Ten Important Tips in Treating a Patient with Lumbar Disc Herniation.
10.4184/asj.2016.10.5.955
- Author:
Farzad OMIDI-KASHANI
1
;
Hamid HEJRATI
;
Shahrara ARIAMANESH
Author Information
1. Orthopedic Research Center, Department of Orthopedic, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran. omidif@mums.ac.ir
- Publication Type:Review
- Keywords:
Lumbar vertebrae;
Intervertebral disc disease;
Surgical procedure;
Outcome assessment
- MeSH:
Decompression;
Decompression, Surgical;
Diskectomy;
Humans;
Lumbar Vertebrae;
Magnetic Resonance Imaging;
Pathology, Clinical;
Patient Selection;
Sciatica;
Spine
- From:Asian Spine Journal
2016;10(5):955-963
- CountryRepublic of Korea
- Language:English
-
Abstract:
Lumbar disc herniation is a common spinal disorder that usually responds favorably to conservative treatment. In a small percentage of the patients, surgical decompression is necessary. Even though lumbar discectomy constitutes the most common and easiest spine surgery globally, adverse or even catastrophic events can occur. Appropriate patient selection and effective neural decompression constitute the most important points for better surgical outcomes and avoidance of unpleasant complications. Other important tips include timely performance of magnetic resonance imaging, correct interpretation of scan data, preoperative detection of underlying instability, exclusion of non-discogenic sciatica, determination of the main cause of clinical pathology, avoidance of the wrong side or level, and being sure that the more detailed procedure does not necessarily mean the more effective procedure.
