Objective: To probe into the correlativity of the therapeutic effect of acupuncture combined with traction on prolapse of lumbar intervertebral disc with the three-dimensional location.
Methods: According to the three-dimensional location developed by HU You-gu, the position of the prolapse of lumbar intervertebral disc in the spinal canal was located from the sagittal plain, frontal plain and horizontal plain. One hundred and thirty patients with prolapse of lumbar intervertebral disc and completion of clinical data were treated with acupuncture, and the therapeutic effects were analyzed with three-dimensional location.
Results: Among 98 cases in the effective group, 73 cases had the prolapse at the I plane in sagittal location, accounting for 74.49%, 82 cases had the prolapse at the 1, 2 zone in horizontal location, accounting for 83.68%, 52 cases had the prolapse at the a area in frontal location, accounting for 53.06%; among the 32 cases in the ineffective group, 10 cases had the prolapse at the I plane, accounting for 31.25%, 12 cases in the 1, 2 zone, accounting for 37.50%, 3 cases in the a area, accounting for 9.38%. There was a statistically significant difference between the two groups in the location.
Conclusion: The three-dimensional location can objectively show the size, direction, position, and the characteristics of the protruded discs, and correctly infer the pathological changes of the affected nerve root. Acupuncture combined with tract has a better effect on I plane, 1-2 zone, and a area.
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Sci Rep
January 2025
Khulna University of Engineering and Technology, Khulna, 9203, Bangladesh.
Magnetic resonance (MR) images are commonly used to diagnose prolapsed lumbar intervertebral disc (PLID). However, for a computer-aided diagnostic (CAD) system, distinguishing between pathological abnormalities of PLID in MR images is a challenging and intricate task. Here, we propose a comprehensive model for the automatic detection and cropping of regions of interest (ROI) from sagittal MR images using the YOLOv8 framework to solve this challenge.
View Article and Find Full Text PDFSci Rep
November 2024
Department of Orthopedics, The First Affiliated Hospital of Xi'an Jiaotong University, #No. 277 Yanta West Road, Yanta District, Xi'an, Shaanxi Province, China.
Lumbar disc herniation (LDH) is a common degenerative disease of the lumbar spine, which is related to host genetic factors. Our study aimed to explore the association between MIR3142HG polymorphisms and LDH susceptibility. Six SNPs in MIR3142HG from 504 LDH patients and 500 healthy individuals were genotyped by the Agena MassARRAY platform.
View Article and Find Full Text PDFCureus
October 2024
Orthopaedics, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.
Lumbar radiculopathy is one of the most common disorders encountered by a spine surgeon. The condition involves back pain, which may radiate to the lower limbs, and neurological symptoms, which involve a specific nerve root. Caudal epidural steroid injections (CESIs) and selective nerve root blocks (SNRBs) are two of the most common interventions, which are used to control the pain and neurological symptoms associated with chronic lumbar radiculopathy.
View Article and Find Full Text PDFJ Clin Neurosci
December 2024
Medicana Hospital, Neurosurgery Clinic, Bursa, Turkey; Biruni University, Faculty of Medicine, Neurosurgery Department, İstanbul, Turkey. Electronic address:
Background: This study aimed to review the safety and prognosis of emergency lumbar microdiscectomy surgery during pregnancy.
Methods: The study included a cohort of ten consecutive pregnant patients who underwent urgent lumbar microdiscectomy surgery between 2016 and 2022-perioperative and perinatal clinical data derived from medical records-a retrospective analysis. The patients were evaluated based on age, gestational age, gravidity, parity, neurological examination findings, and visual analog scale (VAS) pain scores with the early and late postoperative results of mother and newborns with follow-up.
Int Urogynecol J
December 2024
Department of Obstetrics and Gynecology, Division of Urogynecology, Houston Methodist Hospital, Houston, TX, USA.
Introduction And Hypothesis: Lumbosacral discitis and osteomyelitis constitute a rare but devastating complication after mesh sacrocolpopexy for pelvic organ prolapse.
Methods: We present a case series of 3 patients at a single institution and a literature review of 30 patients suffering from this complication along with presenting symptoms, evaluation with laboratory and imaging findings, and management.
Results: Lumbosacral discitis can present after sacrocolpopexy of any route (abdominal, laparoscopic, and robotic) and with various suture types and tacking devices.
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