From June 2002 to Sept 2002, subdivision of the Institude of physical medicobiology the technique of minimizing intervertebral pressure by laser through skin was carried out on 424 patients (339 patients with lumbodorsal intervertebral disk hernia and 85 with intercervical disk hernia) among them 223 male and 201 female patients aged 16-77. In the group of lumbodorsal intervertebral disk patients, 204 patients underwent an intervention in one disk, 116 in two and 19 in three disks. 63 patients underwent two interventions, 6 patients have had the history of open operation. In the group of hernia of intervetebral disk there were 28 patients underwent the intervention on 1 disk, 50 on 2 disks and 7 on 3 disks. 12 patients underwent two intervention, 1 patient has had a history of open operation. After the intervention by laser, there is a follow up of 1-41 months. In Vietnam it is demonstrated that laser puncture through skin is minimal invention with many advantages in treatment of hernia of spinal intervertebral disk.
Intervertebral Disk ; Skin ; Pressure

200 patients aged 18-67 including 109 males, 91 females were diagnosed definitely as lumbar disk prolapsas by saccoradiculography and treated surgically in the Hospital N0103 from Nov 1999 to Nov 2003. Saccoradiculography give accurate results, without complication and consistent with post operative diagnosis. The tecnique can be used at provincial level, in lacking of MRI
Hernia ; Intervertebral Disk ; Lumbar Vertebrae

60 make a puncture to spinal disc to treat hernia in lumbi of 15 patients (8 males, 7 females of 18-57 years old ) in the Hospital 103. The procedure gave moderate to good results in 86.6% of patients, among them 46.6 had good and very good results. The procedure is easy to make, after a follow up, even of 3 years, no complications occurred
Hernia ; Punctures ; Intervertebral Disk Displacement ; Therapeutics

The herniated lumbar disc (HLD) in adolescent patients is characterized by typical discogenic pain that originates from a soft herniated disc. It is frequently related to back trauma, and sometimes it is also combined with a degenerative process and a bony spur such as posterior Schmorl's node. Chemonucleolysis is an excellent minimally invasive treatment having these criteria: leg pain rather than back pain, severe limitation on the straight leg raising test (SLRT), and soft disc protrusion on computed tomography (CT). Microsurgical discectomy is useful in the cases of extruded or sequestered HLD and lateral recess stenosis due to bony spur because the nerve root is not decompressed with chymopapain. Spinal fusion, like as PLIF, should be considered in the cases of severe disc degeneration, instability, and stenosis due to posterior central bony spur. In our study, 185 adolescent patients, whose follow-up period was more than 1 year (the range was 1 - 4 years), underwent spinal surgery due to HLD from March, 1998 to December, 2002 at our institute. Among these cases, we performed chemonucleolysis in 65 cases, microsurgical discectomy in 94 cases, and posterior lumbar interbody fusion (PLIF) with cages in 33 cases including 7 reoperation cases. The clinical success rate was 91% for chemonucleolysis, 95% for microsurgical disectomy, and 89% for PLIF with cages, and there were no non- union cases for the PLIF patients with cages. In adolescent HLD, chemonucleolysis was the 1st choice of treatment because the soft adolescent HLD was effectively treated with chemonucleolysis, especially when the patient satisfied the chemonucleolysis indications.
Adolescent ; Adult ; Child ; Diskectomy/instrumentation/*methods ; Follow-Up Studies ; Humans ; *Intervertebral Disk Chemolysis ; Intervertebral Disk Displacement/*surgery/*therapy ; Lumbar Vertebrae/*surgery ; Microsurgery ; Spinal Fusion/instrumentation/*methods ; Treatment Outcome

No abstract available.
Intervertebral Disc*

No abstract available.
Intervertebral Disc*

Nerve-root anomalies are very uncommon, and there symptoms and signs are nearly similar with those of disc herniation. So we can misdiagnois them for intervertebral disc herniation. The negative Lasegue' sign is the only distinct feature of the nerve root anomalies. The authors report a case of Nerve-Root Anomaly associated with disc herniation in lumbar 4-5 interspace, which was diagnosed preoperatively in myelogram and confirmed surgically.
Intervertebral Disc*

No abstract available.
Intervertebral Disc*

No abstract available.
Intervertebral Disc*

No abstract available.
Intervertebral Disc*