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...

Lumbar discectomy is the surgical procedure most frequently performed for patients suffering from low back pain and sciatica. Disc herniation as a consequence of degenerative or traumatic processes is commonly encountered as the underlying cause for the painful condition. While discectomy provides favourable outcome in a majority of cases, there are conditions where unmet requirements exist in ...

Lumbar disc herniation is one of the most common medical and surgical problems all over the world. The vast majority of lumbosacral radiculopathies are caused by paracentral herniation. However, Hood reported that far lateral lumbar disc herniation (FLLDH) accounts for 2.8 – 10% of all disc herniations. Over 75% of FLLDHs occur at the L3 –L4 and L4 – L5 levels. In addition, FLLDH presents a cli...

The traditional view that the etiology of lumbar disc herniation is primarily due to age, gender, occupation, smoking and exposure to vehicular vibration dominated much of the last century. Recent research indicates that heredity may be largely responsible for the degeneration as well as herniation of intervertebral discs. Since 1998, genetic influences have been confirmed by the identification...

AIM The purpose of this study was to investigate the risk factors for the development of the central large disc herniations and to compare the demographic data between central mass prolapse and broad-based central disc herniation. MATERIAL AND METHODS Between 2002 and 2007, 1630 patients underwent surgery and a large disc herniation was the main problem in 59 patients (3.6%). We performed a r...

BACKGROUND Clinically, sclerosing thoracic disc herniation is a disease with high surgical risk and various complications. Eggshell procedure is a surgical method used by surgeons to treat sclerosing thoracic disc herniation. The aim of this study was to report a modified eggshell procedure to treat sclerosing thoracic disc herniation. METHODS Medical records of 25 patients with sclerosing th...