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Effects of Local Anesthetics With or Without Steroids in High-Volume Transforaminal Epidural Blocks for Lumbar Disc Herniation: A Randomized, Double-Blind, Controlled Trial

Chae JS, Kim Wj, Choi SH

Background: Lumbar transforaminal epidural block (TFEB) is an effective treatment modality for radicular pain due to lumbar disc herniation (LDH). The addition of steroids is more effective than local anesthetic...
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Vertebral Endplate Changes Correlate with Presence of Cartilaginous Endplate in the Herniated Disc Tissue: Factor Predicting Failure of Conservative Treatment

Latif R, Imran S, Ahmad I, Ilyas MS, Aziz A, Zehra U

Study Design: Cross-sectional comparative. Purpose: To characterize the scores of disc degeneration, inflammation, and nerve density in herniated disc samples and associate findings with the presence of vertebral endplate (VEP) changes...
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Transtubular Anterior Cervical Foraminotomy for the Treatment of Compressive Cervical Radiculopathy: Surgical Results and Complications in a Consecutive Series of Cases

Maduri R, Cossu G, Aureli V, Wüthrich SP, Bobinski L, Duff JM

Study Design: This was a retrospective review of patients with compressive cervical radiculopathy treated with a minimally invasive anterior cervical foraminotomy (ACF). Purpose: This study aimed to evaluate the results and...
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Posterior Approach in C2–3 Disc Herniation: C1 Laminectomy, C2–3 Laminoplasty and Posterior Fixation in C2–3 Disc Herniation

Kim S, Hwang SH, Cho BK, Yoon SH, Yoon J

C2–3 disc herniation is rare and a definitive treatment of choice has not been established. The purpose of this case report is to suggest posterior approach as one of the best...
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Use of an Internal Retractor for Percutaneous Full-Endoscopic Resection in Cervical Intervertebral Disc Herniation with a Posterior Approach

Nakamura S, Taguchi M

Study Design: A preliminary case series study. Purpose: For the safety of performing a posterior percutaneous full-endoscopic cervical discectomy. Overview of Literature: Because of the lack of space for inserting an outer...
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Lumbar Endoscopic Bony and Soft Tissue Decompression With the Hybridized Inside-Out Approach: A Review And Technical Note

Lewandrowski KU, Yeung A

This study aimed to showcase the authors’ preferred technique of a hybrid of modern “inside-out” and “outside-in” endoscopic decompression. A case series of 411 patients consisting of 192 females (46.7%)...
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Is It Possible to Replace Microendoscopic Discectomy with Percutaneous Transforaminal Discectomy for Treatment of Lumbar Disc Herniation? A Meta-Analysis Based on Recurrence and Revision Rate

Zhao Xm, Yuan Ql, Liu L, Shi Ym, Zhang Yg

Objectives : Due to recent developments and the wide application of percutaneous transforaminal discectomy (PTED) in China, we herein compare its clinical effects with microendoscopic discectomy (MED) for the treatment...
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Cumulative Therapeutic Effect of High-Voltage Microcurrent Therapy in Patients with Herniated Lumbar Disc

Yun WH, Park J, Kim D, Park JH

OBJECTIVE: This study aims to evaluate the efficacy of high-voltage microcurrent therapy in patients with herniated lumbar disc (HLD) presenting radicular or back pain. METHOD: This is a retrospective study with...
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Efficacy of a Novel Annular Closure Device after Lumbar Discectomy in Korean Patients: A 24-Month Follow-Up of a Randomized Controlled Trial

Cho PG, Shin DA, Park SH, Ji GY

OBJECTIVE: Lumbar discectomy is an effective treatment for lumbar disc herniation (LDH); however, up to 2–18% of patients with LDH have experienced recurrent disc herniation. The purpose of this study...
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Clinical Effectiveness of Percutaneous Epidural Neuroplasty According to the Type of Single-Level Lumbar Disc Herniation : A 12-Month Follow-Up Study

