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...

OBJECTIVES The aims of this study are to answer the following questions (1) How does the pain intensity of lumbar and cervical disc surgery patients change within a postoperative time frame of 5 years? (2) Which sociodemographic, medical, work-related, and psychological factors are associated with postoperative pain in lumbar and cervical disc surgery patients? METHODS The baseline survey (T0...

STUDY DESIGN  Systematic review. OBJECTIVE  To determine if there is a weight change in overweight patients following lumbar decompression with or without fusion for lumbar degenerative conditions. SUMMARY OF BACKGROUND  Anecdotal evidence suggests obesity is a risk factor for recurrent disc herniation or adjacent segment degeneration after lumbar surgery. Weight loss after surgery therefor...

BACKGROUND AND OBJECTIVES This study attempts to assess the intensity and quality of pain and health-related quality of life in patients with sacroiliac syndrome and to compare those constructs to patients with lumbar radiculopathy. METHODS A retrospective review of patient records with the diagnosis of sacroiliac syndrome or lumbar radiculopathy was performed. Patients with sacroiliac syndro...

A 29-year-old woman presented with dilated epidural veins and incapacitating headache after undergoing a lumbar puncture. Two months later, the results of follow-up MR imaging were normal. These findings suggest that temporary dilation of the epidural vein may occur in association with post-lumbar puncture intracranial hypotension syndrome. In these cases, it seems useful to confirm whether the...

BACKGROUND Treatment of chronic low back pain with or without lower extremity pain continues to be a challenge. Epidural steroids are commonly utilized in patients after the failure of conservative treatment. The results of epidural steroid injections have been variable based on the pathophysiology, the route of administration, injected drugs, and utilization of fluoroscopy. In patients resista...

Objective: To evaluate pre-operative risk factors have impact upon post-operative outcome in terms of pain and functional improvement after surgical decompression of lumbar spinal stenosis. Methods: Retrospective analysis of prospectively data was collected for LSS patients from backache care service until 6 months post-operatively. Neurological and medical factors were identified and were asse...

In the treatment of multilevel degenerative disorders of the lumbar spine, spondylodesis plays a controversial role. Most patients can be treated conservatively with success. Multilevel lumbar fusion with instrumentation is associated with severe complications like failed back surgery syndrome, implant failure, and adjacent segment disease (ASD). This retrospective study examines the records of...

Given the prevalence of low back pain, surgical interventions on the lumbar spine are becoming more common. Among the many surgical procedures available for these interventions, the most common are laminectomy and discectomy. In 10 to 40% of patients who undergo surgical interventions on the lumbar spine, low back pain is not completely alleviated or it recurs, and these cases fall into the cat...

Acute colonic pseudo-obstruction (Ogilvie's syndrome) is characterised by abdominal distension and massive colonic dilatation without any mechanical cause of obstruction. The pathogenesis remains unknown but likely involves imbalance between sympathetic and parasympathetic colon innervation. This syndrome is well known in orthopaedic surgery, as trauma and orthopaedic surgery have been reported...