81. Log In Problems Prevalence of lumbar disc degeneration observed by magnetic resonance in Buirski G, Silberstein M. The symptomatic lumbar disc in patients with lowback http://www.medscape.com/viewarticle/508149_References

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82. Accessing Article International Journal of Obesity is a monthly, multidisciplinary forum for papers describing basic, clinical and applied studies in biochemistry, 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.

83. Beaumont Hospitals - Lumbar Disc Disease (Herniated Disc) lumbar disc disease occurs in the lower back. The lumbar area of the spine lumbar disc disease is due to a change in the structure of the normal disc. http://www.beaumonthospitals.com/pls/portal30/cportal30.webpage?l_recent=ortho_l

84. Sudden Bilateral Foot Drop: An Unusual Presentation Of Lumbar Disc Prolapse Maha Neurol India is an peerreviewed biomedical periodical of Neurological Society of India. http://www.neurologyindia.com/article.asp?issn=0028-3886;year=2003;volume=51;iss

85. Lumbar Disc Disease (Herniated Disc) lumbar disc disease occurs in the lumbar area of the spine. lumbar disc disease is due to a change in the structure of the normal disc. http://www.montefiore.org/healthlibrary/adult/neuro/sitemap/content.asp?pageid=P

86. Radiology, University Of Rochester Medical Center Far lateral lumbar disc herniations. Zhonghua Yi Xue Za Zhi (Taipei). Medline; Fujisawa H, Igarashi S, Koyama T. Far lateral lumbar disc herniation 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.

87. IATROGENIC SPINAL EPIDURAL ABSCESS AND DISCITIS AFTER LUMBAR DISC Several complications may be seen after lumbar disc surgery, The occurrence of epidural abscess is very uncommon after lumbar disc surgery. http://med.ege.edu.tr/norolbil/2001/NBD16301.html

88. COLLAGEN CONTENTS IN LUMBAR INTERVERTEBRAL DISC PROTRUSIONS AND Twentyfour patients with lumbar disc degeneration were examined according to Twenty -four patients (12 women, 12 men) with a single level lumbar disc http://med.ege.edu.tr/norolbil/2000/NBD08800.html

89. 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?

90. Entrez PubMed OBJECTIVES The aim was to study risk factors of lumbar disc The prevalence of lumbar disc degeneration L2/L3L5/S1 was determined with MRI. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9

91. Entrez PubMed BACKGROUND Although the etiology of lumbar disc disease is unknown, it has been suggested that a genetic factor contributes to its development. http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=1

92. "Federico II" Univ - Dept Of Neurosurgery: Cervical And Lumbar Disc Herniation CERVICAL AND lumbar DISC HERNIATION. Supervisor Enrico de Divitiis, MD Tel. (+39) 0817462583/ 7462558 (direct line) Fax (+39) 081-7462497 http://www.neurochirurgia.unina.it/english/ernia.htm

Go to - Home Page - Italian version - News - Overview - Specialties Brain and Spinal Tumors Surgery Endoscopic Pituitary Surgery Aneurisms and AVMs Skull-base Surgery Pediatric Neurosurgery Trigeminal Neuralgia Center Intensive Care Unit Neuropathology - Faculty - Residency - Informations for Patients - Research - Publications - Links - Guestbook C ERVICAL AND L UMBAR D ISC H ERNIATION Supervisor: Enrico de Divitiis , M. D. Tel.: (+39) 081-7462583/ 7462558 (direct line) Fax: (+39) 081-7462497 Introduction Etiopatogenesi Clinical presentation Diagnosis ... References I NTRODU CTION Intervertebral disc herniation represents the most frequent degenerative disease of the spine. It can affect the cervical, dorsal and lumbosacral segment of the rachis; this is the origin of the terms cervicobrachialgia (the pain from the neck spreads to the superior limb), lombalgia (back pain), cruralgia (pain in the anterior face of the thigh) and sciatalgia (the pain spreads to the inferior limb). Return to the top of page A P HYSIOLOGY The intervertebral disc is placed between the bodies of two adjacent vertebrae, and it is fundamentally composed of two parts: the

93. CCHS Clinical Digital Library Miscellaneous lumbar Disc Disease Patient/Family Resources. MedlinePlus (National Library of Medicine) Health Topics List of topics http://cchs-dl.slis.ua.edu/patientinfo/orthopedics/back/lumbar-disc-disease.htm

Patient/Family Resources by Topic: Orthopedics Lumbar Disc Disease Patient/Family Resources Pediatrics Spanish Miscellaneous See also: General Orthopedics Patient/Family Resources Lumbar Disc Disease Clinical Resources MD Consult: Homepage Health Sciences Library subscription INFO Patient Handouts Table of content Low and Sciatica Back Pain (Comprehensive Version): Access document Herniated Disk: Access document Low Back Pain: English Spanish Image Low Back Pain (Brief Version): English Spanish Image American Academy of Orthopaedic Surgeons (Your Orthopedic Connection): Homepage The Spine: Table of contents Fact Sheets Back Pain Exercises: Access document Herniated Disk: A Problem in the Lower Back: Access document How to Prevent Back Pain: Access document Lifting Techniques for Home Caregivers: Access document Preventing Back Pain at Work and at Home: Access document Sciatica: Access document Spinal Fusion: Access document The Spine: Access document Patient Education Brochures Low Back Pain: English Spanish Patient Education Brochures Low Back Exercise Guide: Access document Low Back Surgery: Access document NeurosurgeryToday.org (American Association of Neurological Surgeons):

94. 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

95. Loyola Univ. Health Sys. - Nervous System Disorders - Lumbar Disc Disease (Herne lumbar disc disease occurs in the lumbar area of the spine. What is lumbar Disc Disease (Herniated Disc, Ruptured Disc or Bulging Disc)? http://www.luhs.org/health/topics/nervous/hdisc.htm

You are here: Home Health Information Health Topics Nervous System Disorders Lumbar Disc Disease (Herniated Disc) Anatomy of the Lumbar Spine: The vertebral column, also called the backbone, is made up of 33 vertebraes 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:

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

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