61. Discectomy Or Microdiscectomy For A Herniated Disc herniated lumbar disc. Clinical Evidence (10) 1323–1335. Gibson J, et al. (2002). Surgery for lumbar disc prolapse. Cochrane Database of Systematic Reviews http://my.webmd.com/hw/back_pain/hw218424.asp

var guid_source = ""; var guid_source_id = ""; //unused var encodedurl = ""; WebMD Today Home WebMD News Center XML News via RSS Member Services WebMD University My WebMD Find a Physician Medical Info Check Symptoms Medical Library Health Tools Clinical Trials ... Women, Men, Lifestyle Who We Are About WebMD Site Map You are in All Conditions ADD/ADHD Allergies Alzheimer's Arthritis Asthma Back Pain Bipolar Disorder Breast Cancer Cancer Cholesterol Management Dental Depression Diabetes Epilepsy Eye Health Heart Disease Hepatitis HIV/AIDS Hypertension Men's Conditions Mental Health Migraines/Headaches Multiple Sclerosis Osteoporosis Parkinson's Sexual Conditions Stroke Weight Control Women's Conditions Health Topics Symptoms Medical Tests Medications ... References Discectomy or microdiscectomy for a herniated disc Surgery Overview Discectomy (also called open discectomy) is the surgical removal of herniated disc material that presses on a nerve root or the spinal cord. Before the disc material is removed, some of the bone from the affected vertebra may be removed using a laminotomy or laminectomy to allow the surgeon to better see the area.

62. Dr.Schiffer - Lumbar Endoscopic Discectomy For Herniated Disc, Lower Back Pain R Dr.Schiffer performs lumbar endoscopic discectomy and thermal annuloplasty for relief of lower back pain, leg pain and sciatica. http://www.drschiffer.com/procedures_led.html

Cervical Endoscopic Discectomy Anterior Cervical Discectomy Anterior Cervical Fusion Lumbar Endoscopic Discectomy and Thermal Annuloplasty Microdiscectomy Thermal Annuloplasty CED ACD ACF LED/IDET MD IDET Glossary Testimonials ... FAQ tel:510.792.2911 fax:510.794.7924 Toll Free:877.463.5942 LED/IDET Lumbar Endoscopic Discectomy and Thermal Annuloplasty for relief of lower back pain, leg pain, and sciatica What are Lumbar Discs? Lumbar discs are the structures which serve as shock absorbers between the vertebrae of the spinal column. The center of the disc, called the nucleus, is soft and springy and accepts the shock of standing, walking, running, etc. The outer ring of the disc, called the annulus, provides structure and strength to the disc. The annulus is comprised of a complex series of interwoven layers of fibrous tissues which hold the nucleus in place. What is a Herniated Disc Herniated discs are often called a "slipped disk". This term was derived from the action of the nuclear tissue when it is forced from the center of the disc. The disc itself does not slip. However, the nuclear tissue located in the center of the disc can be placed under so much pressure that it can cause the annulus to herniate or rupture. When the disc has herniated or ruptured, it may create pressure against one or more of the spinal nerves which can cause pain, weakness or numbness in the lower back, leg or foot (sciatica). Other common names for a herniated disc are "protruded disk" and "

63. Lumbar Disc Herniation lumbar Disc Herniation (Disc Bulge / herniated Disc / Ruptured Disc / Slipped Disc The most common symptom of a lumbar disc herniation is pain. http://www.cinn.org/isc/herniation-lumbar.html

