• This meta-analysis showed that cervical disc arthroplasty was superior over anterior discectomy and fusion for the treatment of symptomatic cervical disc disease in terms of overall success, NDI success, neurological success, implant/surgery-related serious adverse events, secondary procedure, functional outcomes, patient satisfaction and recommendation, and superior adjacent segment degeneration. (nih.gov)
  • Disc herniation is most often the result of gradual wear and tear related to aging, called pulpal nucleus degeneration. (theneoorthopaedicclinic.com)
  • Long term exposure to these risk factors has been shown to increase the symptoms of LBP (i.e. intervertebral disc degeneration, muscle fatigue, and sciatic pain). (cdc.gov)
  • Relatively little evidence exists on predictive factors for the spontaneous regression of lumbar disc herniation (LDH), although it is a well-documented phenomenon. (nih.gov)
  • Cervical radiculopathy can result from nerve root injury in the presence of disc herniation or stenosis, most commonly foraminal stenosis, leading to sensory, motor, or reflex abnormalities in the affected nerve root distribution. (medscape.com)
  • Is a Unilateral Surgical Approach Effective in Patients with Bilateral Leg Pain with Unilateral Lumbar Disc Herniation? (researchgate.net)
  • Interestingly, some patients can present with radicular symptoms on the opposite side of the disc herniation. (researchgate.net)
  • Lumbar disc herniation (LDH) is a relatively common pathology usually presenting with unilateral radiculopathy ipsilateral to the disc herniation. (researchgate.net)
  • OBJECTIVE: Although the normal adult human intervertebral disc is considered to be avascular, vascularised cellular fibrous tissue can be found in pathological conditions involving the disc such as disc herniation. (ox.ac.uk)
  • Its clinical presentation can be mistaken for disc herniation, with back pain, radiculopathy and neurological deficit. (bvsalud.org)
  • The root cause is at the cellular level when the discs lose elasticity and strength, and impacts can lead to rupture or herniation. (psychreg.org)
  • Disc herniation means the movement of discs in the spine. (theneoorthopaedicclinic.com)
  • Lumbar disc herniation occurs when the movement of the intervertebral disc has occurred at the lumbar level. (theneoorthopaedicclinic.com)
  • Cervical disc herniation occurs when the displacement of the intervertebral disc has occurred in the upper part of the spine. (theneoorthopaedicclinic.com)
  • In the case of lumbar disc herniation, there is pain in the thighs and buttocks, which can radiate to the leg below the knee. (theneoorthopaedicclinic.com)
  • Disc herniation treatment should not be delayed because the pain subsided at some point. (theneoorthopaedicclinic.com)
  • All the patients showed a protruded or extruded soft disc herniation at the lumbar level on magnetic resonance imaging and computed tomography. (koreamed.org)
  • Classify patients according to surgical risk and the anatomical characteristics of disc herniation allows for complete decompression, minimizing morbidity and mortality. (wdcom.website)
  • Disc bulge, is not a true herniation, per se. (medscape.com)
  • Extrusion applies to herniation of nuclear material when, in at least one plane, any one distance between the edges of the disc material beyond the disc space is greater than the distance between the edges of the base, or when no continuity exists between the disc material beyond the disc space and that within the disc space. (medscape.com)
  • Examples of disc herniation are seen in the images below. (medscape.com)
  • Disc herniation classification. (medscape.com)
  • Focal herniation involves less than 25% of the disc circumference, whereas broad-based herniations involves between 25-50% of the disc circumference. (medscape.com)
  • As the disease progresses, symptoms related to radiculopathy (due to compression of exiting spinal nerve by narrowed intervertebral foramen) or myelopathy (due to compression on the spinal cord) can occur. (wikipedia.org)
  • Degenerative process of spondylosis such as disc bulging, osteophyte formation, and hypertrophy of the superior articular process all contributes to the narrowing of the spinal canal and intervertebral foramen, leading to compression of these spinal nerves that results in radiculopathy-related symptoms. (wikipedia.org)
  • The objective of this article is to review the current literature on lumbar disc herniations with contralateral radiculopathy and answer main questions regarding pathophysiological basis and best surgical approach. (researchgate.net)
  • At the first follow-up appointment lateral X-ray of the thoracic spine showed no displacement of the vertebrae, and fortnightly follow-up was arranged thereafter. (hindawi.com)
  • Disc Injury - The lumbar intervertebral disc acts as a spacer between adjacent vertebrae to help absorb compressive forces and create space for the spinal nerves to exit the spinal column. (mytpi.com)
  • Age-related degenerative changes of the intervertebral discs can also cause displacement of the vertebrae, even without spondylolysis. (orthopaede.com)
  • Use of cardiac pacemaker, recent operation, epilepsy or migraine, protrusion of lumbar intervertebral disc and anterior displacement of bone vertebrae. (hakii.com)
