Advertisement

Herniated Lumbar Disc and Lumbar Radiculopathy

  • Parviz Kambin

Abstract

The satisfactory outcome of arthroscopically and endoscopically assisted management of herniated lumbar discs hinges on accurate diagnosis of the symptom-producing site. Although the mean age of onset of symptoms of disc herniation is around 35 yr, disc herniations are occasionally observed in populations older than 60 or younger than 20 yr of age. In younger children, combined slippage of the intervertebral disc and the vertebral plates may be responsible for the presenting symptomatology.

Keywords

Intervertebral Disc Spinal Canal Disc Herniation Lumbar Disc Disc Fragment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Lazarevic LK. Ischias postica Cotunni. Sypski Arch 1980;7:23.Google Scholar
  2. 2.
    Forst JJ. Contribution a l’etude clinique la sciatique. Paris, These 33:1881.Google Scholar
  3. 3.
    Lasegue EC. Consideration aure la sciatique. Arch Gen Med 1864;6:558–580.Google Scholar
  4. 4.
    Cram RH. A sign of nerve root pressure. J Bone Joint Surg 1953;35-B:192–195.Google Scholar
  5. 5.
    Kambin P. Arthroscopic microdiscectomy. Arthroscopy 1992;8:287–295.PubMedCrossRefGoogle Scholar
  6. 6.
    Kambin P. Arthroscopic techniques for spine surgery, in Operative Arthroscopy (McGinty JB, Casperi RB, Jackson RW, Poehling GG, eds.), Lippincott-Raven, Philadelphia, 1996, pp. 1215–1225.Google Scholar
  7. 7.
    Atken AP, Bradford CH. End result of ruptured intervertebral disc in industry. Am J Surg 1947;73:365.CrossRefGoogle Scholar
  8. 8.
    Balderston RA, Gilyard GG, Jones AM, et al. The treatment of lumbar disc herniation: simple fragment and excision versus disc space curettage. J Spinal Disord 1991;4:22–25.PubMedGoogle Scholar
  9. 9.
    Hampton D, Laros G, MacCarron R, Franks D. Healing potential of annulus fibrosis. Spine 1989;14(4):398–401.PubMedCrossRefGoogle Scholar
  10. 10.
    Markolf KL, Morris JM. The structural components of the intervertebral disc: a study of their contributions to the ability of disc to withstand compressive forces. J Bone Joint Surg 1974;56-A:675–687.Google Scholar
  11. 11.
    Ross JS, Robertson JT, Frederickson RC, Petric JL, Obuchowski N, Modic MT, deTribolet N. Association between peridural scar and recurrent radicular pain after lumbar discectomy: magnetic resonance evaluation. ADCON-L European Study Group. Neurosurgery 1996;38:855–863.PubMedCrossRefGoogle Scholar
  12. 12.
    Hermantin F, Quartararo L, Peters T, Kambin P. A prospective, randomized study comparing the results of open discectomy versus video-assisted microdiscectomy. J Bone Joint Surg 1999;81-A(7):958–965.Google Scholar
  13. 13.
    Haaland AK, Graver V, Ljunggren AE, Loeb M, Lie H, Magnaes B, Godal HC. Fibrinolytic activity as a predictor of the outcome of prolapsed intervertebral disc surgery with reference to background variables: results of a prospective cohort study. Spine 1992;17:1022–1027.PubMedCrossRefGoogle Scholar
  14. 14.
    Park WW. The significance of venous return impairment in ischemic radiculopathy and myelopathy. Orthop Clin North Am 1991;22:213–221.Google Scholar
  15. 15.
    Park WW. Clinical anatomy of the lower lumbar spine, in Arthroscopic Microdiscectomy: Minimal Intervention in Spinal Surgery (Kambin P, ed.), Urban & Schwarzenberg, Baltimore, 1991, pp. 11–29.Google Scholar
  16. 16.
    Hoyland JA, Freeman AJ, Jayson ML. Intravertebral foramen venous obstruction: a cause of periradicular pain fibrosis. Spine 1989;14:558–568.PubMedCrossRefGoogle Scholar
  17. 17.
    Dullerud R, Graver V, Haakonsen M, Haalaud AK, Loeb M, Magnaes B. Influence of fibrinolytic factors on scar formation after lumbar discectomy: a magnetic resonance imaging follow-up study with clinical correlation performed 7 years after surgery. Spine 1998;23:1464–1469.PubMedCrossRefGoogle Scholar
  18. 18.
    Pountain GD, Keegan AL, Jayson ML. Impaired fibrinolytic activity in defined chronic back pain syndromes. Spine 1987;12:83–86.PubMedCrossRefGoogle Scholar
  19. 19.
    Rantanen J, Hurme M, Falck B, Alaranta H, Nykvist F, Lehto M, Einola S, Kalimo H. The lumbar multifidus muscle five years after surgery for a lumbar intervertebral disc herniation. Spine 1993;18:568–574.PubMedCrossRefGoogle Scholar
  20. 20.
