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Titolo:
Far-lateral disc herniations: The results of conservative management
Autore:
Rust, MS; Olivero, WC;
Indirizzi:
Univ Illinois, Coll Med, Dept Neurosurg, Peoria, IL 61657 USA Univ Illinois Peoria IL USA 61657 d, Dept Neurosurg, Peoria, IL 61657 USA
Titolo Testata:
JOURNAL OF SPINAL DISORDERS
fascicolo: 2, volume: 12, anno: 1999,
pagine: 138 - 140
SICI:
0895-0385(199904)12:2<138:FDHTRO>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
LUMBAR-DISK; DIAGNOSIS;
Keywords:
herniation; disc; management, conservative;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
11
Recensione:
Indirizzi per estratti:
Indirizzo: Olivero, WC Univ Illinois, Coll Med, Dept Neurosurg, POB 16-49, Peoria, IL61657 USA Univ Illinois POB 16-49 Peoria IL USA 61657 oria, IL 61657 USA
Citazione:
M.S. Rust e W.C. Olivero, "Far-lateral disc herniations: The results of conservative management", J SPINAL D, 12(2), 1999, pp. 138-140

Abstract

The far-lateral herniated lumbar disc has become increasingly recognized as a cause for low back pain and lumbar radiculopathy as well as for "failedback syndrome" in certain improperly diagnosed cases. Several authors havereported that the majority of patients show poor response to conservative measures, To better understand the natural history, we performed a retrospective review of all lumbar herniated discs during a 3-year period, collecting 16 patients with 17 far-lateral disc herniations. All displayed radicular pain in the distribution of the root exiting at the same level as the herniated disc, with or without associated back pain. Twelve of the 17 disc herniations responded to conservative measures and had complete resolution oftheir radicular pain at follow-up. Also, at long-term follow-up, essentially all patients had experienced satisfactory subjective resolution of theirweakness or sensory complaints. Five patients required surgery because of intractable pain despite conservative measures, Although our series for far-lateral disc herniations is small, we found that conservative measures do afford a relatively high nonoperative success rate of similar to 71%. This is in contrast to earlier implied or stated opinions indicating a low rate of successful nonoperative management as low as 10% in one series.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/07/20 alle ore 15:35:13