INTRODUCTION In up to 30% of patients undergoing lumbar disc surgery for herniated or protruded discs outcomes are judged unfavourable. Over the last decades this problem has stimulated the development of a number of minimally-invasive operative procedures. The aim is to relieve pressure from compromised nerve roots by mechanically removing, dissolving or evaporating disc material while leaving...

AIM To show causes of dural tear in isolated lumbar disc surgery, and to investigate the risk factors. MATERIAL AND METHODS We retrospectively reviewed 1159 cases (532 females and 627 males) involving patients who underwent a surgery for the treatment of lumbar disc herniation between 2006 and 2013. We have analysed the side of the surgery, level of the operation, first or revision surgery, t...

STUDY DESIGN Histopathological analyses were performed in ligamentum flavum (LF) hypertrophy patients with lumbar spinal stenosis (LSS) and lumbar disc herniation (LDH). PURPOSE The aim of the present study was to evaluate histopathological changes in LF patients with LSS and LDH. OVERVIEW OF LITERATURE LSS is the most common spinal disorder in elderly patients. This condition causes lower ...

BACKGROUND Tubular discectomy compared with conventional microdiscectomy has been introduced to speed up the rate of recovery in patients with lumbar disc related sciatica, although similar results have been shown. The authors performed a subgroup analysis to investigate whether certain patients might benefit more from either two surgical treatments. METHODS A double-blinded randomised trial ...

results the depression and disability scores of patients before lumbar discectomy significantly decreased after surgery. conclusions our results indicate that lumbar discectomy surgery significantly improved depression and disability in patients with chronic herniated discs. patients and methods one hundred forty-eight patients with chronic low back pain and radicular leg pain were included in ...

Background: Lumbar disc herniation (LDH) is a common cause of low back and radicular leg pains. This study aimed to evaluate the Persian Discectomy Successful Score (PDSS) in patients diagnosed with lumbar disc herniation undergoing discectomy. The PDSS first was developed based on the JOA score. It is a linear transformation of patients’ pre-operative JOA score that can predict the successful ...

Lumbar discectomy is the most common surgical treatment for intervertebral disc extrusion. Postoperative pain is a common clinical problem that greatly affects the length of hospitalization, functional status and patient quality of life. Th e aim of this study was to compare the postoperative analgesic effi cacy of paracetamol administered intermittently and through patient-controlled analgesia...

Abstract Background Several authors have reported favorable results in low back pain (LBP) for patients with lumbar disc herniation (LDH) treated discectomy. However, detailed changes over time the characteristics and location of LBP before after discectomy LDH remain unclear. To clarify these points, we conducted an observational study to determine LDH, using a visual analog scale (VAS) bilate...

Background: The Pain is the most common complaint in various diseases. Postoperative pain is common complication and spatially in elderly patient because of exacerbation of heard and vessel was impotents. The aim of this study was evaluation of the effect of low-dose IV dexamethasone on postoperative pain in patients with lumbar discectomy. Methods: In a clinical trial that studied in neurosurg...

STUDY DESIGN A retrospective study. PURPOSE To compare the clinical and radiological outcomes of autogenous bone graft and cage with bone substitute for anterior cervical discectomy and fusion. OVERVIEW OF LITERATURE The clinical outcomes of cage with bone substitute for anterior cervical discectomy and fusion is satisfactory. METHODS Eighty four patients who underwent cervical spine surg...