OBJECTIVE To analyze the long-term outcomes of anterior versus posterior approaches for cervical disc herniation. METHODS The records of 6,000 patients who had operations for cervical disc herniation (radiating arm pain and/or motor symptoms involving the upper extremity) and who had been followed for at least 2 years (mean: 7.1 years) were culled from the world literature and included in thi...

Mr S, a 50-year-old man, has long-standing low back pain. His pain began more than 20 years earlier with a lumbar disk herniation and has persisted despite diskectomy. He has undergone numerous treatments, but he remains disabled with ongoing pain. His treatment course is used to frame the epidemiology and pathophysiology underlying acute and chronic lumbosacral and radicular pain. The roles of...

Transverse fracture through the axis body is quite different from Anderson and D’Alonzo type III odontoid fracture, and its combination with hangman’s fracture has not been reported on a literature review, which is a combination fracture involving multiple areas of axis and the classification relative to multiple axis fractures that have not been put forward yet. Although there was no neurologi...

Up to date the seasoned spine surgeon has many options for the treatment of Cervical Radiculopathy that range from muscle and motion preserving procedures to the well-known Anterior Cervical Discectomy and Fusion and the Anterior Cervical Disk Replacement surgeries. We wish to present a brief review of the literature to address two minimally invasive and motion preserving techniques known as, C...

A 59-year-old woman was seen 3 months after laminectomy at L3-L5 and diskectomy at L3-L4 for central herniated disk. She had occipital headaches exacerbated by coughing and low back pain radiating to the right leg. On examination a small , nontender, fluctuant mass was noted lateral to the laminectomy incision. Sonography showed a multilocular cyst at the L3 level with a large, deeper component...

The purpose of this study was to investigate the expression of PG mRNA in human temporomandibular joint (TMJ ) disks from patients with temporomandibular disorders (TMD). Total RNA was isolated from the TMJ disks. All patients had undergone diskectomy under general anethesia. RT-PCR was performed using primers for the proteoglycans, aggrecan and decorin. On electrophoresis of a lysate of human ...

Acute lumbar disk herniations are the most common cause of sciatica. After excluding emergent causes, such as cauda equina syndrome, epidural abscess, fracture, or malignancy, a six-week trial of conservative management is indicated. Patients should be advised to stay active. If symptoms persist after six weeks, or if there is worsening neurologic function, imaging and invasive procedures may b...

This paper presents a graph-based segmentation method using multiple criteria in successive stages to segment thoracoscopic images acquired during a diskectomy procedure commonly used for thoracoscopic anterior release and fusion for scoliosis treatment. Starting with image pre-processing, including Gaussian smoothing, brightness and contrast enhancement, and histogram thresholding, a standard ...

The report describes the herniation of a huge migrated cervical disc, which was treated by a combined anterior approach. A 50-year-old man presented with radiculopathy and myelopathy. Radiological images revealed the herniation of a huge disc which had migrated superiorly from the C6-7 disc to the C5-6 disc. We tried to combine an anterior cervical discectomy and fusion (ACDF) and transcorporea...