Академический Документы
Профессиональный Документы
Культура Документы
Iraq
a disc herniation is the term given to any uneven out pouching or bulging of the intervertebral disc as seen on MRI, and irritate these neural structures, which in turn may cause severe back and leg pain
PROTRUTIO N
EXTRUSION
SEQUESTRATION
segmental
Neural
Neural L5-S1 : cause buttocks pain, posterior high, posterior lower leg and down to the heel If you want to know anything else..please ask me Notes : cauda equina syndrome is an emergency cindition that usually requires immediate surgical treatment (the symptom are loses bowel and bladder control, pain, weakness, numbness and paralysis of the legs
Conservative
Physical therapy
Nerve block
Epidural block
Notes : indication for surgery :
excercise
Retrospective study 50 sample who were based diagnosed on the basis clinical signs & symptom of back pain & radiculopaty and confirmed by MRI and then operated after a period of consevative treatment of 2-3 month
32 M & 18 F
Scoring by ODI
Pain intensity (0-5 poin) Personal care (0-5 poin) Lifting (0-5 poin) Walking (0-5 poin) Sitting (0-5 poin)
Point total/50 X 100 : %disability 0-20% minimal disability 21-40% moderate disability 41-60 severe disability 61-80 crippled
Standing (0-5 poin) Sleeping (0-5 poin) Sex life (0-5 poin) Social life (0-5 poin) Traveling (0-5 poin)
81-100 : exaggerating their symptoms 38 (41-60% ODI) & 12 (61-80%)
After the operations the operative results to the patiens were devided into 4 groups regarding the operative outcome :
Excellent
Good Fair Poor
Neurological deficit &org sphincter incontinence in patient with LDP mandate early
The higher incidence in male, however there is no significant effect for the gender of the patient on the functional recovery & surgical outcome
Older patient maybe change to the degenrative disease, may show bad results of
surgery and long term follow up
Earl operation with extruded or sequestrated who presented early give encourgable results
Degeneratif change of lumbosacral spine is an important unfavorable factor affecting the surgical outcome & functional
recovery
Early surgery with extruded or sequestrated disc Early surgery for patients with neurological deficit Longterm conservative therapy for older patient Delayed surgical intervention after failure of lonterm conservative treatment to the relief the radicular