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Disc Herniation and Radiculopathy

  • Chapter
Spinal Disorders

Abstract

Sciatica has been known since antiquity, but the relationship between sciatica and disc herniation was not discovered until the beginning of the 20th century. In 1934, Mix er and Barr were the first to describe this correlation in their landmark paper [95]. At that time, herniated discs were removed by a transdural approach. In 1939, Love [84] and Semmes [122] independently developed the classic approach, which consisted of a subtotal laminectomy and retraction of the thecal sac medially to expose and remove the disc herniation [5]. Herniated nucleus pulposus (HNP) used to be synonymous with disc herniation, but the definition of disc herniation today is wider. A disc herniation can be defined as a focal displacement of nuclear, annular, or endplate material beyond the margins of the adjacent vertebral bodies. As a result of the displacement of the disc material, there is a focal contour abnormality of the disc margin [52].

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  1. Zentrum für Wirbelsäulen- und Rückenmarkchirurgie, Universität Zürich, Universitätsklinik Balgrist, Forchstr. 340, 8008, Zürich, Schweiz

    Massimo Leonardi & Norbert Boos

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  1. Massimo Leonardi
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  2. Norbert Boos
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  1. Zentrum für Wirbelsäulen- und Rückenmarkchirurgie, Universität Zürich Universitätsklinik Balgrist, Forchstraße 340, 8008, Zürich, Switzerland

    Norbert Boos

  2. Institut für Evaluative Forschung in Orthopädischer Chirurgie MEM Forschungszentrum, Universität Bern, Stauffacherstraße 78, 3014, Bern, Switzerland

    Max Aebi

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Leonardi, M., Boos, N. (2008). Disc Herniation and Radiculopathy. In: Boos, N., Aebi, M. (eds) Spinal Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-69091-7_18

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