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Lumbar spine disc prolapse | Page 3

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https://read.qxmd.com/read/24822997/mechanical-factors-in-the-etiology-of-low-back-pain
#41
EDITORIAL
M A Adams, W C Hutton
Mechanical experiments were performed on cadaveric lumbar intervertebral joints in order to outline the etiology of common back injuries and low back pain. The results suggest that the osteo-ligamentous lumbar spine is most at risk in the lordotic posture and when bending forward. Sustained lordotic posture can produce abnormal loading of the apophyseal joints. Bending forward wedges the lumbar discs, rendering them vulnerable to fatigue injuries if heavy labor is performed in this posture. Excessive flexion at some spinal level will cause posterior ligament damage, and a strong contraction of the back muscles can then cause prolapsed intervertebral disc...
November 1, 1982: Orthopedics
https://read.qxmd.com/read/24741132/the-timing-of-surgery-in-lumbar-disc-prolapse-a-systematic-review
#42
REVIEW
Ashutosh B Sabnis, Ashish D Diwan
Herniation of nucleus pulposus leading to leg pain is the commonest indication for lumbar spine surgery. However, there is no consensus when to stop conservative treatment and when to consider for surgery. A systematic review of literature was done to find a consensus on the issue of when should surgery be performed for herniation of nucleus pulposus in lumbar spine was conducted. Electronic database searches of Medline, Embase and Pubmed Central were performed to find articles relating to optimum time to operate in patients with herniation of nucleus pulposus in lumbar spine, published between January 1975 and 10 December 2012...
March 2014: Indian Journal of Orthopaedics
https://read.qxmd.com/read/24702507/mesenchymal-progenitor-cells-combined-with-pentosan-polysulfate-mediating-disc-regeneration-at-the-time-of-microdiscectomy-a-preliminary-study-in-an-ovine-model
#43
David Oehme, Peter Ghosh, Susan Shimmon, Jiehua Wu, Courtney McDonald, John M Troupis, Tony Goldschlager, Jeffrey V Rosenfeld, Graham Jenkin
OBJECT: Following microdiscectomy, discs generally fail to undergo spontaneous regeneration and patients may experience chronic low-back pain and recurrent disc prolapse. In published studies, formulations of mesenchymal progenitor cells combined with pentosan polysulfate (MPCs+PPS) have been shown to regenerate disc tissue in animal models, suggesting that this approach may provide a useful adjunct to microdiscectomy. The goal of this preclinical laboratory study was to determine if the transplantation of MPCs+PPS, embedded in a gelatin/fibrin scaffold (SCAF), and transplanted into a defect created by microdiscectomy, could promote disc regeneration...
June 2014: Journal of Neurosurgery. Spine
https://read.qxmd.com/read/24381451/clinical-correlation-of-magnetic-resonance-imaging-with-symptom-complex-in-prolapsed-intervertebral-disc-disease-a-cross-sectional-double-blind-analysis
#44
Jeetendra Bajpai, Sumit Saini, Rakhi Singh
INTRODUCTION: Low backache (LBA) is one of the most common problems and herniated lumbar disc is one of the most commonly diagnosed abnormalities associated with LBA. Disc herniation of the same size may be asymptomatic in one patient and can lead to severe nerve root compromise in another patient. OBJECTIVE: To evaluate correlation between the clinical features of disc collapse and magnetic resonance imaging (MRI) finding to determine the clinical importance of anatomical abnormalities identified by MRI technique...
January 2013: Journal of Craniovertebral Junction and Spine
https://read.qxmd.com/read/24231779/patterns-of-lumbar-disc-degeneration-are-different-in-degenerative-disc-disease-and-disc-prolapse-magnetic-resonance-imaging-analysis-of-224-patients
#45
COMPARATIVE STUDY
Rishi M Kanna, Ajoy Prasad Shetty, S Rajasekaran
BACKGROUND CONTEXT: Existing research on lumbar disc degeneration has remained inconclusive regarding its etiology, pathogenesis, symptomatology, prevention, and management. Degenerative disc disease (DDD) and disc prolapse (DP) are common diseases affecting the lumbar discs. Although they manifest clinically differently, existing studies on disc degeneration have included patients with both these features, leading to wide variations in observations. The possible relationship or disaffect between DDD and DP is not fully evaluated...