  • We report the first case of a combined bony and soft tissue Chance fracture in the thoracic spine, with late presenting displacement following conservative management. (hindawi.com)
  • MRI of the thoracic spine on presentation to the ED, showing rupture of the ligamentum flavum at T7/8 and a hyperintense signal in the intervertebral disc at T8/9. (hindawi.com)
  • CTPA was negative for PE and also demonstrated that there continued to be no displacement of the thoracic spine. (hindawi.com)
  • However, at ten weeks following initial presentation, the patient complained of increased thoracic back pain, and lateral X-ray of the thoracic spine suggested displacement of the vertebra at the fracture site. (hindawi.com)
  • RESULTS: Lymphatic vessels were not found in the nucleus pulposus or annulus fibrosus of intact, non-herniated lumbar and thoracic discs but were present in the surrounding ligaments. (ox.ac.uk)
  • A type of juvenile osteochondrosis affecting the fibrocartilaginous disc ( INTERVERTEBRAL DISC ) in the thoracic or thoracolumbar region of the SPINE . (lookformedical.com)
  • Indicated for burst fractures, herniated or bulging discs, facet syndrome, post-op spinal stabilization, spinal stenosis, the Delta TLSO is designed to provide motion restriction for the thoracic and lumbar regions.The posterior extends from the sacrococcygeal junction to just inferior of the scapular spine with tongues providing lateral strength. (elitemedicalsupply.com)
  • Most disc pathologies create radiating pain into the buttocks or the leg (think sciatica) due to the irritation of spinal nerves. (mytpi.com)
  • In a soft tissue Chance fracture there is rupture of the interspinous ligaments, facet joint capsules, and ligamentum flavum posteriorly and the posterior longitudinal ligament and intervertebral disc anteriorly [ 1 ]. (hindawi.com)
  • Implications of lumbar plexus anatomy for removal of total disc replacements through a posterior approach. (uams.edu)
  • When one maintains a seated posture with inadequate lumbar support, the lumbar spine flattens leading to increased tensile force on the posterior part of the intervertebral discs and more muscle activity occurs in order to stabilize the spine. (cdc.gov)
  • When one sits the lumbar curve flattens, the posterior height of the intervertebral disc increases, the facets becomes disengaged and motion becomes significantly more flexible in the anterior posterior direction, and the intervertebral disc pressure increases (Wilder et al. (cdc.gov)
  • Whether conservative treatment or an operation is recommended, not only the cause, type and severity of the spondylolisthesis and the symptoms are taken into consideration but also the age of the patient (a possible degenerative form of spondylolisthesis), physical activity, the condition of the intervertebral discs and the vertebral body bordering them. (orthopaede.com)
  • It arises in the vertebral body or affects the intervertebral discs. (psychreg.org)
  • Disc herniations in the National Football League. (uams.edu)
  • Predisposition to sedentary lifestyle, prolonged sitting, increased exertion after a longer period of rest, lifting weights incorrectly, but also spinal cord injuries are among the causes of disc herniations, explains the orthopaedic in Delhi . (theneoorthopaedicclinic.com)
  • The disc absorbs shock, accommodates movement, provides support, and separates vertebral bodies to lend height to intervertebral foramina. (medscape.com)
  • and medially by the vertebral bodies, intervertebral foramina, and the intervertebral discs. (medscape.com)
  • Sitting for prolonged periods of time, bending forward into a slouched position, or lifting heavy objects can all exacerbate disc symptoms. (mytpi.com)
  • The symptoms of a herniated disc differ depending on the area in which it occurs. (theneoorthopaedicclinic.com)
  • This article reports a case of disc displacement and closed lock in a patient who reported limited mouth opening and pain as the main symptoms. (bvsalud.org)
  • Therefore, Spurling's test, which take advantage of this phenomenon, is performed by extending and laterally flexing the patient's head and placing downward pressure on it to narrow the intervertebral foramen. (wikipedia.org)
  • The presence and absence of lymphatic vessels in the adult human intervertebral disc: relation to disc pathology. (ox.ac.uk)
  • Positive effects (26 reviews) were mainly related to osteoarthritis (4 revisions), obstetric labor (4), intervertebral disc displacement (2) and dyspepsia (2). (bvsalud.org)
  • Displacement of cervical intervertebral disc, ICD-9-CM code 722.0, excluding fracture. (wisconsin.gov)
  • It is also important to note that the displacement of the fracture occurred at more than eight weeks after injury, suggesting that instability may not present immediately. (hindawi.com)
  • Review of the imaging by the orthopaedic team at this time revealed a possible combined bony and soft tissue Chance fracture, with a rupture of the ligamentum flavum at T7/8 and a hyperintense signal in the intervertebral disc at T8/9 on MRI (Figure 1 ). (hindawi.com)
  • The discs are also susceptible to degenerative changes over time. (mytpi.com)
