conclusions in this study, we found that in spite of previous beliefs, discopathies were not common etiologies of lbp. thus, even in patients with proven ldh by imaging studies, the physician should perform a thorough evaluation for other causes of lbp to avoid unnecessary lumbar surgeries. results in our study, among 1250 patients with proven ldh by mri, 500 patients (40%) had chronic lbp and ...

even though intervertebral disc degeneration can be found in the natural course of alkaptonuria, detection of the disease by black disc color change in a patient without any other presentation of alkaptonuria is an exceptionally rare condition. we have reported a very rare case of alkaptonuria presented with low back pain and steppage gait in a 51-year-old male with a complaint of chronic low-b...

Clinical evolution. It is extremely difficult to study clinically the natural history of a condition causing pain, since patients almost inevitably undergo some form of treatment. This may explain the paucity of information on the natural evolution of the clinical symptoms and signs of disc herniation. In a multicentre prospective study, Weber, Holme and Amlie analysed 208 patients who presente...

background & aim: lumbosacral pain is extremely common as age increases. spinal instrumentation is sometimes recommended for lumbar canal stenosis and disk herniation surgery. this study aimed at studying the frequency of instrumentation in patients referring to our center. methods & materials/patients: this retrospective cross-sectional study included 1200 patients with low back and/or radicul...

  Background: Literature recommends that refractory cases with lumbar disc herniation and appropriate indications are better to be treated surgically, but do all the patients throughout the world consent to the surgery with a same disability and pain threshold? We aim to elucidate the prevalence and severity of disabilities and pain in Iranian patients with lumbar disc herniation who have conse...

Lateral disc herniation (foraminal and extra foraminal) has clinical characteristics that are different from those of medial disc herniation (central and subarticular), including older age, more frequent radicular pain, and neurologic deficits. This is supposedly because lateral disc herniation mechanically irritates or compresses the exiting nerve root or dorsal root ganglion inside of a narro...

BACKGROUND Low backache (LBA) is now increasing in younger population due to misdirected spinal kinetics secondary to improper posture, heavy load lifting and motorbike driving. Hence minimally invasive procedures are increasingly sought after. Among these, PLDD is currently popular and in use. We present our long term follow-up in the use of Nd:YAG laser for PLDD. AIM To evaluate the efficac...

BACKGROUND Since the descriptions by Mixter and Barr of surgical treatment for rupture of the intervertebral disc in 1934, open surgical procedures have become a common practice. Disc herniations are often classified as being contained or non-contained. The results of open surgical discectomy for contained disc herniation have been poor. Consequently, several less invasive techniques have been ...

Background and Importance: Intradural lumbar disc herniation is a rare and uncommon presentation of lumbar disc herniation. It signifies a challenge for diagnostic and therapeutic scheme, and is associated with a greater incidence of cauda equina syndrome at presentation. Case Presentation: We describe two cases of intradural disc herniation who underwent surgery in Senegal review literat...