February 1, 2014: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/24012071/the-effect-of-nucleotomy-on-facet-joint-loading-a-porcine-in-vitro-study
#46
COMPARATIVE STUDY
Miklós F Ivicsics, Nicholas E Bishop, Kay Sellenschloh, Jean-Philippe Berteau, Michael M Morlock, Gerd Huber
BACKGROUND: Lumbar facet joints have been cited as a possible origin of low-back pain. A relationship between disc height decrease and facet joint degeneration has been reported. Facet joint degeneration may also be triggered by nucleotomy, performed on prolapsed discs, which might change the natural load sharing between the anterior and posterior structures of the spine. In this study load bearing of the facet joints was compared between natural and nucleotomised spinal segments. METHODS: Nine porcine lumbar motion segments were tested quasi-statically in ±1...
October 2013: Clinical Biomechanics
https://read.qxmd.com/read/23756981/intradural-disc-herniation-a-case-report
#47
S K Jain, I Vijay Sundar, Vinod Sharma, Ravishankar S Goel, Rajesh Gupta
Intradural disc herniation is a rare entity that occurs most commonly in the lumbar spine particularly at L4-L5 region. Most often it is diagnosed intraoperatively in a case of simple intervertebral disc herniation. Contrast enhanced MRI is mandatory for pre operative diagnosis. We describe a case of a 40-year-old female who presented to us with pain lower back, pain in both lower limbs and urinary retention after a fall. She had previously been diagnosed as a case of prolapsed intervertebral disc disease and was being managed conservatively...
2013: Turkish Neurosurgery
https://read.qxmd.com/read/23701600/neurogenic-bladder-and-disc-disease-a-brief-review
#48
REVIEW
G Siracusa, A Sparacino, V L Lentini
OBJECTIVE: Neurogenic bladder refers to morphofunctional alterations of the bladder-sphincter complex secondary to central or peripheral neurological lesions. Discal etiology can be suggested by clinical observation in patients complaining of classical lower back pain, but not excluded even without musculoskeletal pain. This review provides a brief overview of associations between neurogenic bladder and disc disease, analyzing neuroanatomy, pathophysiology, clinical and urodynamic findings...
August 2013: Current Medical Research and Opinion
https://read.qxmd.com/read/23321656/where-do-we-place-the-sacrocolpopexy-stitch-a-magnetic-resonance-imaging-investigation
#49
Melinda Abernethy, Evalynn Vasquez, Kimberly Kenton, Linda Brubaker, Elizabeth Mueller
OBJECTIVES: Sacrocolpopexy presacral sutures are placed at or slightly above the sacral promontory without knowledge of the location of intervertebral discs. We used magnetic resonance imaging to assess the anatomic relationship of the sacral promontory to intervertebral discs. METHODS: We reviewed spinal magnetic resonance images of women imaged at Loyola University Medical Center between January 2010 and February 2012. Sagittal T1 fluid-attenuated inversion recovery sequence images of the lumbosacral spine were used to identify the promontory as the most prominent point where S1 intersected with the superior anatomic structures...
January 2013: Female Pelvic Medicine & Reconstructive Surgery
https://read.qxmd.com/read/23306743/spinal-arteriovenous-malformation-presenting-with-prolapsed-intervertebral-disc-a-diagnostic-dilemma
#50
M Y Farina, H Harunarashid, F Faridzal, T Jegan, S Das
The availability of multiple investigating modalities should be utilized to arrive at the correct diagnosis of the spinal arteriovenous malformation (AVM). We hereby report the case of a 21-year-old, obese female, who presented with paraplegia and impaired bowel control two years after an episode of the fall. The Magnetic Resonance Imaging (MRI) of her spine not only revealed disc prolapse at T11-T12, but also tortuous dilated spinal veins and cord oedema. A diagnosis of a spinal arterio-venous fistula was confirmed after a spinal angiogram...