    Weber BR, Grob D, Dvorak J, Muntener M. Posterior surgical approach to the lumbar spine and its effect on the multifidus muscle. Spine 1997;22:1765–1772.PubMedCrossRefGoogle Scholar
  21. 21.
    Kambin P, Cohen L, Brooks ML, Schaffer JL. Development of degenerative spondylosis of the lumbar spine after partial discectomy: comparison of laminatomy, discectomy and posterolateral discectomy. Spine 1995;20:599–607.PubMedCrossRefGoogle Scholar
  22. 22.
    Kambin P, O’Brien E, Zhou L. Arthroscopic microdiscectomy and selective fragmentectomy. Clin Orthop 1998;347:150–167.PubMedGoogle Scholar
  23. 23.
    Kambin P. Percutaneous lumbar discectomy: current practice. Surg Rounds Orthop 1988;31-35.Google Scholar
  24. 24.
    Kambin P. in Arthroscopic Microdiscectomy: Minimal Intervention in Spinal Surgery (Kambin P, ed.), Urban & Schwarzenberg, Baltimore, 1991, pp. 67–100.Google Scholar
  25. 25.
    Kambin P. The role of minimally invasive surgery in spinal disorders. Adv Oper Orthop 1995;3:147–171.Google Scholar
  26. 26.
    Kambin P. Arthroscopic microdiscectomy, in The Adult Spine: Principles and Practice Edition, (Frymoyer JW, Ducker T, Hadler N, et al. eds.), Raven, New York, 1996, pp. 2023–2036.Google Scholar
  27. 27.
    Kambin P, Casey K, O’Brien E, et al. Transforaminal arthroscopic decompression of lateral recess stenosis. J Neurosurg 1996;84:462–467.PubMedCrossRefGoogle Scholar
  28. 28.
    Yeung A, Tsou PM. Posterolateral endoscopic excision for lumbar disc herniation, surgical technique: outcome and complications in 307 consecutive cases. Spine 2002;27:722–731.PubMedCrossRefGoogle Scholar
  29. 29.
    Kambin P. Arthroscopic microdiscectomy: lumbar and thoracic in Spine Care, vol. 2 (White A, Schofferman JA, eds.), Mosby, St. Louis, 1995, pp. 1002–1016.Google Scholar
  30. 30.
    Kambin P, McCullen G, Park W, et al. Minimally invasive arthroscopic spinal surgery. Instruct Course Lect 1997;46:143–161.Google Scholar
  31. 31.
    Kambin P. Diagnostic and therapeutic spinal arthroscopy. Neurosurg Clin North Am 1996;7(1):65–76.Google Scholar
  32. 32.
    Kambin P. Unilateral biportal percutaneous surgical procedures and instrumentation. US patent 5,395,317, 1991.Google Scholar
  33. 33.
    Kambin P, Gennarelli T, Hermantin F. Minimally invasive techniques in spinal surgery: current practice. Neurosurg Focus 1998;4(2):1–10.Google Scholar
  34. 34.
    Kambin P, Sampson S. Laminectomy versus percutaneous lateral discectomy—a comparative study. Paper presented at 51st AAOS Meeting, February 1984, Atlanta, GA.Google Scholar
  35. 35.
    Kambin P, Casey K. Posterolateral arthroscopic and endoscopic microdiscectomy of lumbar spine. In Spinal Cord Surgery (Zileli M, ed.) Vol. 1 2002; pp 705–718.Google Scholar
  36. 36.
    Mathews HH, Kyles MK, Lang BH, Fiore SM, Gordon CL. Spinal endoscopy: indications, approaches and applications. Orthop Trans 1995;19:219.Google Scholar
  37. 37.
    Kambin P. Principles and experiences with monoportal arthroscopic microdiscectomy. Video presentation of endoscopic laminectomy and foraminatomy. Bulgrist Orthopaedic Hospital University of Zurich School of Medicine, Zurich, Switzerland, December 2,1993.Google Scholar
  38. 38.
    Wiltse LL, Rothman SLG, Chafetz N. Stenosis in spondylolisthesis of the lumbar spine (Anderson GBJ, McNeill TW, eds.), Mosby Yearbook 1992, pp. 179–207.Google Scholar
  39. 39.
    Wiltse LL, Bateman JG, Hutchinson RH, et al. The paraspinal sacrospinalis-splitting approach to the lumbar spine. J Bone Joint Surg (Am) 1968;50:919–926.Google Scholar
  40. 40.
    Kambin P. Arthroscopic foraminal surgical procedures performed through a working channel scope. US patent application 08/207831 March 1994.Google Scholar
  41. 41.
    Hadjipavlou AG, Kambin P, Lander PH, Crow WN, Simmons JW. Imaging-guided minimally invasive surgery for low back pain, sciatica and spinal infection. J Intervent Radiol 1999;14:1–22.Google Scholar
  42. 42.
    Schaffer JL, Kambin P. Percutaneous posterolateral lumbar diskectomy and decompression with a 6.9 millimeter cannula: analysis of operative failures and complications. J Bone Joint Surg (Am) 1991;73:822–831.Google Scholar

Copyright information

© Humana Press Inc., Totowa, NJ 2005

Authors and Affiliations

  • Parviz Kambin
    • 1
  1. 1.Drexel University College of MedicinePhiladelphia

Personalised recommendations