Spine Anatomy Common Spine Disorders ComputedTomography (CT) Laboratory Tests ... Send This Page To a Friend Lumbar Disc Herniation (Disc Bulge / Herniated Disc / Ruptured Disc / Slipped Disc / Sciatica) CAUSES SYMPTOMS DIAGNOSIS TREATMENT The disc (or intervetebral disc) is a structure that is found in between the spinal vertebral bodies from the neck to the sacrum (tailbone). The disc serves as a cushion and helps the spine to move. A single disc and its two vertebral bodies does not have much ability to move, however, when put together along the length of the spine, the amount of movement provided is considerable. Each disc is composed of two parts, the nucleus pulposus (the central part) and the annulus fibrosis (the outer part). The nucleus pulposus provides the padding and it is contained by the annulus fibrosis which forms a ring around the nucleus pulposus and also attaches to the vertebral bodies above and below. Displacement of the disc material can occur centrally or more commonly, laterally. Lateral disc herniations are a frequent cause of sciatica (leg pain). This is called lumbar radiculopathy. The most common low back disc herniations are located between the 4th and 5th lumbar vertebral bodies and the 5th lumbar and 1st sacral vertebral bodies. These levels are also called L4/5 and L5-S1. These levels account for more than 90 percent of lumbar disc herniations. Although disc herniations can occur at the other lumbar spinal levels (L1-L2, L2-L3 and L3-L4) they are much less common than the two lower levels.

64. Beaumont Hospitals - Lumbar Disc Disease (Herniated Disc) lumbar Disc Disease (herniated Disc, Ruptured Disc or Bulging Disc). As we age, the intervertebral disc may lose water and become dried out. http://www.beaumonthospitals.com/pls/portal30/cportal30.webpage?l_recent=ortho_l

65. Question / Answer : Low Back Pain; Disc, Lumbar Disc herniated lumbar disc; ruptured lumbar disc; bulging lumbar disc; slipped lumbar disc; protruding lumbar disc. Unfortunately there is not much consistency http://www.lowback-pain.com/FAQ's.htm

Search for: Dr. Kraus is available for neurosurgery consultation in Houston call 281-870-9292, visit neurosurgerypa.com or send an e mail Dr. Kraus is honored to be listed in "Best Doctors in America" Immediate Job Opening for Physical Therapist Learn more at our low back pain forum at backpainforum.com Visit our low back pain discussion group For website, animation, CD or DVD needs, or to create an entire PDA or Palm presentation, visit cyberacuity.com Please wait several seconds for page to load Low Back Pain, can be very debilitating. The effects of Low Back Pain in the USA are staggering. last updated September 06, 2005 Other areas of Interest: Gamma Knife Normal Pressure- Hydrocephalus frequently asked questions question : What is the difference between a bulging lumbar disc and a herniated lumbar disc? answer : There is a tremendous inconsistency in the literature between the following names herniated lumbar disc ruptured lumbar disc bulging lumbar disc slipped lumbar disc protruding lumbar disc Unfortunately there is not much consistency in the way a herniated lumbar disc is read on from scan to scan. Therefore, what may appear as "ruptured" on one report, might have been considered "bulging" on another. That is why most specialists treating back pain, but especially neurosurgeons, who will use the information to make a surgical decision, review all the films themselves.

66. Spine - Abstract: Volume 27(19) October 1, 2002 P 2125-2128 The Pattern Of Inter It has been proposed that herniated lumbar disc tissue causes an immune reaction. This study included 40 herniated lumbar disc tissues 20 contained and http://www.spinejournal.com/pt/re/spine/abstract.00007632-200210010-00009.htm

LWWOnline LOGIN eALERTS REGISTER ... Archive The Pattern of Interleukin-12 and... ARTICLE LINKS: Fulltext PDF (228 K) Permissions The Pattern of Interleukin-12 and T-Helper Types 1 and 2 Cytokine Expression in Herniated Lumbar Disc Tissue. Spine. 27(19):2125-2128, October 1, 2002. Park, Jong-Beom MD; Chang, Han MD; Kim, Yong-Sik MD Abstract: Study Design. A study was conducted to investigate the expression of cytokines related to the immune reaction in herniated lumbar disc tissues. Objective. To investigate the immunologic status of lumbar disc tissue and the type of immune reaction that occurs in response to lumbar disc herniation. Summary of Background Data. It has been proposed that herniated lumbar disc tissue causes an immune reaction. Various inflammatory cells, proinflammatory cytokines, antibodies, and immunoglobulins have been identified in and around herniated lumbar disc tissue. Recently, it has been reported that lumbar disc tissue may be another potential immune-privileged site in the human body. Methods. This study included 40 herniated lumbar disc tissues: 20 contained and 20 noncontained discs. The concentrations of interleukin-12, T-helper Type 1, interferon-gamma (IFN-gamma), and Th2 (IL-4) cytokines were determined by enzyme-linked immunosorbent assay, respectively. The results were compared between the two groups.

