Peridural fibrosis is a major obstacle for a successful spinal surgery. The most common surgical method used for the treatment of spinal disorder is Lumbar discectomy. After the initial surgical intervention, approximately 20% of patients will undergo revision surgery within 5 years. The common attributes of surgical failure after performing lumbar discectomy are peridural, epidural and perineu...

Low back pain (LBP) is a painful condition affecting 80% of word population at some point in their life. Lumbar intervertebral disc degeneration and reduced muscle force one the major cause LBP. Sixty-two patients with LBP undergoing discectomy were recruited after receiving consent. muscles strength VAS (visual analogue scale) for lumbar checked, MRI scan analysed. Histological degenerative ch...

I have recently reviewed the interesting article by Farzanegan et al. (1), published in the 2011 issue of the Anesthesiology and Pain Medicine: “Quality of life (QOL) evaluation of patients undergoing lumbar discectomy using Short Form 36”. Lumbar discectomy improved both the physical and mental health subscales in patients’ QOL with chronic disc herniation. The mean improvement in physical hea...

BACKGROUND Lumbar discectomy is usually a successful operation with a relatively low cost. Potential adjunctive procedures, such as repairing the anulus fibrosus or nucleus replacements, necessitate a cost-benefit analysis. PURPOSE This economic analysis was performed to understand the potential value of advanced implantable technologies designed to improve outcomes after discectomy. STUDY ...

The optimal time for lumbar discectomy due to sciatica is still under discussion. We examined a group of 177 consecutive patients with lumbar disc herniation, who underwent lumbar discectomy. According to the duration of the sciatica, patients were divided into 3 groups: 31 (17.5%) patient with a duration of sciatica from 0 to 3 months, 82 (46.3%) patients with a duration from 4 to 10 months, a...

BACKGROUND The number of interventions on intervertebral discs rapidly increased and the treatment options for lumbar disc surgery quickly evolved. It is important that the safety and efficacy of all new innovative procedures be compared with currently accepted forms of treatment; however, the previous pairwise meta-analyses could not develop the hierarchy of these treatments. OBJECTIVES The ...

Introduction : Condoliase injection for lumbar disc herniation is less invasive than surgical treatment and has been widely used in recent years. We encountered a case which herniated worsened after with condoliase (Hernicore®) injection. Thereafter discectomy was performed. also report the pathology of removed immediately

The concept of minimally invasive spinal surgery embodies the goal of achieving clinical outcomes comparable to those of conventional open surgery, while minimizing the risk of iatrogenic injury that may be incurred during the exposure process. The development of microscopy, laser technology, endoscopy, and video and image guidance systems provided the foundation on which minimally invasive spi...

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.  ...

Lumbar discectomy is a very effective therapy for neurological decompression in patients suffering from sciatica due to a hernia nuclei pulposus. However, high recurrence rates and persisting post-operative low back pain in these patients require serious attention. In the past decade, tissue engineering strategies have been developed mainly targeted to the regeneration of the nucleus pulposus (...