  • CONCLUSION: Our findings indicate that lymphatic vessels are not present in the normal adult intervertebral disc but that, when there is extrusion of disc material into surrounding soft tissue, there is ingrowth of reparative fibrous tissue containing lymphatic vessels. (ox.ac.uk)
  • Extrusion may be further specified as sequestration, if the displaced disc material has lost completely any continuity with the parent disc. (medscape.com)
  • The term migration may be used to signify displacement of disc material away from the site of extrusion, regardless of whether sequestrated or not. (medscape.com)
  • A: Normal disc anatomy demonstrating nucleus pulposus (NP) and annular margin (AM). B: Disc protrusion, with NP penetrating asymmetrically through annular fibers but confined within the AM. C: Disc extrusion with NP extending beyond the AM. D: Disc sequestration, with nuclear fragment separated from extruded disc. (medscape.com)
  • Patients undergoing surgical discectomy for single-level, herniated lumbar disc were prospectively evaluated preoperatively, and at 6 weeks and 3, 6, and 12 months postoperatively. (johnshopkins.edu)
  • The primary outcome was to assess the probability of disc regression for each disc morphology, with a secondary analysis for any other predictive factors identified. (nih.gov)
  • Intractable and incapacitating regional low back pain with positive nerve root tension signs and an imaging study showing displacement of lumbar intervertebral disc that impinges significantly on a nerve root or the thecal sac, ICD-9-CM code 722.10. (wisconsin.gov)
  • It occurs when the nucleus pulposus (gelled disc material) flows out through the annulus fibrosus. (psychreg.org)
  • Most of the available evidence is related to osteoarthritis, hypertension, and intervertebral disc displacement outcomes. (bvsalud.org)
  • This study evaluates the spinal canal, its relationship to the spinal cord, and nerve root impingement from disc, spur, or foraminal encroachment. (medscape.com)
  • This study aimed to investigate the mid- to long-term outcomes of cervical disc arthroplasty (CDA) versus anterior cervical discectomy and fusion (ACDF) for the treatment of 1-level or 2-level symptomatic cervical disc disease. (nih.gov)
  • Understanding cervical disc disease requires basic knowledge of anatomy and biomechanics. (medscape.com)
  • Trends between increased smoking level and long-term disability were identified for persons with knee injuries, rotator cuff injuries, and intervertebral disc displacement. (cdc.gov)
  • Auto Accident - Our client suffered injuries to neck tissues and structures including herniated disc at C5-6. (autoaccident.com)
  • Herein, we present an operative technique, and the early results, for a percutaneous endoscopic lumbar discectomy in herniated lumbar disc disease. (koreamed.org)
  • CONCLUSIONS: We conclude that, in properly selected patients, a percutaneous endoscopic lumbar discectomy is a safe, noninvasive and effective treatment modality for herniated lumbar intervertebral disc disease. (koreamed.org)
  • Extruded and sequestered discs were also significantly more likely to completely regress than smaller morphologies. (nih.gov)
  • Auto Accident - Our client suffered multiple herniated cervical discs and bony hypertrophic changes with spinal cord impingement. (autoaccident.com)
  • No disc exists between C1 and C2, and only ligaments and joint capsules resist excessive motion. (medscape.com)
  • Cervical disc disorders encountered in physiatric practice include herniated nucleus pulposus (HNP), degenerative disc disease (DDD), and internal disc disruption (IDD). (medscape.com)
  • In both groups, surgery was performed on the ipsilateral side of the herniated disc. (researchgate.net)
  • A literature search was conducted of the Cochrane, Embase, and MEDLINE databases for articles that described LDH in terms of the North American Spine Society task force definitions: bulging, protruded, extruded, and sequestered disc morphologies. (nih.gov)
  • The intervertebral disc is a functional unit connecting 2 vertebral bodies of the spine. (medscape.com)
  • Any of these disc problems can leave the spinal nerves vulnerable to irritation or compression resulting in dysfunction and pain. (mytpi.com)
  • The operation consists of removing the fragments of the disc or even the entire herniated disc that compresses the spinal nerves. (theneoorthopaedicclinic.com)
  • Over the years, disc surgery has progressively evolved in the direction of decreasing trauma and its invasiveness. (koreamed.org)
  • This study shows further evidence of the influence of disc morphology on predicting LDH regression as well as provides the first meta-analysis of data indicating additional predictive factors. (nih.gov)
  • Microdiscectomy improves pain-associated depression, somatic anxiety, and mental well-being in patients with herniated lumbar disc. (johnshopkins.edu)
  • To assess the effect of microdiscectomy on depression, somatization, and mental well-being in patients with herniated lumbar discs. (johnshopkins.edu)
  • Dive into the research topics of 'Microdiscectomy improves pain-associated depression, somatic anxiety, and mental well-being in patients with herniated lumbar disc. (johnshopkins.edu)
  • For most cervical disc disorders, studies support conservative treatment, such as the McKenzie approach and cervicothoracic stabilization programs, combined with aerobic conditioning. (medscape.com)