81. Journal Of Arthroplasty And Arthroscopic Surgery treatment for herniated lumbar disc without sequestered free fragments. Thus, for instance, a 100 Angstrom recession of the disc herniation away http://arthroplasty-arthroscopy.mc.metu.edu.tr/1995/no1-1.html

82. Lumbar Disc Herniation, HNP, Dr. Jho's Lumbar Disc Surgery Via A Tiny Trocar Dr, Jho has developed minimally invasive endoscopic lumbar disc surgery through a small incision either at the posterior midline or at the posterolateral http://drjho.com/lumbar_disc_surgery.htm

var TlxPgNm='lumbar_disc_surgery'; Jho Institute for Minimally Invasive Neurosurgery H ome Staff Overview ... Directions and Contact Be Careful ! Spine Diseases Cervical disc herniation Cervical stenosis Thoracic disc herniation Lumbar disc herniation Lumbar stenosis Spinal cord tumors Occipital neuralgia Spinal instability Chiari malformation Hyperhidrosis Brain Diseases Pituitary tumors Cushing's Disease Acoustic neuromas Meningiomas Craniopharyngiomas Pineal tumors Skull base tumors Chordomas Arachnoid cysts Colloid cysts Hydrocephalus Trigeminal neuralgia Hemifacial spasm Vertigo and tinnitus Glossopharyngeal neuralgia Spasmodic torticollis Cerebral aneurysms Lumbar Disc Herniation, HNP, Dr. Jho's Lumbar Disc Surgery via a Tiny Trocar Dr. Jho 's Minimally Invasive Lumbar Disc Surgery: Endoscopic Lumbar Discectomy: Low Back Surgery Hae Dong Jho, M.D., Ph.D., Professor of Neurosurgery Jho Institute for Minimally Invasive Neurosurgery In order to make lumbar disc surgery minimally invasive, Dr. Jho adopted an endoscope for lumbar discectomy. Two different surgical approaches are used depending on the location of the pathology and clinical situation: (1) Posterior, and (2) Posterolateral. Posterior endoscopic discectomy is the first approach, which is performed with a small skin incision made at the midline posterior lumbar region. A small trocar is inserted towards the herniated disc. The herniated disc material is removed under the direct endoscopic visualization. The disc located between the spinal bone is preserved as much as possible in order to maintain the spinal integrity.

83. Thoracic Disc Herniation, Dr. Jho's Endoscopic Transpedicular Thoracic Disc Surg The Jho procedure for Thoracic Disc Herniation involves a twocm skin incision herniation is low compared to that of cervical or lumbar disc herniation, http://drjho.com/thoracic_disc_surgery.htm

var TlxPgNm='thoracic_disc_surgery'; Jho Institute for Minimally Invasive Neurosurgery H ome Staff Overview ... Directions and Contact Spine Diseases Cervical disc herniation Cervical stenosis Thoracic disc herniation Lumbar disc herniation Lumbar stenosis Spinal cord tumors Occipital neuralgia Spinal instability Chiari malformation Hyperhidrosis Brain Diseases Pituitary tumors Cushing's Disease Acoustic neuromas Meningiomas Craniopharyngiomas Pineal tumors Skull base tumors Chordomas Arachnoid cysts Colloid cysts Hydrocephalus Trigeminal neuralgia Hemifacial spasm Vertigo and tinnitus Glossopharyngeal neuralgia Spasmodic torticollis Cerebral aneurysms Thoracic Disc Herniation, Dr. Jho's Endoscopic Transpedicular Thoracic Disc Surgery via a Tiny Trocar Dr. Jho 's Minimally Invasive Thoracic Disc Surgery: Endoscopic Transpedicular Thoracic Discectomy Hae Dong Jho, M.D., Ph.D., Professor of Neurosurgery Jho Institute for Minimally Invasive Neurosurgery In order to make a thoracic disc operation as minimally invasive as a cervical or lumbar disc operation, endoscopic transpedicular discectomy was developed by Dr. Jho

84. American Family Physician: Clinical Evaluation And Treatment Options For Herniat Natural history and nonoperative treatment of lumbar disc herniation. Weber H. lumbar disc herniation a controlled, prospective study with ten years of http://www.findarticles.com/p/articles/mi_m3225/is_3_59/ai_53979624/pg_3

