BACKGROUND CONTEXT Surgery is usually required for treatment of cervical myelopathy to decompress the neural elements, restore lordosis, and stabilize the spine. By addressing these problems, the neurological deterioration may be halted. PURPOSE Multilevel cervical discectomy and fusion offers several advantages over other approaches. The authors describe the technique, discuss the indication...

Surgical decompression for cervical radiculopathy includes anterior cervical discectomy and fusion, anterior or posterior cervical foraminotomy, and cervical arthroplasty after decompression. The aim of this study was to evaluate the usefulness of a CO2 laser in posterior-approach surgery for unilateral cervical radiculopathy. From January 2006 to December 2008, 12 consecutive patients with uni...

OBJECTIVES To evaluate the early results of unilateral posterior lumbar interbody fusion technique in lumbar discectomy cases compared with simple discectomy and bilateral posterior interbody fusion cases using visual analog scale (VAS) and Oswestry outcomes instruments and radiological and physical examinations. METHODS The control group had 40 patients who underwent simple discectomy. In gr...

Tel: 401-793-9136 Fax: 401-444-2781 Lumbar discectomy for lumbar disc herniation is one of the most common spine procedures performed. The incidence of symptomatic herniated lumbar discs is estimated to be between 1-2% [1] and over 480,000 lumbar discectomies are performed annually in the United States [2, 3]. Lumbar discectomies are effective in relieving back and leg pain [4] and patient outc...

Cervical radiculopathy may be caused by an herniated nucleus pulposus or osteofit formations. Although anterior or posterior surgical procedures are performed for cervical radiculopathy, their effects on cervical intervertebral foramina are still being discussed. Recently, anterior cervical approaches are much prefered. After the anterior cervical discectomy, there are some surgical procedures ...

BACKGROUND Pain management is an important component in the postoperative period following discectomy. AIMS We hypothesized that mesalamine considering its better safety profile, is likely to be a better choice, if it would be as effective as ibuprofen in controlling post-discectomy pain. SETTINGS AND DESIGN A double-blind randomized controlled trial was performed on patients who underwent ...

The purpose of this study was to determine whether the anatomic position of a lumbar disc herniation has any significant effect on the clinical outcome of lumbar discectomy. Between January 1988 and March 1993, 80 patients with simple disc herniations underwent lumbar discectomy for herniated nucleus pulposus. We reviewed preoperative computed tomography scans after discography and magnetic res...

Objectives : To retrospectively study and compare the clinical outcome of the patients undergoing anterior cervical discectomy (ACD), anterior cervical discectomy with fusion (ACDF), or anterior cervical discectomy with fusion and instrumentation (ACDFI) for cervical spondylosis. Methods : A retrospective analysis of 80 patients with cervical spondylosis who had undergone anterior cervical disc...

I read with interest the article by Farzanegan et al. , titled " Effects of lumbar discectomy on disability and depression in patients with chronic low back pain " (1). It was a very well-written article on an important subject, which has remained largely ignored. I would therefore like to congratulate the investigators for highlighting the subject. However, I have a few concerns regarding the ...