Diagnostik und Therapie des Bandscheibenvorfalls

Abstract

Degenerative processes in a movement segment of the vertebral column, which can potentially give rise to herniation of elements of the nucleus pulposus, are complex and of variable clinical and radiological dimensions; however the mere assumption that degenerative changes precede disc herniation remains a matter of debate. By definition, spinal disc herniation (SDH) refers to components of the gelatinous nucleus pulposus protruding beyond the dorsal level of the vertebral body margin through tears in the annulus fibrosus. Clinical presentation may include pain, paresis and sensory disturbances. Magnetic resonance imaging (MRI) is considered the gold standard in the diagnosis of SDH. In the majority of patients a conservative approach with physical therapy exercises and adequate analgesic and antiphlogistic medical treatment results in a substantial improvement of symptoms.

Microsurgical sequestectomy at 36 weeks of pregnancy: A case report

“…If a patient presents with severe back pain or motor deficit during pregnancy, further diagnostic assessment is required. The gold standard in diagnosing a disc herniation is MRI, as there is no radiation exposure and it gives the best portrayal of soft tissue [ [9] , [10] , [11] ]. Our patient complained of severe extensor paresis of the left foot and big toe.…”