Background. In lumbar disc herniation, most authors recommend nonoperative treatment for the first few weeks of presentation, but what about the upper limit of this golden period? The aim of this study is to assess the effect of preoperative sciatica duration on surgical outcome of lumbar disc herniation. Methods. We retrospectively evaluated 240 patients (124 males and 116 females) with a mean...

The records of 403 patients treated for herniated lumbar disc disease were analysed in a retrospective observational study in order to verify how three outcome measures, i.e., satisfaction with the outcome of surgery, the degree of return to activities of daily living including work (ADL), and duration of interruption of ADL, may be influenced by clinical variables. Age, type of disc herniation...

Even if lumbar disc-herniation (LDH)-surgery is rather common, there little knowledge on future sick leave. The aim of this study was to explore risk factors for having many sick-leave days following surgery.

Tel: 401-793-9136 Fax: 401-444-2781 Lumbar discectomy for lumbar disc herniation is one of the most common spine procedures performed. The incidence of symptomatic herniated lumbar discs is estimated to be between 1-2% [1] and over 480,000 lumbar discectomies are performed annually in the United States [2, 3]. Lumbar discectomies are effective in relieving back and leg pain [4] and patient outc...

OP04-5. 42. Hiranandani M. Nonsurgical spinal decompression: treatment of low back pain by spinal decompression and spinal exercises. Program and abstracts of the 45th Annual Indian Association of Physiotherapists Conference; February 2-4, 2007; Kolkata, India. 43. Lee SH. Efficacy of Spinal Decompressor Combined with Transforaminal Steroid Injection versus Transforaminal Steriod Injection in P...

Currently, extracellular matrix MMP has been discussed in relation to the extrusion and spontaneous regression of the herniated mass observed in lumbar disc herniation. However, the question remains as to whether degenerated protein is really the cause of this condition's pathogenesis. We confirmed immunologically by means of electron microscopy that extrusion is caused by the AGEs (advanced gl...

We present a case of an acute psoas muscle hematoma following percutaneous endoscopic lumbar discectomy. A 60-year-old female who presented with far lateral lumbar disc herniation underwent endoscopic discectomy on the right side at the L4-5 level. On the second postoperative day, the patient complained of severe right flank and leg pain and her blood pressure decreased. A computed tomography s...

Lumbar microdiscectomy, which relies on the operating microscope for visualization, was first described in the late 1970s. This operation is considered the gold standard procedure for patients who require surgery for symptomatic lumbar disc herniation causing radiculopathy that has not improved with conservative measures. A new approach to the management of symptomatic lumbar disc herniation, m...

Intervertebral intradural lumbar disc herniation (ILDH) is a quite rare pathology, and isolated intradural lumbar disc herniation is even more rare. Magnetic resonance imaging (MRI) may not be able to reveal ILDHs, especially if MRI findings show an intact lumbar disc annulus and posterior longitudinal ligament. Here, we present an exceedingly rare case of an isolated IDLH that we initially mis...