STUDY DESIGN Retrospective study. PURPOSE To study the surgical outcome of transforaminal lumbar interbody fusion (TLIF) combined with trans-pedicular screws fixation for management of selected cases of recurrent lumbar disc herniation. OVERVIEW OF LITERATURE Recurrent lumbar disc herniation is a major cause of surgical failure, occurring in 5%-11% of cases. The optimal technique for treatm...

Schmörl's node is focal herniation of intervertebral disc through the end plate into the vertebral body. Most of the established Schmörl's nodes are quiescent. However, disc herniation into the vertebral marrow can cause low back pain by irritating a nociceptive system. Schmörl's node induced radicular pain is very rare condition. Some cases of Schmörl's node which generated low back pain or ra...

[Purpose] The purpose of this study was to provide the data for constructing an integrated exercise program to help restore muscle strength and stability through extension strength exercise in adult females with lumbar disc herniation. [Subjects and Methods] An 8-week exercise program for lumbar muscle extension strength and stabilization was performed by 26 females older than 20 with lumbar di...

Thoracic disk herniation comprises 0.15% of all disk herniation and has various and confusing manifestations.  Among them, radicular pain down the leg could be the rarest presentation, especially if it is the only complaint. On the other hand, finding the relationship between clinical and paraclinical needs require high index of suspension and it is demanding. A 34-year-old patient, who ha...

Introduction: Lower back and leg pain are frequently seen pathologies in pregnancy. However, a small proportion of these complaints develop in association with lumbar disc hernias. Due to maternal and fetal factors, diagnosis and treatment during pregnancy has to be different than for non-pregnant patients. Methods: A 36 year old, 28-week pregnant patient presented with ever-increasing pain in ...

STUDY DESIGN A case report. OBJECTIVE To demonstrate a case of intradural lumbar disc herniation including imaging studies, intraoperative imaging, and an intraoperative video. SUMMARY OF BACKGROUND DATA The first case of lumbar intradural disc herniation was reported as early as 1942; since then more than 150 cases have been reported, mostly in the lumbar spine. Gadolinium-enhanced magneti...

We carried out a study to determine the effect of facet tropism on the development of adolescent and adult herniation of the lumbar disc. We assessed 149 levels in 140 adolescents aged between 13 and 18 years and 119 levels in 111 adults aged between 40 and 49 years with herniation. The facet tropism of each patient was measured at the level of the herniated disc by CT. There was no significant...

STUDY DESIGN A retrospective study. PURPOSE To determine the feasibility and effectiveness of revisional percutaneous full endoscopic discectomy for recurrent herniation after conventional open disc surgery. OVERVIEW OF THE LITERATURE: Repeated open discectomy with or without fusion has been the most common procedure for recurrent lumbar disc herniation. Percutaneous endoscopic lumbar discect...

UNLABELLED THE OBJECT OF STUDY: Analysis of surgical treatment results in patients with recurrent lumbar disc herniation by transforaminal lumbar interbody fusion (TLIF) and repeated laminotomy and discectomy for the improvement of pain and disability. MATERIAL AND METHODS Data analysis was performed on a complex diagnosis and treatment of 56 patients with recurrent lumbar disc herniation who...

OBJECTIVE This retrospective study was undertaken to evaluate the efficacy of combined microscopic fragmentectomy and intraoperative nucleoplasty for sequestrated lumbar disc herniation. METHODS Twenty-four patients with magnetic resonance imaging proven sequestrated lumbar disc herniation with small annular leak treated by microscopic fragmentectomy and nucleoplasty were included. Patients w...