OBJECTIVE To determine the long-term follow-up of the various operations for lumbar disc herniation in a large patient population. SUBJECTS AND METHODS Patients who had operations for lumbar disc herniation (microdiscectomy, endoscopic microdiscectomy and the 'classical operation', i.e. laminectomy/laminotomy with discectomy) were collected from the world literature. Patients who had follow-u...

STUDY DESIGN An updated Cochrane Review. OBJECTIVES To assess the effects of surgical interventions for the treatment of lumbar disc prolapse. SUMMARY OF BACKGROUND DATA Disc prolapse accounts for 5% of low back disorders yet is one of the most common reasons for surgery. There is still little scientific evidence supporting some interventions. METHODS Use of standard Cochrane review metho...

Little information is at hand on the diagnostic values of the clinical symptoms and signs in the level diagnosis of patients with lower lumbar disc herniation.  We examined one hundred and thirty nine consecutive candidates for lower lumbar discectomy.  Monoradicular pain with signs attributed to the fifth lumbar and first sacral root dysfunctions were evaluated independently in each patient.  ...

background: recurrent lumbar disk herniation (rldh) is one of the major causes of failure of standard discectomy. the optimal treatment method for rldh is controversial. in the current study, we aimed to compare the clinical and functional outcomes of treating rldh with discectomy alone and discectomy associated with posterolateral interbody fusion (plif). material and methods: there were 41 pa...

The indications for lumbar discectomy are pain and neurological dysfunction. This paper considers the extent and timing of neurological recovery following spinal decompression.

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...

In the book ”Contemporary Endoscopic Spine Surgery”, edited by Kai-Uwe Lewandrowski, Jorge Felipe Ramírez León, and Anthony Yeung, information on history of spinal endoscopy is provided. A number aspects surgery are covered, in particular pain, preoperative examination, indications for endoscopic surgery, anesthesia, outpatient surgery. New technologies described. Leading scientists presented c...

BACKGROUND Lumbar disc removal is currently the standard treatment for lumbar disc herniation. No consensus has been achieved whether aggressive disc resection with curettage (discectomy) versus conservative removal of the offending disc fragment alone (sequestrectomy) provides better outcomes. This study aims to compare the reherniation rate and clinical outcomes between discectomy and sequest...

Purpose: The purpose of this study was to determine the clinical efficacy of pre-emptive parecoxib in the percutaneous endoscopic lumbar discectomy. Methods: Eighty patients were randomly allocated to receive either parecoxib or sodium chloride brine as placebo 30 minutes prior to the percutaneous endoscopic lumbar discectomy. Clinical data was obtained and recorded at 1, 6, 12, 24 hours after ...