@import url(/css/us/style1.css); @import url(/css/us/searchResult1.css); @import url(/css/us/articles.css); @import url(/css/us/artHome1.css); Advanced Search Home Help IN free articles only all articles this publication Automotive Sports 10,000,000 articles - not found on any other search engine. FindArticles American Family Physician Feb 1, 1999 Content provided in partnership with 10,000,000 articles Not found on any other search engine. Related Searches Intervertebral disk / Hernia Vertebrae, Lumbar / Medical examination Featured Titles for AAACN Viewpoint ABNF Journal, The AIDS Treatment News AMAA Journal ... View all titles in this topic Hot New Articles by Topic Automotive Sports Top Articles Ever by Topic Automotive Sports Clinical Evaluation and Treatment Options for Herniated Lumbar Disc American Family Physician Feb 1, 1999 by S. Craig Humphreys Jason C. Eck Save a personal copy of this article and quickly find it again with Furl.net. It's free! Save it. Continued from page 2. The McKenzie exercise program is believed to be one of the most beneficial. This program is individualized to the patient's symptoms and emphasizes exercises that minimize or centralize radiating pain.[18] However, several studies have reported no significant benefits of exercise programs in terms of functional recovery, range of motion or pain severity.[19,20] Exercise programs must be carefully designed to provide the greatest benefit, especially for patients with other conditions that limit strenuous activity. Determining the patient's limitations and the goal for therapy is important.

85. SPINE DOCTOR - Surgery Minimally Invasive Surgery for lumbar Disc Herniation The ideal treatment for lumbar disc herniation is accessing the epidural space directly for http://www.spine-dr.com/site/surgery/surgery_article3.html

Minimally Invasive Surgery for Lumbar Disc Herniation We currently have many choices for minimally invasive partial disc removal procedures. If we look at the hemilaminectomy and posterior discectomy as the standard procedure we have the following minimally invasive approaches: Posterior Approach Microdiscectomy Endoscopic Posterior discectomy Posterior Lateral Approach Arthroscopic Posterolateral discectomy Automated Percutaneous Lumbar discectomy Percutaneous Laser discectomy Arthroscopic Percutaneous Laser discectomy Chemonucleolysis Thermocoagulation Anterior Approach Endoscopic Anterior Subtotal discectomy Retroperitoneal Laparascopic Wide Abdominal Rectus Plication What procedure is appropriate? Each of these procedures works in some situations. The key to success is understanding the capacity of each to deal with the array of problems that present themselves as herniated disks. The following issues should be considered: What exactly is causing the symptoms? Neural compression Incompetent posterior annulus Is it from one or multiple segments?

86. Disc Herniation - Wheeless' Textbook Of Orthopaedics Far lateral lumbar disc herniation. The key to the intertransverse approach. lumbar disc herniation Controlled prospective study with 10 years of http://www.wheelessonline.com/ortho/disc_herniation

Duke Orthopaedics presents Wheeless' Textbook of Orthopaedics Site Index A - Z Search Site by Word Home Contact Us My Account Disc Herniation - See: Herniated Disc in the Child Intervertebral Discs - Anatomy: - disc herniation may vary in severity from disc protrussion to disc extrusion, to finally disc sequestration; disc containment: - w/ a contained disc herniation, the disc material herniated through the inner annulus but not the outer annulus; - the material is therefore contained, but still can distort the path of the nerve; - w/ a non contained herniation, the disc material penetrates both the inner and out layers of the annulus; - the material may reside beneath the posterior longitudinal ligament or may penetrate through it, or can be sequestered as a free fragment; posterolateral disc herniation: - protrusion is usually posterolateral into vertebral canal, where it may compress the roots of a spinal nerve; - in the case of a posterolateral herniation, the disc will not affect nerve corresponding in number to that

87. Kerlan-Jobe Orthopaedic Clinic Injury Lumbar Disc Herniation The severity and level of the lumbar disc herniation determines the type of The pain associated with a lumbar disc herniation is characterized by a http://www.kerlanjobe.com/index.php?practiceId=1052&lib=Injury&dir=categories&ca

88. Kerlan-Jobe Orthopaedic Clinic Treatment Lumbar Disc Herniation Injuries and Conditions Back Spine lumbar Disc Herniation Treatment NonSurgical Treatment Conservative Treatment of lumbar Disc Herniation http://www.kerlanjobe.com/index.php?practiceId=1052&dir=treatment&lib=Treatment&

