UNLABELLED The technique of percutaneous endoscopic lumbar discetomy (PELD) in the transforaminal approach has evolved over the years due to the advances in endoscopic photology and instrumentation and become the most popular technique for lumbar disc herniation. Although PELD offers many advantages, the indications of PELD are limited mostly to non-migrated or low-migrated disc herniation. It ...

Intradural disc herniation is found in only 0.3% of cases of disc herniation. The majority of these (>95%) are found in the lumbar region, with fewer than 5% occurring in the thoracic region [1,2]. While imaging occasionally raises suspicion of an intradural component to a herniated disc, the majority of cases are diagnosed intraoperatively [1-6]. We describe a case of an intradural thoracic di...

results at three days, one month, three months, and six months after pea compared to pre-pea evaluations, the pain scores and medication intake were significantly decreased. significant pain relief declined from 95% at three days to 75% at six months. conclusions pea for low back pain due to contained disc herniation is a safe and effective procedure. therefore, it may be considered as an optio...

The development in technology and informatics in the last decades enables integrated analysis of biomechanical and clinical data and facilitates the understanding of relations between human gait characteristic and different medical conditions of a patient. The aim of the study was to demonstrate the importance of gait temporospatial parameters analysis [opposite foot off, opposite foot contact,...

BACKGROUND Caudal epidural injection of local anesthetics with or without steroids is one of the most commonly used interventions in managing chronic low back and lower extremity pain. However, there has been a lack of well-designed randomized, controlled studies to determine the effectiveness of caudal epidural injections in various conditions - disc herniation and radiculitis, post-lumbar lam...

OBJECTIVE The anterior approach for C7-T1 disc herniation may be challenging because of obstruction by the manubrium and the narrow operative field. This study aimed to investigate the clinical and neurological outcomes of anterior approach for C7-T1 disc herniation. METHODS We retrospectively evaluated 13 patients who underwent the anterior approach for C7-T1 disc herniation by a single surg...

OBJECTIVE To explore factors predicting failure of conservative treatment in lumbar-disc herniation. BACKGROUND Sciatica due to lumbar-disc herniation is a common complaint of spine patients. Even though the natural course is favorable, surgery is necessary in at least 10% of cases. Current trends show surgery to be more cost-effective than prolonged conservative care. However; there is limit...

Redundant Nerve Roots (RNRs) is an uncommon clinical condition characterized by a tortuous, serpentine, large and elongated nerve root of the cauda equina. To our knowledge, most cases of RNRs are associated with lumbar stenosis, and RNRs associated with lumbar disc herniation has not been reported until now. Here we present a rare case of unusual RNRs associated with lumbar disc herniation mim...

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...