Purpose: The purpose of this study was to determine the clinical efficacy of pre-emptive parecoxib in the percutaneous endoscopic lumbar discectomy. Methods: Eighty patients were randomly allocated to receive either parecoxib or sodium chloride brine as placebo 30 minutes prior to the percutaneous endoscopic lumbar discectomy. Clinical data was obtained and recorded at 1, 6, 12, 24 hours after ...

We analysed prospectively 26 patients who had revision operations for ipsilateral recurrent radicular pain after a period of pain relief of more than six months following primary discectomy. They were assessed before the initial operation, between the two procedures and at a minimum of two years after reoperation. MRI was performed before primary discectomy and reoperation. Fifty consecutive pa...

BACKGROUND Lumbar disc herniation is a major cause of back pain and sciatica. The surgical management of lumbar disc prolapse has evolved from exploratory laminectomy to percutaneous endoscopic discectomy. Percutaneous endoscopic discectomy is the least invasive procedure for lumbar disc prolapse. The aim of this study was to analyze the clinical outcome, quality of life, neurologic function, a...

BACKGROUND To investigate the efficacy of adding supplemental fusion or arthroplasty after cervical anterior discectomy for symptomatic mono-level cervical degenerative disease (radiculopathy), which has not been substantiated in controlled trials until now. METHODS A randomized controlled trial is reported with 9 years follow up comparing anterior cervical anterior discectomy without fusion,...

Introduction : Condoliase injection for lumbar disc herniation is less invasive than surgical treatment and has been widely used in recent years. We encountered a case which herniated worsened after with condoliase (Hernicore®) injection. Thereafter discectomy was performed. also report the pathology of removed immediately