89. Neurology Weber H lumbar disc herniation A controlled prospective study with ten years of lumbar disc herniation Computed tomography scans after conservative http://www.chiroweb.com/archives/11/24/02.html

Dynamic Chiropractic November 19, 1993, Volume 11, Issue 24 Printer Friendly Version Email to a Friend Search ChiroWeb! Other MPAmedia Alternative Health Site Links Chiropractic ChiroExpo ChiroFind ChiroMall ChiropracticResearch ... Review Acupuncture AcupunctureToday Massage Therapy MassageToday SpaTherapy Nutrition NutritionalWellness Neurology Nonoperative Treatment of Lumbar Radiculopathy Surgery is often recommended as the definitive treatment for lumbar radiculopathy when disc herniation is demonstrated with imaging techniques. Recent attention has focused on the success of nonoperative conservative intervention with patients that have documented radiculopathy and herniated discs. Weber1 reported a ten year controlled follow-up study in 1983 which documented the same neurologic recovery in groups treated surgically and nonsurgically. One of the questions raised by the study dealt with how the lumbar disc responded in nonoperatively treated cases. Maigne et al.,4 followed 48 patients treated by conservative measures of lumbar disc herniation and performed initial and follow-up computed tomography studies. They noted the tendency for the majority of lumbar disc herniations to spontaneously and significantly decrease in size after conservative treatment and this decrease in size could occur early on in the recovery period. Of the 48 patients in the study, nine had disc herniations decrease by about 25 percent, eight had disc herniations decrease in size by 50-75 percent, and the remaining 31 patients in the study had 75-100 percent decrease in size of the disc herniation. They also noted that the largest herniations were those which had the greatest tendency to decrease in size.

90. Log In Problems Singlelevel lumbar discectomy has been proven to have lasting benefit in numerous cases. http://www.medscape.com/viewarticle/462181

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91. Mayo Clinic Proceedings lumbar intervertebral disc herniation following experimental intradiscal pressure increase. Acta Neurochir (Wien). 2000;142669676. http://www.mayoclinicproceedings.com/inside.asp?AID=724&UID=

92. NEJM -- Sign In Book Review from The New England Journal of Medicine lumbar Disc Herniation. http://content.nejm.org/cgi/content/full/347/21/1728-a

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93. Lumbar Disc Herniation Classic lumbar Disc Herniation with Nerve Root Impingement L5S1 lumbar Disc Herniation with Surgical Discectomy and Decompression http://findlaw.doereport.com/collection.php?CID=108&A=42409

94. Arquivos De Neuro-Psiquiatria - lumbar DISC HERNIATION ASSOCIATED WITH SCOLIOSIS IN A 15YEAR-OLD GIRL Less than 1% of lumbar disc herniation surgery occur in patients between 10 and http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2002000200022

95. Lumbar Disc Disease, Family Guide To Neuromedicine If your healthcare provider suspects you have lumbar disc herniation or lumbar disc disease, you may need a thorough medical history, physical exam plus http://www.muhealth.org/~neuromedicine/lumbardisc.shtml

Find a physician Find a clinic E-mail patients Request appointments ... Find a job NEUROMEDICINE Family guide topics Neurological Surgery Lumbar disc disease Located between each vertebrae (bone) in the low back is a piece of gelatinous material called the lumbar disc. These discs are the shock absorbers of the low back. They help to support the torso and allow bending movements of the body. When a disc ruptures through its surrounding fibrous band, it is called a disc herniation. Symptoms The herniated piece of the disc may then pinch on a nerve, possibly causing one or more of the following symptoms: Painful movement of the low back. Pain, tingling or numbness radiating down the buttocks, thigh, calf and/or foot. Numbness or weakness in the toes. Weakness in the leg or foot. Limited ability to bend the low back. Changes in bowel or bladder function. Causes As we age, the discs gradually become dry and flattened. Eventually, the disc space becomes narrow and the vertebrae begin to touch one another. This is known as degenerative disc disease. The narrower the space between the bones, the less room the nerve has to travel. The nerves may become irritated, resulting in pain, numbness, tingling or weakness in the leg or foot. Diagnostic tests If your health-care provider suspects you have lumbar disc herniation or lumbar disc disease, you may need a thorough medical history, physical exam plus one or more of the following:

96. Care Of Disc Herniation It is often used for lumbar disc injuries (herniation, bulges, etc. There is some support for the idea that lumbar disc herniation with neurological http://www.coxtechnic.com/careofdischerniation.html

Table of Contents or Website Conservative Distraction Manipulation Care of the Intervertebral Disc 10 Medically-Diagnosed-as-Needing-Surgery Cases Successfully Treated . A study by Blue Cross and Blue Shield of Ohio and Physicians First, Inc. A study was conducted as a joint venture between Physicians First, an established chiropractic clinic, and Blue Cross and Blue Shield of Ohio. The purpose was to compile statistics on the effectiveness of chiropractic treatment of back injuries that might otherwise require surgical intervention. The study was composed of a total of 10 patients with diagnosed intervertebral disc syndrome. All 10 subjects had received treatment from a medical doctor for the diagnosed conditions. The subjects were treated under a twelve week plan which included the utilization of Cox Distraction Technique. Post-treatment surveys revealed that all 10 patients reported improvement in the frequency and severity of symptoms. Flexion-Distraction Successfully Used to help Disc Herniation Patient Guadagnino MR: Flexion-distraction manipulation of a patient with a proven disc herniation. J Of The Neuromusculoskeletal System 1997; 5(2):70-73

97. Risks Complications Lumbar Microdiscectomy Discectomy Diskectomy A recurrent lumbar disc herniation is diagnosed only after onset of a symptom such as pain or neurologic deficit. Small fragments of disc may not push http://uscneurosurgery.com/infonet/surgery/understand/risks/procedure/lumbar dis

top NeuroSurgery InfoNet Risks and Complications discectomy lumbar lumbar discectomy ... adhesive arachnoiditis Complications of lumbar microdiscectomy include injury to a nerve root, disc infection, recurrent herniation, arachnoid scarring, and laceration of the iliac artery. top root injury Most symptomatic herniated lumbar discs present with radiculopathy (pathology of the nerve root). Pressure on the root from a herniated disc can cause pain referred to its cutaneous and muscle distribution, as well as weakness in the muscles and loss of sensation in the skin it innervates. Root injury is a not uncommon complication of lumbar microdiscectomy. top cauda equina injury Injury to the cauda equina is also possible with traction on the thecal sac. Immediate post operative: Injury to the cauda equina may be discovered as early as in the post op Recovery Room. Cauda equina injury following lumbar microdiscectomy can present with difficulty with control of urination and/or bowel (incontinence), erectile and ejaculatory dysfunction, loss of anal and scrotal sensation as well as numbness and weakness (possibly to the point of paralysis) of the legs.

98. Radiology, University Of Rochester Medical Center Diagnosis Far lateral lumbar disc herniation. Discussion The intervertebral disc is composed of an outer ligamentous annulus and an inner gelatinous http://www.urmc.rochester.edu/smd/Rad/neurocases/Neurocase115.htm

Radiology Home Department Overview Faculty Residency ... E-mail Images below require Macromedia's Flash Player to view Previous Case View Other Spine Cases Next Case Neuroradiology Case of the Week Case 115 Sarah Goldfeder and Per-Lennart Westesson, MD, PhD, DDS Clinical Presentation: The patient is a 47-year-old female who presents with a history of left leg weakness, back pain, and left leg pain. It began the day prior to presentation when she sneezed while she was shampooing her hair. Radiological Findings: MRI of the lumbar and sacral spine shows a far lateral focal disc protrusion at the level of the L4-5 disc. The protrusion extends superiorly and impinges upon the exiting L4 nerve root. There is also a slight broad based disc bulge indenting the anterior aspect of the thecal sac without significant spinal stenosis. Figure Sagittal T2 MR image. Figure Axial T2 MR image. Figure Axial Proton Density MR image. Diagnosis: Far lateral lumbar disc herniation Discussion: The intervertebral disc is composed of an outer ligamentous annulus and an inner gelatinous nucleus pulposus. Disc herniation occurs when a tear in the tough annulus allows the inner nucleus pulposus to prolapse through the annulus. Neurologic symptoms of pain or dysesthesia may occur if the prolapsed disc presses against a nerve root.

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