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Repeat Discectomy or Instrumented Surgery for Recurrent Lumbar Disk Herniation: An Overview of French Spine Surgeons' Practice.
Global Spine J
April 2024
Centre Francilien du Dos, Clinique des Franciscaines, Versailles, France.
Article Synopsis
- - This study was a retrospective analysis involving patients who had surgery for recurrent lumbar disc herniation (ReLDH) in France, aiming to compare the outcomes of repeat microdiscectomy (RD) and instrumented surgery (IS).
- - Factors influencing the choice between RD and IS included radioclinical considerations, anatomical data, patient preference, and the surgeon's background; these factors affected surgical decisions in varying degrees for both groups.
- - The results showed that patient satisfaction and clinical improvements in symptoms and quality of life were notable, with no significant differences between the two surgical methods 12 months post-operation, achieving satisfaction rates of 80.3% to 81.5%.
Postoperative computed tomography and low-field magnetic resonance imaging findings in dogs with degenerative lumbosacral stenosis treated by dorsal laminectomy.
Vet Comp Orthop Traumatol
March 2017
Martin Rapp, Evidensia Specialistdjursjukhuset Strömsholm, Djursjukhusvägen 11, 734 94 Strömsholm, Sweden, E-mail:
Objectives: To describe postoperative computed tomography (CT) and magnetic resonance imaging (MRI) findings in dogs with degenerative lumbosacral stenosis (DLSS) treated by dorsal laminectomy and partial discectomy.
Methods: Prospective clinical case study of dogs diagnosed with and treated for DLSS. Surgical and clinical findings were described.
Occurrence of discal and non-discal changes after sequestrectomy alone versus sequestrectomy and implantation of an anulus closure device.
J Clin Neurosci
December 2016
Department of Neurosurgery, Ruhr-University Bochum, Bochum, Germany.
Sequestrectomy alone represents a procedure for the treatment of lumbar disc herniation. For selected cases, an anulus closure device (ACD) can be implanted which may result in lower reoperation rates. However, comparative magnetic resonance imaging (MRI) changes and their clinical relevance of both procedures are unclear and have not been reported so far.
View Article and Find Full Text PDFThe cystic dilation of the sub-arachnoidal space individualised by Tarlov in 1938, may be integrated in the diagnosis of non discal surgical sciatica. The classification proposed by Lazorthes sumes up the eventualities encountered at the lombo-sacral level. The clinical study of five personal observations and the analysis of literature enable the establishment of a clinical picture evoking the anomaly.
View Article and Find Full Text PDFNon discal sciatic neuralgia accounts for 5 per cent of all cases of surgical sciatica. They are divided into four groups: central sciatica very seldom, cordal and root sciatica more common and truncal sciatica. These sciatica are dominated by atypical clinical features: atypical provoking factor, atypical character, atypical topography and therapy.
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