67. Spine - Abstract: Volume 25(7) April 1, 2000 P 871-875 Influence Of Macrophage I Influence of Macrophage Infiltration of herniated lumbar Disc Tissue on Histologic and biochemical studies on herniated lumbar disc tissue led to the http://www.spinejournal.com/pt/re/spine/abstract.00007632-200004010-00017.htm

LWWOnline LOGIN eALERTS REGISTER ... Archive Influence of Macrophage Infiltration... ARTICLE LINKS: Fulltext PDF (478 K) Permissions Influence of Macrophage Infiltration of Herniated Lumbar Disc Tissue on Outcome After Lumbar Disc Surgery. Spine. 25(7):871-875, April 1, 2000. Woertgen, Chris MD; Rothoerl, Ralf Dirk MD; Brawanski, Alexander MD, PhD Abstract: Study Design. An immunohistochemical examination of the presence of inflammatory cells in routinely processed resection specimens of the lumbar disc, and a comparison of the histologic results with clinical data collected prospectively before and after surgery. Objectives. To assess the influence of inflammatory reactions in herniated lumbar disc specimens on the outcome after lumbar disc surgery. Summary of Background Data. Histologic and biochemical studies on herniated lumbar disc tissue led to the notion of inflammation-induced sciatic pain. At this writing, no investigations have sought to discover how outcome after lumbar disc surgery is influenced by histologically described inflammation. Methods. Disc specimens from 79 patients who underwent surgery for lumbar disc herniation were studied immunohistologically with regard to the presence of inflammatory reactions. Of these, 92% were followed up approximately 7 months after surgery. The histologic results were compared with the outcome at follow-up evaluation.

68. DrDillin.com: Spine Procedures lumbar microsurgery is indicated for the herniated lumbar disc and in Complications of lumbar microsurgery for herniated lumbar disc include the http://www.drdillin.com/education/procedures_lsm.htm

Procedures: Lumbar Spine Microsurgery Keywords lumbar disc herniation sciatica ruptured disc microsurgery Definition In 1953, Zeiss produced the surgical microscope. As the exposure in the surgery field contracted, improved illumination and magnification became paramount to the success of less invasive surgery. Less tissue disruption to accomplish the surgical goal became the principle. The exact extent of magnification and illumination bundled with improved surgical instruments heralded the new era of microsurgery. Surgeons discovered a comfort zone with magnification and illumination: hand and eye coordination targeted to the surgical dimension formed the boundary of expertise. A minimalist approach to the handling of sensitive tissues brought a new appreciation to the idea that surgery altered normal anatomy in the process of dealing with the abnormal and tissues under abnormal stress responded better to minimal manipulation. Click to enlarge images.

69. DrDillin.com: Spine Conditions lumbar Laminectomy herniated lumbar Disc Definition A lumbar herniated disc involves displacement of the nucleus (inner part of the disc) through the http://www.drdillin.com/education/conditions_lhd.htm

Conditions: Lumbar Herniated Disc Return to Conditions Keywords Sciatica Lumbar Microdiscectomy Lumbar Microendoscopic Discectomy Lumbar Discectomy Lumbar Laminectomy Herniated Lumbar Disc Definition A lumbar herniated disc involves displacement of the nucleus (inner part of the disc) through the annulus (outer boundary of the disc) into the spinal canal. Indications The operations for herniated disc are indicated for the relief of leg pain, leg numbness, and/or leg weakness from pressure on a single lumbar nerve root or multiple lumbar nerve roots. Occasionally, lumbar disc herniations place pressure on the nerves to the bowel and bladder requiring urgent surgery. The table below illustrates the findings associated with a single nerve root in the lumbar spine. Nerve Root Sensory Motor Reflex Femoral groin hip flexor (iliopsoas) none Femoral groin, front of thigh hip flexor (iliopsoas) none Femoral front of thigh, knee, inside of calf

