Hérnia discal lombar

Vialle, Luis Roberto Gomes; Vialle, Emiliano; Henao, Juan Esteban Suárez; Giraldo, Gustavo

doi:10.1590/s0102-36162010000100004

Cited by 107 publications

(34 citation statements)

References 29 publications

(33 reference statements)

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“…It is estimated that if affects 2 to 3% of the population, or approximately 5% of men and 2.5% of women. 3 The literature shows that the etiopathogenesis is multifactorial and correlated with habits of day to day life, such as lifting weight, smoking, obesity, as well as the natural aging process, genetic predisposition, and anatomical changes. 4 Recent studies have indicated that genetic influence plays a primary role in the physiopathology of disc degeneration and can increase the risk of developing the disease or even act as a regulating factor, modulating the severity and magnitude of the pathology, as well as the response to treatment.…”

Section: Introductionmentioning

confidence: 99%

Influence of Facet Tropism on the Location of Lumbar Disc Herniation

et al. 2018

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Objective: To correlate facet tropism with the side and location of the intervertebral disc in which the lumbar disc herniation occurred. Methods: A retrospective descriptive study that evaluated Magnetic Resonance Imaging of 255 patients with lumbar disc herniation undergoing surgical treatment with the Spine Group of the Hospital Ortopédico de Passo Fundo between 2002 and 2014. The total patient number was stratified according to the side affected by the herniated disc (right or left), location of the hernia in the intervertebral disc (central, centrolateral, foraminal and extraforaminal) and demographic data, such as age, gender etc. The degree of facet joint tropism was measured by the Karakan method and classified as mild (difference less than 7º); moderate (between 7º and 15º) and severe (difference greater than 15º). Results: A statistical significant relationship (p= 0.023) was observed between the facet joint tropism and the side where the lumbar disc herniation occurred. No correlation was found between facet joint tropism and location of the herniation on the intervertebral disc. Conclusions: The degree of facet tropism presents a statistical significant correlation with the side of the intervertebral disc in which the lumbar disc herniation will develop.

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Section: Introductionmentioning

confidence: 99%

Influence of Facet Tropism on the Location of Lumbar Disc Herniation

et al. 2018

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“…23 Foi também a maior amostra dentre as cirurgias analisadas neste estudo. A idade média dos pacientes submetidos à AVP lombar foi de 46,8 anos.…”

Section: Discussionunclassified

O impacto da analgesia controlada pelos pacientes submetidos a cirurgias ortopédicas

Dias

Rinaldi

Barbosa

2016

Brazilian Journal of Anesthesiology

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Como citar este artigo: Dias AS, et al. O impacto da analgesia controlada pelos pacientes submetidos a cirurgias ortopé-dicas. Rev Bras Anestesiol. 2014. http://dx. ResumoIntrodução: As disfunções musculoesqueléticas, comuns atualmente, têm sido cada vez mais tratadas cirurgicamente e a dor é pode ser um fator limitante na reabilitação pós-operatória. Justificativa: A analgesia controlada pelo paciente (PCA) controla a dor, porém seus efeitos adversos podem interferir no processo de reabilitação e alta dos pacientes. Esta pesquisa torna--se importante, pois poucos estudos avaliam essa correlação. Objetivos: Comparar a evolução dos pacientes que usaram e não usaram PCA no pós-operatório de cirurgias ortopédicas em relação à dor, à necessidade de O 2 (oxigênio) não programada e ao tempo de imobilização e internação hospitalar. Métodos: Estudo observacional, prospectivo, feito no Hospital da AACD de maio a agosto de 2012. Obtiveram-se dados diários por meio de avaliação e entrevista dos pacientes submetidos à artroplastia total de quadril (ATQ) e joelho (ATJ), artrodese de coluna toracolombar (AVP longa), coluna cervical (AVA cervical) e coluna lombar (AVP lombar). Resultados: O estudo evidenciou algumas diferenças entre os grupos: o nível álgico foi maior no grupo submetido à AVP lombar sem PCA em relação ao com PCA (p = 0,03) e no grupo de AVP longa sem PCA no primeiro pós-operatório. Nesse último grupo, houve uso de O 2 por mais tempo (p = 0,09). Conclusão: Neste estudo, a PCA mostrou-se útil para analgesia em pacientes submetidos à AVP lombar e provavelmente teria influência no tempo de uso de O 2 no grupo de AVP longa caso a amostra fosse maior. O uso da PCA não influenciou no tempo de saída do leito e de internação hospitalar nos pacientes estudados.

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“…Although it is a benign condition, it is considered a global health problem because it leads to debilitation, negative impacts on physical and work activities, decreased quality of life, and psychological distress in affected individuals (Vialle et al, 2010;Karppinen et al, 2011;Eskola et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

CASE-REPORT Association between an ACAN gene variable number tandem repeat polymorphism and lumbar disc herniation: a case control study

et al. 2016

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ABSTRACT. We investigated the association between an aggrecan gene (ACAN) polymorphism and lumbar disc herniation (LDH). This was a case-control study with quinquennial age and gender groups. The study comprised 119 men and women aged between 20 and 60 from Goiânia (Brazil). Of these, 39 were allocated to the case group (Ca) and 80 to the control group (Ct). We gathered sociodemographic and clinical data, and peripheral blood samples. DNA was isolated for genotyping the ACAN variable number tandem repeat (VNTR) via conventional polymerase chain reaction (PCR). Data were statistically analyzed using the chi-square test, multiple comparison analysis, the Student t-test, and odds ratios, with a level of significance set at 5% (P ≤ 0.05). The groups were homogenous in terms of sociodemographic, anthropometric, and life style variables. The allele score for the ACAN VNTR was significantly lower in volunteers with LDH; the A22 allele was significantly more prevalent in this same group; the Ca group presented greater frequency of short alleles A13-A25, whereas the Ct group presented a higher frequency of long alleles. However, this difference was not statistically significant. In both groups, the most common alleles were A28, A27, and A29, and the A26/A26 genotype was significantly more common in the Ca group. The results showed an association between short alleles and LDH among the investigated adults (Ca), corroborating the hypothesis that aggrecan with shorter repeat lengths can lead to a reduction in the physiological proteoglycan function of intervertebral disc hydration and, consequently, increased individual susceptibility to LDH.

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Hérnia discal lombar

Cited by 107 publications

References 29 publications

Influence of Facet Tropism on the Location of Lumbar Disc Herniation

Influence of Facet Tropism on the Location of Lumbar Disc Herniation

O impacto da analgesia controlada pelos pacientes submetidos a cirurgias ortopédicas

CASE-REPORT Association between an ACAN gene variable number tandem repeat polymorphism and lumbar disc herniation: a case control study

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