Cho PG, Ji GY, Yoon YS, Shin DA

OBJECTIVE: To determine whether the outcomes of percutaneous epidural neuroplasty (PEN) are influenced by the type of lumbar disc herniation (LDH) and evaluate the effectiveness of PEN in patients with...
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Brown-Séquard Syndrome Caused by Acute Traumatic Cervical Disc Herniation

Kim SJ, Lee SH, Bae J, Shin SH

Brown-Séquard syndrome (BSS) is an incomplete spinal cord injury caused by damage to one-half of the spinal cord. Most cases of BSS result from penetrating trauma or tumors, and acute...
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Biportal Endoscopic Spinal Surgery for Lumbar Intervertebral Disc Herniation

Lee HJ, Choi DJ, Park EJ

Herniation of the intervertebral disc is a medical disease manifesting as a bulging out of the nucleus pulposus or annulus fibrosis beyond the normal position. Most lumbar disc herniation cases...
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The Effectiveness of Ultrasound-Guided Selective Nerve Root Block for the Treatment of Radicular Pain in the Lower Cervical Spine: An Assessment of Sustainability and Side Effects

Kang HS, Kim CS, Kwon YH

PURPOSE: The purpose of this study was to evaluate the sustainability and adverse effects of ultrasound-guided selective nerve root block in patients who complained of radiculopathy due to lower cervical...
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Percutaneous mechanical lumbar disc decompression using the enSpireâ„¢ interventional discectomy system: a preliminary study

Nam JW, Moon HS, Kim YH, Han BM

BACKGROUND: The enSpireâ„¢ interventional discectomy system is a new device for treating percutaneous disc decompression (PDD). The outcomes of using the enSpireâ„¢ for lumbar disc herniation have not been previously...
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Intrinsic Vertebral Markers for Spinal Level Localization in Anterior Cervical Spine Surgery: A Preliminary Report

Jha DK, Thakur A, Jain M, Arya A, Tripathi C, Kumari R, Kushwaha S

STUDY DESIGN: Prospective clinical study. PURPOSE: To observe the usefulness of anterior cervical osteophytes as intrinsic markers for spinal level localization (SLL) during sub-axial cervical spinal surgery via the anterior approach. OVERVIEW...
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Delayed High Output Heart Failure due to Arteriovenous Fistula Complicated with Herniated Disc Surgery

Park T, Park SH, Arora A

A 36-year-old male presented with progressive exertional dyspnea over months. Physical examination showed jugular venous distension, lung crecipitations, femoral bruit and pitting pedal edema. Echocardiogram showed a dilated right ventricle...
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A Modified Approach of Percutaneous Endoscopic Lumbar Discectomy (PELD) for Far Lateral Disc Herniation at L5-S1 with Foot Drop

Chun EH, Park HS

Foraminal or extraforaminal Far Lateral Disc Herniations (FLDH) extending into or beyond the foraminal zone have been recognized as between 7-12% of all lumbosacral disc herniations. Conventional posterior laminectomy may...
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Nefopam Reduces Dysesthesia after Percutaneous Endoscopic Lumbar Discectomy

Ok YM, Cheon JH, Choi EJ, Chang EJ, Lee HM, Kim KH

BACKGROUND: Neuropathic pain, including paresthesia/dysesthesia in the lower extremities, always develops and remains for at least one month, to variable degrees, after percutaneous endoscopic lumbar discectomy (PELD). The recently discovered...
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Cervical Myelopathy Caused by Disc Herniation at the Segment of Existing Osteochondroma in a Patient with Hereditary Multiple Exostoses

Ikuta K, Tarukado K, Senba H, Kitamura T, Komiya N, Shidahara

Hereditary multiple exostoses (HME) is a benign hereditary disorder characterized by multiple osteochondromas. Osteochondroma appears occasionally in the spinal column as a part of HME. A 37-year-old man presented with...
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Risk Factors for Recurrent Lumbar Disc Herniations

Shin BJ

The most common complication after lumbar discectomy is reherniation. As the first step in reducing the rate of recurrence, many studies have been conducted to find out the factors that...
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