Removal of herniated disc materials based on an imaging only method may not relieve symptoms in many patients. Therefore, the aim of the present study was to develop a transforaminal endoscopic method of classifying the pathological type of lumber intervertebral disc herniation and to compare the outcomes of surgery based on the pathological type with those of conventional endoscopic disc remov...

Lumbar discectomy for relief of sciatica in patients with intervertebral disc herniation (IDH) is one of the most wellresearched and common indications for spine surgery. There is good evidence that lumbar discectomy for carefully selected patients with sciatica as the result of lumbar disc herniation provides faster relief of symptoms than nonoperative treatment [1,2]; however, randomized tria...

INTRODUCTION Lumbar hernias occur mostly in the posterolateral region of IVDs and mechanical loading is an important risk factor. Studies show that dynamic and static overloading affect the nucleus and annulus of the IVD differently. We hypothesize there is also variance in the effect of overloading on the IVD's anterior, lateral and posterior annulus, which could explain the predilection of he...

OBJECTIVE The aim of this study is to assess outcomes during first one year for patients with severe motor weakness caused by lumbar disc herniation that underwent surgical or nonsurgical treatment. METHODS The 46 patients with motor weakness because of lumbar disc herniation who were treated at neurosurgical department and rehabilitation in our hospital from 2006 to 2010, retrospectively. Ea...

STUDY DESIGN Concurrent, prospective, randomized, and observational cohort study. OBJECTIVE To assess the 4-year outcomes of surgery versus nonoperative care. SUMMARY OF BACKGROUND DATA Although randomized trials have demonstrated small short-term differences in favor of surgery, long-term outcomes comparing surgical to nonoperative treatment remain controversial. METHODS Surgical candida...

BACKGROUND A lumbar disc herniation (LDH) is a localised displacement of disc material, which may initiate changes in the disc and adjacent structures such as the nerve root and the spinal canal. Knowledge about how morphological changes in the disc relate to changes in other spinal structures might give the clinician a better understanding of the natural history and consequences of lumbar disc...

Lumbar discectomy is a very effective therapy for neurological decompression in patients suffering from sciatica due to a hernia nuclei pulposus. However, high recurrence rates and persisting post-operative low back pain in these patients require serious attention. In the past decade, tissue engineering strategies have been developed mainly targeted to the regeneration of the nucleus pulposus (...

STUDY DESIGN Lumbar peripheral nerves were examined to determine whether they were responsive to electrical stimulation of the ventral portion of the lumbar disc in anesthetized rats. OBJECTIVES To confirm by electrophysiologic means the neural correspondence between the ventral portion of the lumbar disc and the groin. SUMMARY OF BACKGROUND DATA Patients with a degenerated lumbar disc occa...

Spontaneous disappearance of a herniated lumbar disc is known to occur. This case study describes a 45-year-old patient whose symptoms of lumbar radiculopathy resolved and follow-up imaging showed complete disappearance of the disc prolapse. This phenomenon strengthens the role of conservative treatment in the management of lumbar disc protrusions.

AIM An increasing number of patients engage in health information seeking via the internet. We aimed to determine the quality of information on the internet for treatment of three common neurosurgical conditions associated with low back pain using the DISCERN® instrument. MATERIAL AND METHODS The search phrases "lumbar disc herniation (LDH) treatment", "lumbar spinal stenosis (LSS) treatment"...