November 2012: La Clinica Terapeutica
https://read.qxmd.com/read/23222569/two-year-outcome-of-erectile-dysfunction-in-patients-younger-than-50-years-with-fracture-unrelated-lumbar-spine-disease-requiring-surgical-decompression-a-prospective-study
#51
Mashfiqul A Siddiqui, Chusheng Seng, Nidumaran Shanmugam, William Yeo, Karen Zhang, Hwei Chi Chong, John Chen Li Tat, Chang Ming Guo, Seang Beng Tan, Wai Mun Yue
STUDY DESIGN: This is a prospective study. OBJECTIVE: A 2-year outcome of erectile dysfunction (ED) in patients younger than 50 years with fracture-unrelated lumbar spine disease requiring surgical decompression for ED is evaluated. Risk factors for ED were also evaluated. SUMMARY OF BACKGROUND DATA: There is no literature documenting 2-year follow-up of ED status in young patients with atraumatic lumbar spine disease. METHODS: All male patients younger than 50 years who underwent lumbar spine surgery between June 2006 and November 2007 without risk factors for ED were included...
May 1, 2013: Spine
https://read.qxmd.com/read/22881295/intervertebral-disc-degeneration-evidence-for-two-distinct-phenotypes
#52
REVIEW
Michael A Adams, Patricia Dolan
We review the evidence that there are two types of disc degeneration. 'Endplate-driven' disc degeneration involves endplate defects and inwards collapse of the annulus, has a high heritability, mostly affects discs in the upper lumbar and thoracic spine, often starts to develop before age 30 years, usually leads to moderate back pain, and is associated with compressive injuries such as a fall on the buttocks. 'Annulus-driven' disc degeneration involves a radial fissure and/or a disc prolapse, has a low heritability, mostly affects discs in the lower lumbar spine, develops progressively after age 30 years, usually leads to severe back pain and sciatica, and is associated with repetitive bending and lifting...
December 2012: Journal of Anatomy
https://read.qxmd.com/read/22787404/lift-the-quilt-in-case-of-atrial-fibrillation-and-disc-prolapse
#53
Adam Bastovansky, Kathrin Ziegler, Claudia Stöllberger, Josef Finsterer
BACKGROUND: Peripheral embolism to the lower extremities may mimic disc prolapse with severe consequences. CASE REPORT: A 71-year-old male with a history of chronic alcoholism developed low back pain radiating to both lower extremities in a nonradicular distribution and bilateral dysesthesias of the distal lower legs after lifting a heavy weight. Given that magnetic resonance imaging (MRI) of the lumbar spine showed disc herniation in L3/4 and L4/5, he was scheduled for laminectomy but was unable to undergo surgery due to thrombocytopenia...
2012: Vascular Health and Risk Management
https://read.qxmd.com/read/22249859/professional-driving-and-prolapsed-lumbar-intervertebral-disc-diagnosed-by-magnetic-resonance-imaging-a-case-control-study
#54
Keith T Palmer, Michael Griffin, Georgia Ntani, James Shambrook, Philip McNee, Madeleine Sampson, E Clare Harris, David Coggon
OBJECTIVES: The aim of this study was to investigate whether whole-body vibration (WBV) is associated with prolapsed lumbar intervertebral disc (PID) and nerve root entrapment among patients with low-back pain (LBP) undergoing magnetic resonance imaging (MRI). METHODS: A consecutive series of patients referred for lumbar MRI because of LBP were compared with controls X-rayed for other reasons. Subjects were questioned about occupational activities loading the spine, psychosocial factors, driving, personal characteristics, mental health, and certain beliefs about LBP...
November 2012: Scandinavian Journal of Work, Environment & Health
https://read.qxmd.com/read/22077584/acute-disc-herniation-in-the-elderly
#55
Melissa C Werndle, Abbas Reza, Ken Wong, Marios C Papadopoulos
BACKGROUND: Acute disc prolapse in young adults has been studied extensively. However, little is known about acute disc prolapse in the elderly. OBJECTIVE: We aimed to define the features of acute disc prolapse in the elderly. DESIGN, SETTING AND PATIENTS: Elderly (≥ 65 years) patients who had lumbar or thoracic discectomy for acute (< 3 months) disc prolapse in our unit between July 2004 and March 2010 were identified. For comparison, we used a 'young' (25-45 years) patient cohort with acute thoracic or lumbar disc prolapse...
