Surgical Treatment and Outcomes of Lumbar Radiculopathy

Bruggeman, Adam J.; Decker, Robert C.

doi:10.1016/j.pmr.2010.10.002

Cited by 19 publications

(8 citation statements)

References 66 publications

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“…4,8,16,33,35 These symptoms appear in several frequencies. The focus should be on the urinary retention because it provides the classifi cation of CES which is CES-R (a complete urinary retention) and CES-I (an incomplete urinary retention).…”

Section: Discussionmentioning

confidence: 99%

“…4,6,8,10,16,19,27,30,[33][34][35] CES affects the refl exes as bulbocavernosus, medioplantar and Achilles tendon. 5,9,24,25 LOW BACK PAIN More and more people begin to experience low back pain each day.…”

Section: Symptomatology Of Ces Due To Lumbar Disc Herniationmentioning

confidence: 99%

“…1,7,9,25,34 There are two refl exes which should be examined, the anal wink (a superfi cial refl ex) and the bulbocavernosus refl ex. 5,24,25,33 In the fi rst refl ex, the stimulation of the tone of the sphincter and the perirectal area is checked. This examination leads to the involuntary contraction of the anus.…”

Section: The Diagnosis Of Ces-diagnostic Toolsmentioning

confidence: 99%

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Cauda Equina Syndrome Due to Lumbar Disc Herniation: a Review of Literature

Kapetanakis¹,

Chaniotakis²,

Kazakos³

et al. 2017

Folia Medica

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Cauda equina syndrome (CES) is a rare neurologic condition that is caused by compression of the cauda equina. Cauda equina consists of spinal nerves L2-L5, S1-S5 and the coccygeal nerve. The compression of these nerve roots can be caused mainly by lumbar disc herniation (45% of all causes). The diagnosis consists of two critical points: a) detailed history and physical examination and b) MRI or CT. The gold standard of the treatment of this syndrome is the surgical approach in combination with the timing of onset of symptoms. The surgery as an emergency situation is recommended in the fi rst 48 hours of onset of symptoms. Any delay in diagnosis and treatment leads to a poor prognosis of CES.

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Section: Discussionmentioning

confidence: 99%

Section: Symptomatology Of Ces Due To Lumbar Disc Herniationmentioning

confidence: 99%

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Cauda Equina Syndrome Due to Lumbar Disc Herniation: a Review of Literature

Kapetanakis¹,

Chaniotakis²,

Kazakos³

et al. 2017

Folia Medica

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“…Although there is no treatment option available through medicine for sciatica, the only possible intervention which can cure the condition is surgery [11]. However, hijama was found to be very effective in 67 percent of the patients experiencing severe sciatic pain due to disc prolapse or herniation at the L4/L5 vertebrae.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic Effectiveness of Hijama in Sciatica Pain

Bilal¹,

Khan²

2016

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Hijama is an alternative mode of treatment also known as cupping therapy. It involves removal of subcutaneous stagnant blood through suction cups after making superficial incisions at particular area of the body. This study was undertaken to evaluate the efficacy of hijama in sciatica pain at Aligarh Shifa hospital. 92 patients with the history of sciatica were selected randomly between 18 -75 years of age and hijama cups were applied generally at C7, T2 and L5/S1 vertebrae, while two cups were also applied bilaterally on L4/L5 vertebrae, four cups were additionally applied on hip joint, back of thigh, knee and calf muscle, all cups were applied thrice at an interval of 15 days between each session. The decrease in sciatic pain was assessed after three sessions of Hijama by numeric pain rating scale there was overall significant reduction in pain with 67 percent patients showing relief in pain up to varying degree. Present study suggests that hijama has been found to be effective in relieving pain and improving quality of life in majority of the patient's, hence may be used as effective alternative tool to alleviate pain.

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“…[1][2][3][4]14,17,[20][21][22][23] This current review will examine the studies investigating fusion as compared with discectomy alone to determine if evidence exists for the addition of fusion in patients with primary disc herniation. Advocates for fusion during the index discectomy claim that stabilizing the segment may prevent late-onset instability and the development of chronic low-back pain.…”

Section: 11mentioning

confidence: 99%

Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 8: Lumbar fusion for disc herniation and radiculopathy

Wang

Dailey

Mummaneni

et al. 2014

SPI

108

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Patients suffering from a lumbar herniated disc will typically present with signs and symptoms consistent with radiculopathy. They may also have low-back pain, however, and the source of this pain is less certain, as it may be from the degenerative process that led to the herniation. The surgical alternative of choice remains a lumbar discectomy, but fusions have been performed for both primary and recurrent disc herniations. In the original guidelines, the inclusion of a fusion for routine discectomies was not recommended. This recommendation continues to be supported by more recent evidence. Based on low-level evidence, the incorporation of a lumbar fusion may be considered an option when a herniation is associated with evidence of spinal instability, chronic low-back pain, and/or severe degenerative changes, or if the patient participates in heavy manual labor. For recurrent disc herniations, there is low-level evidence to support the inclusion of lumbar fusion for patients with evidence of instability or chronic low-back pain.

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Surgical Treatment and Outcomes of Lumbar Radiculopathy

Cited by 19 publications

References 66 publications

Cauda Equina Syndrome Due to Lumbar Disc Herniation: a Review of Literature

Cauda Equina Syndrome Due to Lumbar Disc Herniation: a Review of Literature

Therapeutic Effectiveness of Hijama in Sciatica Pain

Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 8: Lumbar fusion for disc herniation and radiculopathy

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