70. Entrez PubMed of cytokines and chemokines were assessed in herniated lumbar disc specimens. Although a few studies have been done on lumbar disc herniations http://arthritis-research.com/pubmed/11979160

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71. Herniated Lumbar Disc Disease In Patients With Malignancy -- Goodkin Et Al. 5 (4 herniated lumbar disc disease in patients with malignancy. R Goodkin, BI Carr and RG Perrin. Six patients with cancer presented with signs and symptoms of a http://www.jco.org/cgi/content/abstract/5/4/667

Search for: Limit by: All Topics Original Reports Review Articles Special Articles Biology of Neoplasia Editorials Comments and Controversies Diagnosis in Oncology Art of Oncology Correspondence All Years Browse by Topic or Issue Home Search/Browse Subscriptions ... Customer Service This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal ... Download to citation manager PubMed PubMed Citation Articles by Goodkin, R. Articles by Perrin, R. G. ARTICLES Herniated lumbar disc disease in patients with malignancy R Goodkin, BI Carr and RG Perrin Six patients with cancer presented with signs and symptoms of a lumbar herniated disc syndrome due to a herniated lumbar disc. The differential diagnosis and literature are reviewed. In four of the six, the patients' complaints were attributed to the malignancy, with delay in diagnosis and institution of appropriate therapy. In two of the patients, treatment was

72. FAQ: The McKenzie Approach Vs. Traction I use the McKenzie approach to treat herniated lumbar disc. Nonoperative Treatment of herniated lumbar Intervertebral Disc with RadiculopathyAn http://www.thesaundersgroup.com/index.asp?PageAction=Custom&ID=17

73. Accessing Article for a herniated lumbar intervertebral disc in men but not in women.13 However, the risk of herniated lumbar disc requiring hospitalization increased http://www.nature.com/ijo/journal/v29/n8/full/0802974a.html

NATURE.COM NEWS@NATURE.COM NATUREJOBS NATUREEVENTS ... Help E-MAIL: PASSWORD: Save password Forgotten password? Most users gain access to full text articles through a site license. This is available to institutional customers only. For further information visit the Librarian Gateway. Full-text articles are also available through a number of other options: I want to purchase this article Select this option to view this article immediately and access it for seven days. Price: US$30* In order to purchase this article you must be a registered user. Click here to register or log in above. I want to subscribe to International Journal of Obesity Select this option to purchase a personal subscription. I am already a personal subscriber to International Journal of Obesity Personal subscribers to International Journal of Obesity can view this article. To do this you need to associate your subscription with your registration via the My Account page. If you already have an active online subscription, log in via the login box in the top right-hand corner of this page. You can request the document from a number of document delivery services: British Library Document Supply Centre CISTI Canadian Institute for Scientific and Technical Information Infotrieve Thomson ISI Document Delivery You can also request the document from your local library through interlibrary loan services.

74. Sudden Bilateral Foot Drop: An Unusual Presentation Of Lumbar Disc Prolapse Maha lumbar disc herniation is a common disorder but a classical cauda equina syndrome Chang HS, Nakagawa H, Mizuno J. lumbar herniated disc presenting with http://www.neurologyindia.com/article.asp?issn=0028-3886;year=2003;volume=51;iss

75. Clinical Trial: Nucleoplasty For Contained Herniated Lumbar Discs Contained lumbar herniated disc, Procedure Nucleoplasty On MRI signs of contained herniated disc, maximum 33% obliteration of the spinal channel. http://www.clinicaltrials.gov/ct/gui/show/NCT00124774

