Cauda equina syndrome (CES) is a rare but serious neurosurgical emergency that can have devastating longlasting neurologic consequences. CES caused by herniated lumbar discs is rare in the literature. We report an unusual case of incomplete CES due to lumbar disc herniation. The patient presented to our emergency department with acute onset of low back pain, saddle (perineal) anaesthesia, urina...

This study investigated the therapeutic effect of percutaneous endoscopic lumbar discectomy on lumbar disc herniation, and explored its effect on oxidative stress in patients with lumbar disc herniation. One hundred and ten patients with lumbar disc herniation were selected in The Affiliated People's Hospital of Shanxi Medical University from May 2015 to May 2016. Patients were divided into con...

OBJECTIVE To determine the long-term follow-up of the various operations for lumbar disc herniation in a large patient population. SUBJECTS AND METHODS Patients who had operations for lumbar disc herniation (microdiscectomy, endoscopic microdiscectomy and the 'classical operation', i.e. laminectomy/laminotomy with discectomy) were collected from the world literature. Patients who had follow-u...

The management of a patient with L4 radiculopathy with side posture spinal manipulative therapy (SMT) is described. Dramatic improvement both subjectively and objectively followed a short course of SMT of the lumbar spine. This case is used to illustrate aspects of the natural history of lumbar discogenic radiculopathy, safety and effectiveness of SMT for disc herniations, diagnostic imaging, a...

AIM To investigate the risk factors for lumbar intervertebral disc herniation (L4/L5 or L5/S1) severe enough to require surgery of the lower spine among 9 isolated populations of Croatian islands and to evaluate predictive value, sensitivity, and specificity of a simple screening test based on the understanding of the risk factors in this population. METHODS In a sample of 1001 examinees from...

OBJECTIVE To analyse inter-observer variation between a neuroradiologist and neurosurgeon in the MRI diagnosis of lumbar nerve root compression. Although lumbar MFI is primarily analyzed and reported by a radiologist, neurosurgeons often analyse it independently as they have sufficient clinical background as well as radiological expertise to diagnose most spinal pathologies on Magnetic Resonanc...

BACKGROUND CONTEXT The objective of the North American Spine Society's (NASS) Evidence-Based Clinical Guideline for the Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy is to provide evidence-based recommendations to address key clinical questions surrounding the diagnosis and treatment of lumbar disc herniation with radiculopathy. The guideline is intended to reflect contem...

Lumbar disc disease characterized by symptomatic disc herniation or typical sciatica is a major challenge for health care. Its prevalence was studied as part of the Mini-Finland Health Survey in a sample of over 7000 Finnish adults. A diagnosis of lumbar disc syndrome based on medical history, symptoms, and standardized physical examination was made for 5.1% of the men and for 3.7% of the women...

OBJECTIVE We analyzed the clinical and radiologic features of posterior apophyseal ring separation (PARS) with lumbar disc herniation and suggest the proper management options according to the PARS characteristics. METHODS We reviewed case series of patients with PARS who underwent surgery of lumbar disc herniation. Preoperative symptoms, neurologic status, Body Mass Index, preoperative and p...