Surgical Treatment of Low Back Pain & Sciatics
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1. The document discusses various surgical treatments for low back pain and sciatica resulting from disc herniation, including discectomy, DIAM, and disc arthroplasty. 2. DIAM and disc arthroplasty aim to relieve pain, improve function, restore sagittal balance, and avoid adjacent level breakdown after discectomy by maintaining disc height and foramenal space. 3. The retroperitoneal approach for disc arthroplasty is described as minimally invasive and muscle-preserving, allowing a good view of the intervertebral space through a small incision.
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Patients & Methods:
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Introduction:
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Tria and Alica, described Wiberg classification of patella facet shapes, and there is another classification based on Morphology ratio.
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In this study we evaluated 30 limbs in 30 patients with chondromalacia (20 females, 10 males ). Medial and lateral facets were calculated on patellar knee view. Also patellar articular length and overall patellar length were calculated in knee joint in 30 flexion. The results were compared to values obtained from 30 limbs in 30 healthy volunteers.
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In Wiberg classification, 57% of normal persons had patella type I while 17% of patients with chondromolacia had this type (p=0.01). Also 43% of normal persons had patella type II while 83% of patients had this type (p= 0.01).
In Morphology ratio classification, 40% of normal persons had patella type II while 13% of patients had this type (p=0.02). Also none of normal persons had patella type III while 13% of patients had this type (p=0.03).
Discussion:
A variety of sports commonly lead to chondromoalacia patella due to unusual compressive forces. Therefore young population specially athletes should pay attention to their patella shapes for selecting the sports types.
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3) Treatment depends on the severity and progression of the curvature and may involve bracing, casting, or surgery to correct or prevent worsening of the deformity.
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Ligament stress, strain on the back, annular and disc tears, degenerative changes and aging can lead to chronic back pain. Understanding disorders of the spine and how they are caused will help provide the right treatment option for individual patients.
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Radiculopathy is caused by compression of a nerve root from the spinal cord, which can cause pain radiating into the arm or leg. The compression can be from an acute injury like whiplash or trauma, or develop slowly over time from thickening ligaments or arthritis. Whether a compressed nerve can heal depends on the severity and duration of compression. Nerves have the ability to recover if the compression was not too forceful or long-term. Recovery occurs at a rate of 1 mm per day, with pain usually improving first followed by paralysis and finally numbness. Complete recovery is possible with decompression of the nerve, depending on the extent and duration of the original compression.Holiday Greetings
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Jean-Louis Leflot, MD, is a surgeon at the Military Hospital Queen Astrid in Brussels and the University Hospital Mont-Godinne in Yvoir, Belgium. He has extensive experience performing cervical arthroplasty procedures. In this document, Dr. Leflot likely discusses the details and outcomes of cervical arthroplasty, a surgical procedure to replace a damaged disc in the neck with an artificial disc.
六合彩,香港六合彩 » SlideShare
六合彩一种不怒而威的感觉，浑身上下留露出透彻香港六合彩心肺的霸气。
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Prolapsed lumbar intervertebral disc occurs when the soft central portion of an intervertebral disc bulges out beyond the damaged outer rings of the disc. It commonly affects the lower back and can cause lower back pain and leg pain. Diagnosis involves physical examination, imaging studies like MRI, and ruling out other potential causes of back pain. Treatment options include conservative measures like physical therapy and epidural steroid injections or surgery like discectomy if conservative options fail. Surgery aims to relieve nerve compression and associated back pain.
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This document discusses anterior cervical fusion versus cervical disc arthroplasty for treating cervical spine issues. It provides details on the surgical challenges, approaches, and various cervical disc prosthesis designs, including the Bryan, PCM, M6C, Rhine, Mobi-C, and Synergy. Follow-up images and studies on the Mobi-C prosthesis over 4-7 years show maintained motion and lordosis with no revisions, suggesting cervical disc arthroplasty can preserve function and reduce adjacent level issues compared to fusion while providing safe, durable results.
Anterior Lumbar Approach & Lumbar Disc Prosthesis LEFLOT J-L
This document discusses the anterior lumbar approach for lumbar total disc arthroplasty and fusion. It provides advantages of the anterior approach including minimal invasiveness, reduced blood loss and risk of infection compared to posterior approaches. The anterior approach respects lumbar musculature and prevents iatrogenic fibrosis. It allows for complete disc removal and restoration of disc height and sagittal balance. Anterior lumbar interbody fusion and circumferential fusion are described. Outcomes of mobile lumbar disc prostheses are presented as an alternative to fusion while preserving mobility.
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TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...
Surgical Treatment of Low Back Pain & Sciatics
- 7. DISCECTOMY
- 10. DIAM
- 11. DIAM Man 42Y Chronic Low Back Pain and Irritation L4 Left Intra- and Extraforamenal Disc Herniation
- 12. D evice I ntervertebral for A ssisted M otion 6 months after discectomy and DIAM L4L5 No more leg pain and good relief of the lumbagos Normal height of the intervertebral disc
- 14. Disc Arthroplasty Man 39Y (Infantery) Chronic Low Back Pain and Sciatic L5 right Disc Hernia L4L5 right Discopathy from levels L3L4, L4L5, L5S1 Severe L4L5 and L5S1
- 15. Disc Arthroplasty ALIF L5S1 + TDA L4L5 Only 1 approach (RetroPeritoneal) ! Control after 6 months No more lumbago & sciatic
- 18. Disc Arthroplasty Retroperitoneal Approach
- 19. Disc Arthroplasty « Minimal invasive surgery » A very good view of the intervertebral space is possible with a mini-access (5 cm)
- 23. Dynamic Instability Disc degeneration L4L5 (L3L4) Facet osteoarthritis Disc protrusion Spinal and foramenal stenosis Dynamic Instability
- 24. Hypermobility above fusion ! HIGH RISK after PLIF !
- 25. ALIF is beter than PLIF Man 32 Y (Infantery)
- 27. ALIF
- 28. AXIALIF
- 29. AXIALIF
- 30. AXIALIF Indications - Discopathy L5S1 without hernia - Spondylolisthesis L5S1 grade 1 + Posterior fixation