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[Lumbar disc nucleus pulposus excision by percutaneous endoscopic interlaminar approach for single segment giant lumbar disc herniation in young adults].
Zhongguo Gu Shang
December 2024
Derpartment of Spine Surgery, Nuclear Industry 416 Hospital, Chengdu 610000, Sichuan, China.
Objective: To explore feasibility, clinical and imaging outcomes of percutaneous endoscopic interlaminar discectomy (PEID) for single level large lumbar disc herniation(LDH).
Methods: From October 2018 to March 2023, 31 patients with single level LDH treated with PEID were retrospectively analyzed. Among patients, including 18 males and 13 females, aged from 15 to 40 years old with an average of (28.
Arthroscopic-assisted uni-portal ligament flavum sparing bone anchoring annular suture technique for lumbar disc herniation: A case report and literature review.
Medicine (Baltimore)
September 2024
Department of Orthopaedics, The People's Hospital of Chuxiong Yi Autonomous Prefecture, Chuxiong, China.
Rationale: Lumbar disc herniation (LDH) manifests in diverse forms. If the nucleus pulposus or endplate tissues protrudes, the location of annular tears also varies, which poses various challenges for the annular suture technique. Tears at the annular attachment area at the edge of the vertebral body (cephalad or caudad) are considered a prohibitively challenging area for annular suturing.
View Article and Find Full Text PDFThe Different Influence of Cutibacterium acnes and Staphylococcus epidermidis in the Lumbar Disc : An in Vivo Study in Rabbits.
Spine (Phila Pa 1976)
November 2024
Department of Orthopaedics, Lanzhou University Second Hospital.
Article Synopsis
- The study aimed to analyze the effects of two bacteria, Cutibacterium acnes and Staphylococcus epidermidis, on rabbit lumbar discs and how they interact when infecting simultaneously.
- Researchers injected these bacteria into New Zealand white rabbits and monitored inflammation, weight changes, and disc degeneration over 12 weeks.
- Results showed that C. acnes led to lumbar disc degeneration, while S. epidermidis caused discitis; when both bacteria were present, the discitis was less severe than with S. epidermidis alone.
The Clinical Efficacy of Anterior Cervical Discectomy and Fusion Under Three-Dimensional Microscopy.
World Neurosurg
October 2024
Department of Orthopedics, Chengdu University of Traditional Chinese Medicine Affiliated Hospital, Chengdu, China. Electronic address:
A plethora of studies has substantiated the remarkable clinical efficacy of anterior cervical discectomy and fusion (ACDF) in the treatment of cervical spondylotic myelopathy. This procedure effectively removes the posterior osteophytes and protruding nucleus pulposus, achieving direct decompression of the spinal cord and effectively alleviating compression symptoms. Concurrently, by distracting the intervertebral space, ACDF contributes to the restoration of the physiological curvature of the cervical spine.
View Article and Find Full Text PDFPrediction and Mechanisms of Spontaneous Resorption in Lumbar Disc Herniation: Narrative Review.
Spine Surg Relat Res
May 2024
Department of Orthopaedic and Spine Surgery, Tokyo Medical and Dental University, Tokyo, Japan.
The major symptoms of lumbar disc herniation (LDH) are low back pain, radiative lower extremity pain, and lower limb movement disorder. Patients with LDH suffer from great distress in their daily life accompanied by severe economic hardship and difficulty in self-care, with an increasing tendency in the aging population. PubMed and the Cochrane Central Register of Controlled Trials were searched for relevant studies of spontaneous resorption or regression in LDH after conservative treatment and for other potential studies, which included those from inception to June 30, 2023.
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