Surgery of lumbar disc herniation is still a problem since Mixter and Barr. Main trouble is dissatisfaction after the operation. Today there is a debate on surgical or conservative treatment despite spending great effort to provide patients with satisfaction. The main problem is segmental instability, and the minimally invasive approach via microscope or endoscope is not necessarily appropriate...

Introduction Many patients with extruded lumbar disc herniation require surgical intervention but some neurological symptoms of intervertebral disc herniation may often improve with conservative treatment. Patients usually try various treatment methods ranging from alternative treatments to surgery1,2. Recently, a new thermomechanical massage device has emerged, primarily in Asian countries, wi...

STUDY DESIGN Non-concurrent prospective study. PURPOSE To determine the functional outcome after open 'fragment' discectomy for recurrent lumbar disc herniation, and to analyze the factors that may affect the outcome. OVERVIEW OF LITERATURE Literature search revealed only four studies where the factors affecting the outcome of a revision surgery for recurrent disc herniation have been evalu...

A 73-year-old man who presented with right lumbosciatic pain underwent a neurosurgical operation for a voluminous L2-L3 disc herniation, seen on conventional MRI images. No disc herniation was identified in the epidural space during the surgery. Just after the operation, the patient started to present pain in the left L3 territory and was not able to walk any more. A second MRI including three-...

What was once a simple lumbar disc herniation treated with laminotomy and partial discectomy, with typically excellent results (25, 46), has evolved into a surprisingly complex clinical problem with a dazzling array of therapeutic alternatives. Much of this, of course, is based on clinical studies emphasizing the heterogeneity of disc disorders. Advances in biomechanics research focusing on the...

STUDY DESIGN Retrospective review of imaging data from a clinical trial. OBJECTIVE To compare the interpretation of lumbar spine magnetic resonance imaging (MRIs) by clinical spine specialists and radiologists in patients with lumbar disc herniation. SUMMARY OF BACKGROUND DATA MRI is the imaging modality of choice for evaluation of the lumbar spine in patients with suspected lumbar disc her...

BACKGROUND Lumbar intervertebral disc herniation and spinal tumor are major pathologies that may cause back pain and radiculopathy. Neurological symptoms resulting from disc herniation and intradural spinal tumor together, however, are very rare. CASE PRESENTATION We report a case of lumbar disc herniation which coexists with intradural schwannoma at the same spinal level in a 67-year-old man...

BACKGROUND Treatment of symptomatic lumbar disc herniation with Modic type I endplate changes is complex and challenging, requiring systemic and local therapies which include conservative therapy, epidural infiltrations, percutaneous therapeutic techniques, and surgical options. The clinical management of symptomatic lumbar disc herniation involving Modic type I endplate changes is uniquely cha...