Treatment of intervertebral disc hernia in lumbar spine
K. A. Musalatov , A. G. Aganesov , Y. A. Shulyak , L. F. Pestereva , N. E. Khoreva
N.N. Priorov Journal of Traumatology and Orthopedics ›› 1997, Vol. 4 ›› Issue (3) : 31 -34.
Treatment of intervertebral disc hernia in lumbar spine
Four hundred fourteen cases of surgical treatment (microdiskectomy) of patients with lumbar disk herniation were analyzed. MR and CT data were studied. Authors consider that in patients with radicular syndrome prolonged conservative treatment including physiotherapy and traction causes changes in yellow and posterior longitudinal ligaments, their hypertrophy, ossification. These changes aggravate both spinal stenosis in the zone of disk herniation and radicular syndrome. When performing diskectomy these changes are to be taken into account and the main procedure should be added by the resection of the ligaments subjected to degenerative changes. Surgical treatment is indicated to all patients with severe radicular syndrome independently of the disease duration.
herniated discs / microdiscectomy / tomography of the spine / magnetic resonance imaging in the spinal canal / manual therapy / hernia treatment methods
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