BACKGROUND Biomechanical benefits of Total Disc Replacement (TDR) including both the restoration of normal segmental range of motion and the prevention of physiological lumbar lordosis encourage spine surgeons to perform TDR for lumbar disc disease. METHODS A total of twenty patients (mean age: 39.5) who had degenerative disc disease with unilateral disc herniation were operated on between 20...

Objective: To explore the clinical effects of posterior microendoscopy discectomy and open surgery on lumbar disc herniation. Methods: A total of 97 patients with lumbar disc herniation treated in our hospital from January 2017 to August 2017 were selected as the research objects followed by being randomly divided into microendoscopy discectomy group (n=43) and open surgery group (n=44) with th...

Introduction: Sciatic pain is a frequent clinical problem. An important manifestation of the degenerative lumbar spine is pain radiating to the legs, also called sciatica. The straight-leg-raising (SLR) test is one of the most significant signs for making a clinical diagnosis of lumbar disc herniation [1]. Our previous study showed that intraradicular blood flow and electrophysiological values ...

BACKGROUND The usual surgical treatment of refractory sciatica caused by lumbar disc herniation, is open discectomy. Minimally invasive procedures, including percutaneous therapies under local anesthesia, are increasingly gaining attention. One of these treatments is Percutaneous Laser Disc Decompression (PLDD). This treatment can be carried out in an outpatient setting and swift recovery and r...

BACKGROUND The aim of this study was to investigate the correlation between facet tropism and spinal degenerative diseases, such as degenerative lumbar spondylolisthesis, degenerative lumbar scoliosis, and lumbar disc herniation. METHODS This study retrospectively analysed clinical data from the Department of Orthopaedics at The First Affiliated Hospital of Nanchang University. Ninety-two pat...

Discal cyst is an intraspinal cyst with a distinct communication with the corresponding intervertebral disc. It is a rare condition and could present with radiculopathy similar to that caused by lumbar disc herniation. We present a patient with a large discal cyst in the ventrolateral epidural space of the 5(th) lumbar vertebral (L5) level that communicated with the adjacent 4(th) lumbar and 5(...

STUDY DESIGN Retrospective review of imaging data from a clinical trial. OBJECTIVE To compare the interpretation of lumbar spine magnetic resonance imaging (MRIs) by clinical spine specialists and radiologists in patients with lumbar disc herniation. SUMMARY OF BACKGROUND DATA MRI is the imaging modality of choice for evaluation of the lumbar spine in patients with suspected lumbar disc her...

Intradural disc herniation is found in only 0.3% of cases of disc herniation. The majority of these (>95%) are found in the lumbar region, with fewer than 5% occurring in the thoracic region [1,2]. While imaging occasionally raises suspicion of an intradural component to a herniated disc, the majority of cases are diagnosed intraoperatively [1-6]. We describe a case of an intradural thoracic di...

BACKGROUND Percutaneous endoscopic interlaminar discectomy (PEID), which poses advantages for certain types of herniated disc, is gaining wider acceptance in clinical practice. We retrospectively analyzed the efficacy of the PEID technique in treatment of calcified lumbar disc herniation. STUDY DESIGN A retrospective case-control study. SETTING University hospital in China. OBJECTIVE To e...

Background: Lumbar disc herniation (LDH) is a common cause of low back and radicular leg pains. This study aimed to evaluate the Persian Discectomy Successful Score (PDSS) in patients diagnosed with lumbar disc herniation undergoing discectomy. The PDSS first was developed based on the JOA score. It is a linear transformation of patients’ pre-operative JOA score that can predict the successful ...