. • MC often causes localized pain 24/7. • Nocturnal pain is the rule rather than the excepti...

OBJECTIVE To determine the clinical effects of the treatment of lumbar disc herniation with herbal magnetic corsets. DESIGN A randomized control trial. SETTING The outpatient and inpatient departments of the Rehabilitation Center of the West China Hospital. PATIENTS Sixty patients with clinically diagnosed lumbar disc herniation were included in the study. INTERVENTIONS Both groups rece...

Earlier studies have shown that the single nucleotide polymorphism (SNP) A118G (rs1799971) in the opioid receptor mu 1 (OPRM1) gene may affect pain sensitivity. In the present study we investigated whether the A118G SNP could predict clinical outcome regarding progression of pain intensity and disability in patients with low back pain and sciatica after lumbar disc herniation. Patients (n = 258...

OBJECTIVE This retrospective study was undertaken to evaluate the efficacy of combined microscopic fragmentectomy and intraoperative nucleoplasty for sequestrated lumbar disc herniation. METHODS Twenty-four patients with magnetic resonance imaging proven sequestrated lumbar disc herniation with small annular leak treated by microscopic fragmentectomy and nucleoplasty were included. Patients w...

Background. In lumbar disc herniation, most authors recommend nonoperative treatment for the first few weeks of presentation, but what about the upper limit of this golden period? The aim of this study is to assess the effect of preoperative sciatica duration on surgical outcome of lumbar disc herniation. Methods. We retrospectively evaluated 240 patients (124 males and 116 females) with a mean...

OBJECTIVES Severe intervertebral disc herniation causes complete paraplegia and loss of pain sensation in canines. The prognosis is poor, even when decompression surgery is performed immediately after onset. Studies suggest that bone marrow-derived mononuclear cells will regenerate the injured spinal cord and restore neurologic function. This study was conducted to assess the clinical efficacy ...