April 2012: British Journal of Neurosurgery
https://read.qxmd.com/read/21912318/erectile-dysfunction-in-young-surgically-treated-patients-with-lumbar-spine-disease-a-prospective-follow-up-study
#56
Mashfiqul A Siddiqui, Benedict Peng, Nidumaran Shanmugam, William Yeo, S Fook-Chong, John Chen Li Tat, Chang Ming Guo, Seang Beng Tan, Wai Mun Yue
STUDY DESIGN: This is a prospective study. OBJECTIVE: The prevalence of erectile dysfunction (ED) in patients younger than 50 years with fracture-unrelated lumbar spine disease requiring surgical decompression without other risk factors for ED is evaluated. SUMMARY OF BACKGROUND DATA: There is little literature documenting ED in young patients with atraumatic lumbar spine disease. METHODS: All male patients younger than 50 years who underwent lumbar spine surgery during June 2006 to November 2007 without risk factors for ED were included...
April 20, 2012: Spine
https://read.qxmd.com/read/21886919/spinaplasty-following-lumbar-laminectomy-for-multilevel-lumbar-spinal-stenosis-to-prevent-iatrogenic-instability
#57
Surendra Mohan Tuli, Varun Kapoor, Anil K Jain, Saurabh Jain
BACKGROUND: Iatrogenic instability following laminectomy occurs in patients with degenerative lumbar canal stenosis. Long segment fusions to obviate postoperative instability result in loss of motion of lumbar spine and predisposes to adjacent level degeneration. The best alternative would be an adequate decompressive laminectomy with a nonfusion technique of preserving the posterior ligament complex integrity. We report a retrospective analysis of multilevel lumbar canal stenosis that were operated for posterior decompression and underwent spinaplasty to preserve posterior ligament complex integrity for outcome of decompression and iatrogenic instability...
September 2011: Indian Journal of Orthopaedics
https://read.qxmd.com/read/21839466/the-thoracic-and-lumbar-spine-in-severe-juvenile-idiopathic-arthritis-magnetic-resonance-imaging-analysis-in-50-children
#58
Sanna Toiviainen-Salo, Kati Markula-Patjas, Liisa Kerttula, Irma Soini, Helena Valta, Outi Mäkitie
OBJECTIVE: To determine the prevalence of vertebral fractures as a complication of juvenile idiopathic arthritis (JIA). STUDY DESIGN: This cross-sectional study evaluated the prevalence and characteristics of spinal abnormalities in 50 children (aged 7.0-18.7 years) with treatment-resistant JIA by magnetic resonance imaging. Vertebral deformities, endplate irregularities, intervertebral disc involvement, spinal canal, neural foramina, and back muscles were analyzed and correlated with clinical characteristics and bone mineral density...
January 2012: Journal of Pediatrics
https://read.qxmd.com/read/21743181/cervical-intradural-disc-herniation-and-cerebrospinal-fluid-leak
#59
Ritesh Kansal, Amit Mahore, Sanjay Kukreja
Cervical intradural disc herniation (IDH) is a rare condition and only 25 cases of cervical have been reported. We report a 45-year-old male who presented with sudden onset right lower limb weakness after lifting heavy weight. Magnetic resonance imaging of the cervical spine showed C5/6 disc prolapse with intradural extension. The patient underwent C5/6 discectomy through anterior cervical approach. Postoperatively, the patient improved in stiffness but developed cerebrospinal fluid leak and the leak resolved with multiple lumbar punctures...
May 2011: Neurology India
https://read.qxmd.com/read/21243363/paediatric-lumbar-disc-herniation-in-the-very-young-a-case-based-update
#60
Julian Cahill, Geoffrey Frost, Guirish A Solanki
BACKGROUND: A lumbar disc prolapse is commonly seen in the adult population and as a result, the signs and symptoms are well recognised and easily treated. A disc prolapse, in the adolescent and particularly the paediatric age group, is very rare indeed. The signs and symptoms are atypical in this age group, and there is often difficulty in recognising the pathology. This can lead to delays in the diagnosis and treatment of a very painful condition. DISCUSSION: Lumbar disc herniation in very young children can be hard to diagnose...
May 2011: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
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