Background: Literature recommends that refractory cases with lumbar disc herniation and appropriate indications are better to be treated surgically, but do all the patients throughout the world consent to the surgery with a same disability and pain threshold? We aim to elucidate the prevalence and severity of disabilities and pain in Iranian patients with lumbar disc herniation who have conse...

Lateral disc herniation (foraminal and extra foraminal) has clinical characteristics that are different from those of medial disc herniation (central and subarticular), including older age, more frequent radicular pain, and neurologic deficits. This is supposedly because lateral disc herniation mechanically irritates or compresses the exiting nerve root or dorsal root ganglion inside of a narro...

Background and Importance: Intradural lumbar disc herniation is a rare and uncommon presentation of lumbar disc herniation. It signifies a challenge for diagnostic and therapeutic scheme, and is associated with a greater incidence of cauda equina syndrome at presentation. Case Presentation: We describe two cases of intradural disc herniation who underwent surgery in Senegal review literat...

A few cases of lumbar disc herniation (LDH) that have been treated by surgery during pregnancy have been reported in the literature. However, symptomatic recurrent LDH during pregnancy has been rarely reported. A 32-year-old parous woman presented with lumbago and severe right leg pain at 20 weeks' gestation. Eleven years prior to admission, she had undergone an open discectomy for right-sided ...

Little information is at hand on the diagnostic values of the clinical symptoms and signs in the level diagnosis of patients with lower lumbar disc herniation.  We examined one hundred and thirty nine consecutive candidates for lower lumbar discectomy.  Monoradicular pain with signs attributed to the fifth lumbar and first sacral root dysfunctions were evaluated independently in each patient.  ...

STUDY DESIGN A retrospective study. OBJECTIVE The aim of this study is to evaluate, clinically and radiographically, the efficacy of mini-open retroperitoneal anterior lumbar discectomy followed by anterior lumbar interbody fusion (ALIF) for recurrent lumbar disc herniation following primary posterior instrumentation. SUMMARY OF BACKGROUND DATA Recurrent disc herniation following previous d...

Study Design A retrospective study. Purpose Our objectives were to determine the association between the pathological changes of disc herniation and the interval between primary and revision surgeries and to investigate the frequency and site of the dural laceration in the primary and revision surgeries. Overview of Literature Among 382 patients who underwent microsurgical lumbar discectomy...

background: intervertebral disc herniation is a major cause of low back pain. several treatment methods are available for lumbar disc herniation including chemonucleolysis, open surgery, nucleoplasty, laser disc decompression, and intradiscal electrothermal therapy. the high prevalence of lumbar disc herniation necessitates a minimally invasive yet effective treatment method. in this study, we ...

lumbar disc herniation (ldh) is the most common cause of sciatica and only in about 10% of the affected patients, surgical intervention is necessary. the side of the patient (the side of most prominent clinical complaints) is usually consistent with the side of imaging (the side with most prominent disc herniation on imaging scans). in this case series, we presented our experience in four cases...

BACKGROUND Trans-sacral epiduroscopic lumbar decompression (SELD) is an emerging procedure for the treatment of lumbar disc herniation (LDH), with favorable outcomes having been reported. However, the complications associated with SELD have not been comprehensively evaluated to date. Therefore, the aim of our study was to describe the incidence rate, types, and characteristics of complications ...