Home Search Browse Resources ... About Nucleoplasty for Contained Herniated Lumbar Discs This study is currently recruiting patients. Verified by Rijnstate Hospital July 2005 Sponsors and Collaborators: Rijnstate Hospital ArthroCare Corporation Information provided by: Rijnstate Hospital ClinicalTrials.gov Identifier: Purpose This is a prospective randomised double blind comparison trial. Fifty patients will be included, 25 in the nucleoplasty treatment group, 25 in the control group. The nucleoplasty group will undergo the nucleoplasty treatment. Control group will undergo a sham treatment. Both groups will undergo a standardised post-operative care program. The study hypothesis is that nucleoplasty will lead to earlier pain reduction as compared with the sham treatment. Condition Intervention Phase Herniated Disc Procedure: Nucleoplasty Phase III MedlinePlus related topics: Herniated Disk Study Type: Interventional Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Efficacy Study Official Title: Nucleoplasty for Contained Herniated Lumbar Discs: A Randomised, Double Blind, Prospective Comparison with Sham Treatment

76. Microsurgical Reconstructive Decompression Of Neural Structures In Discogenic Le herniated lumbar disc in patient over the age of fifty // J. Spinal Disord. Caspar W. The microsurgical technique for herniated lumbar disc operations. http://www.neuro.neva.ru/English/Issues/Articles_2_2001/holodov.htm

Microsurgical reconstructive decompression of neural structures in discogenic lesions of lumbar spine. Kholodov S.A. Chair of Neurology and Neurosurgery of RSMSU, Municipal Neurosurgical Center, Hospital of War Veterans N 2, Moscow Introduction The most spread operation in discogenic lesions of lumbar spine was laminectomy, which ensured a wide approach to intervertebral disks and dural structures. However, this operation often led to undesirable consequences, in particular, instability of the spine and formation of cicatrices and adhesions with involvement of a dural sac and roots. It resulted in relapse of pain syndrome and aggravation of a patient's state. Due to these circumstances, there appeared a tendency to reduction of a traumatic character of surgical interventions with subsequent spread of microsurgical discectomy . But microdiscectomy does not allow to reach maximum decompression of neurovascular formations in case of multi-level lesions and various bone changes within the limits of a spinal lumbar canal, among which one can mention spinal canal stenosis, hypertrophy of articular processes, narrowing of intervertebral foramen, hypertrophy of a vertebral arch, etc. Presence of disk hernia in such patients is not the main factor of compression of dural structures. That is why, surgical intervention, limited to simple removal of a degenerated disk, can fail to give maximum positive clinical results. It should be noted, that the majority of microdiscectomies is performed, as a rule, only at one level of lesion of a vertebro-locomotive segment. According to Caspar W., microsurgical operation was made at one level only in 94% of cases

77. The Steadman-Hawkins Clinic What is a herniated lumbar disc? The outer ring of the disc is subject to continuous stresses that sometimes cause small tears to develop. http://www.steadman-hawkins.com/spine_lumbarDisc/overview.asp

Discs are the pads between the vertebrae of the spine. There are twenty-four mobile vertebrae and five that are fused together to form the sacrum . Discs are vulnerable to injury because they have the difficult job of being flexible enough to move, but strong enough to take enormous stress. The discs between the lower lumbar vertebrae are the most commonly injured because they support the weight of the entire upper body . The structure of the disc determines the extent of injury, if one occurs. Disc herniation rupture protrusion , and extrusion are all terms that describe this injury. There are subtle differences between these terms, but they all refer to a tear in the outer ring, which allows some of the inner core to escape. A herniation occurs when a portion of the soft inner core ( nucleus pulposis ) escapes through the outer ring ( annulus The disc may look like a solid piece of padding between the vertebrae, but it is far more complex. Discs are composed of two parts that work together to carry the load.

