Lumbar Disc HerniationThis monograph analyses all aspects related to the etiopathogenesis, pathomorphology, diagnosis and treatment of lumbar disc herniation. It includes 24 chapters, over 500 illustrations, partly in colour, and 2800 bibliographic entries, going from the historical to the most recent ones. Five chapters are dedicated to biological and pathomorphologic aspects both of lumbar disc herniation and the conditions most often associated with herniation. The etiopathogenesis is analysed in the light of the most significant and recent studies. Five chapters deal with the clinical presentation and diagnostic tests in an extremely wide and detailed way. Large space is reserved to conservative management. The chapters on invasive treatments and on the results and complications of surgery define the advantages and limitations of the old and new percutaneous or surgical treatments. Two chapters are dedicated to surgical management of patients with spinal conditions associated with herniation, and two other deal with the surgical failure. This monograph is aimed at satisfying the requirements of both experts and young doctors. Some chapters are of particular interest to the spine specialist, whilst others are useful to the novice to acquire a general knowledge of the subject. |
Contents
The 19th century | 7 |
References | 13 |
Neural structures | 41 |
Vertebral and meningoradicular dynamics | 47 |
References | 55 |
References | 76 |
516 | 133 |
F Postacchini G Cinotti | 151 |
Radiculography and anesthetic nerveroot block | 269 |
Electrophysiologic investigations | 279 |
Indications | 290 |
Extravertebral diseases | 307 |
Differential diagnosis | 319 |
Psychiatric evaluation | 328 |
Types of herniation | 349 |
Nomogenic disorders | 462 |
Clinical features | 169 |
88 | 175 |
Pathomorphology | 203 |
517 | 209 |
Imaging studies | 211 |
Computerized tomography CT | 226 |
Bulging of annulus fibrosus | 231 |
Magnetic resonance imaging MRI | 240 |
MyeloCT | 261 |
References | 476 |
Diagnostic algorithm | 499 |
339 | 507 |
Spinal fusion and disc prosthesis | 521 |
Natural history of lumbar disc herniation | 586 |
Contralateral herniation at the operated level | 589 |
Degenerative spondylolisthesis | 595 |
Periarticular cysts | 605 |
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Common terms and phrases
abnormal and/or annulus fibrosus articular processes axial Bone Joint Surg cartilage cauda equina caudal cause chemonucleolysis chronic low back chymopapain Clin clinical collagen contrast medium CT scans cysts decrease deficits degenerated disc degenerative changes diagnosis disc degeneration disc fragment disc tissue discectomy discography epidural evaluation extruded fibers flexion fusion herniated disc herniated tissue hyperintense images increase injection intervertebral disc intervertebral foramen intradiscal intraforaminal lateral lesion low back pain lower limb lumbar disc herniation lumbar spine lumbosacral migrated muscle myelography needle nerve root nerve-root canal nerve-root compression Neurosurg normal nucleus pulposus occurs operation Orthop pathologic conditions pedicle portion position Postacchini posterior postoperative presence proteoglycans proximal radicular nerve radicular pain radiculopathy radiographs reflex sacral sagittal sciatica sensory signal intensity spin-echo spinal canal spinal stenosis structures surgery surgical symptoms syndrome T1-weighted thecal sac therapy tion treatment tumor usually vertebral body vertebral end-plate