China
Africa
Explore chapters and articles related to this topic
Pain—Acute
Published in Charles Theisler, Adjuvant Medical Care, 2023
Spinal manipulation was found to be effective at relieving local or radiating pain in people with acute back pain and sciatica with disc protrusion.20 In a recent study, researchers concluded that spinal manipulation was just as effective as microdiscectomy for patients struggling with sciatica secondary to lumbar disk herniation.22
Lumbar Stenosis
Published in Kelechi Eseonu, Nicolas Beresford-Cleary, Spine Surgery Vivas for the FRCS (Tr & Orth), 2022
Kelechi Eseonu, Nicolas Beresford-Cleary
The major risks of laminectomy and microdiscectomy include dural tear (1%), recurrent disc prolapse, and discitis (1%). There is also a risk of secondary instability if too much of the facet joint (generally thought to be about 50%) is removed during the laminectomy.
How to surgically manage a recurrent lumbar herniated nucleus pulposus (HNP)
Published in Gregory D. Schroeder, Ali A. Baaj, Alexander R. Vaccaro, Revision Spine Surgery, 2019
Taylor Paziuk, Matthew S. Galetta, Jeffrey A. Rihn
The approach and operation performed for addressing recurrent lumbar disc herniation are largely based on whether this was the initial reherniation, the approach to the initial procedure, and the surgeon's preference. Surgical treatment should be individualized to the patient based on the symptoms (e.g., back pain versus leg pain), findings on imaging studies (e.g., presence of instability, severe disc collapse, Modic changes), and patient expectations (e.g., whether a patient is OK with the ongoing risk of recurrent disc herniation after a revision microdiscectomy, or prefer a fusion, despite the added risk and recovery time associated with fusion surgery).
Factors associated with the recurrence of lumbar disk herniation: non-biomechanical–radiological and intraoperative factors
Published in Neurological Research, 2023
Anas Abdallah, Betül Güler Abdallah
This is a prospective study that relatively enrolled a large sample size; however, some limitations were encountered as follows: 1) failure to adjust for multiple comparisons among the differences in re-herniation rates for several risk factors (Type I statistical error); 2) lost some patients with central RLDH or radiological RLDH due to losing follow-up MRIs in the patients without radicular pains; 3) inclusion of patients with first multilevel discectomy (n = 24); 4) a small number of patients who were treated with non-conventional microdiscectomy surgical techniques; 5) small upper LDH cases that prohibited making adequate comparison among all LDH levels; 6) exclusion of patients with residual disks (n = 5); 7) enrolment of patients from a restricted geographical area; and 8) a single-center experience. To support our findings, further prospective multicenter studies are essential.
Predictive factors for return to work after lumbar discectomy
Published in International Journal of Occupational Safety and Ergonomics, 2021
Maryam Atarod, Elham Mirzamohammadi, Hasan Ghandehari, Ramin Mehrdad, Nazanin Izadi
In this study, the rate and contributing factors of return to work in the postoperative phase after lumbar disc herniation were determined and approximately 80% had returned to work before 3 months had passed since the operation. Higher BMI and higher pain intensity were related to delayed return to work. Dewing et al. [10] reported that microdiscectomy for recalcitrant symptomatic disc hernia had a good outcome in 3-year follow-up. However, we followed our patients until return to work with encouraging results. Wang et al. [11] reported that discectomy is equally effective in young and elderly participants as well as our study showing no effect on results for age. The reason for this matter is the confounding role of working years. Some participants had higher onset age for their work, leading to shorter duration of working years. On the other hand, some persons were entering the current work sooner, with long working years. This matter is usually seen in many countries, especially those without academic education literacy.
Contralateral lumbosacral plexopathy following lumbar microdiscectomy
Published in British Journal of Neurosurgery, 2020
Isabel Tulloch, Riaz Ali, Marios C. Papadopoulos
LSP has been reported to occur following instrumented lumbar spinal procedures, for example posterior or transforaminal lumbar interbody fusion.5,6 These authors attributed LSP to direct trauma occurring due to the lumbar plexus, located just anterior to the transverse processes of the lumbar vertebrae, being damaged during instrumentation and lateral paraspinal muscle dissection.7 However, our patient’s microdiscectomy procedure involved a minimal unilateral muscle strip, without any lateral breach towards the transverse process or lumbar plexus. Her plexopathy was contralateral to the operative site, making direct trauma from surgical instrumentation or traction near impossible as no muscular or bony dissection or significant neural mobilisation was performed on the contralateral side.