78. Disappearing Cervical Disc: Case Report Spontaneous resolution of a herniated lumbar disc was first documented by computerized tomography. This case is another example of a rare spontaneous http://www.c3.hu/~mavideg/jns/1-6-2.html

Disappearing cervical disc Case report Richard M. Westmark, M.D., Kaye D. Westmark, M.D., and Volker K. H. Sonntag, M.D. Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona Key Words * cervical spine * disc CASE REPORT Two weeks after the initial MR imaging study, the patient was scheduled for surgery. On the day of surgery, she reported that her symptoms had resolved and declined surgery. She was relatively free of symptoms the next 6 months until she awoke with weakness of her left arm and occipital headaches. She underwent another MR imaging study. Fig. 2. Magnetic resonance images, sagittal T1-weighted (left) and T2-weighted (right) obtained 18 months after the patient's initial presentation, revealing internal resorption of the extruded disc material with minimal effacement of the cerebrospinal fluid anterior to the spinal cord. DISCUSSION This case documents, by MR imaging, the rare spontaneous resolution of a large herniated cervical disc.[3] The resolution of the disc herniation on MR imaging corresponded to the clinical resolution of the patient's symptoms. We do not advocate conservative management of a large herniated cervical disc that becomes symptomatic with myelopathy; however, this case illustrates the potential for the spontaneous regression of even significantly sized herniated cervical discs. The finding underscores that the potential for regression should be considered in the evaluation and management of any patient with a herniated cervical disc.

79. Slipped Disc Alternative names herniated lumbar Disc, Slipped Disc, Ruptured Disc. What is a herniated disc It is also known as a herniated lumbar or ruptured disc. http://www.dhmc.org/ortho/spine_center/slipped_disc.html

Home Contact us Site index Search: Find a Doctor Health Information Quality Reports Jobs ... Our Services Related Services Orthopaedic Surgery Other Orthopaedic Specialties For Professionals Research Referrals Continuing Medical Education Resident Program ... Graduate Medical Education Go back to... Previous Page Spine Center DHMC Home Spine Center Herniated Disc Alternative names: Herniated Lumbar Disc, Slipped Disc, Ruptured Disc What is a herniated disc? What are the signs of a herniated disc? What causes a herniated disc? How does my doctor tell if I have a herniated disc? ... How is a herniated disc treated? What is a herniated disc? A herniated disc (slipped disc) is a painful back condition that occurs when some of the disc material in the backbone pops out of place and bulges into the spinal canal. It is also known as a herniated lumbar or ruptured disc. What are the signs of a herniated disc? Extreme, sudden pain, usually in the lower back and legs Numbness or a pins-and-needles sensation can occur after a while What causes a herniated disc? A herniated disc usually occurs when the back is bent forward and it is even more likely to happen if the person is bending forward and lifting something heavy with their back bent. Strain on the back means that there is increased pressure at the front of the spine, and the back of the spine is being stretched. This opens up the gap between the vertebrae (bones) at the back. The core of the disc is then being squeezed by pressure from front to back, and at the same time its way out at the back is being made easier.

80. Lumbar Disc Disease (Herniated Disc) - Mountain View Bay Area Sunnyvale Cupertin lumbar Disc Disease (herniated Disc) El Camino Hospital is located in the heart of Silicon Valley at Mountain View, California ,serving Mountain View Bay http://www.elcaminohospital.org/11697.cfm

@import url(default.css); @import url(module.css); Home Hospital News Find A Doctor Health Information A-Z ... Back to Search Lumbar Disc Disease (Herniated Disc) Click Image to Enlarge Anatomy of the lumbar spine: The vertebral column, also called the backbone, is made up of 33 vertebrae that are separated by spongy disks and classified into four distinct areas. The cervical area consists of seven bony parts in the neck; the thoracic spine consists of 12 bony parts in the back area; the lumbar spine consists of five bony segments in the lower back area; five sacral bones (fused into one bone, the sacrum); and four coccygeal bones (fused into one bone, the coccyx). Lumbar disc disease occurs in the lumbar area of the spine. The lumbar area of the spine (and other areas of the spine) is made up of two parts, including the following: vertebral bodies - the parts that are made of bone. intervertebral discs - also known as the discs; the discs are located between the bony parts of the spine and act as "shock absorbers" for the spine. The vertebral bodies are numbered from 1 to 5 in the lumbar spine and the discs are located between two of the vertebral bodies and are numbered accordingly (such as a disc at L2-3, or between the lumbar discs numbered 2 and 3).

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