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PubMed1987

[Spinal ultrasound tomography in the diagnosis of lumbar intervertebral disk displacement].

By comparative sonographic and myelographic investigations of 61 patients with lumbar disc herniations and other nerval compressive syndromes, the value of the spinal sonography in the diagnosis of lumbar disc herniation is demonstrated. The transversal transabdominal representation of lumbar disc herniations is successful in 82% of all cases. The sensitivity of sonography amounts to 0.73 in the segment L5/S1 and to 0.92 in the segment L4/5. In connection with the neurological investigation and X-ray films of the lumbar spine, the spinal sonography as a noninvasive procedure can represent an useful alternative to the myelographic diagnosis of the lumbar disc herniation.

Adolescent↗
PubMed1985

[Surgical treatment of cervical intervertebral disk displacement].

Between 1977 and 1983, 51 patients underwent operative treatment of cervical disc herniation. The operation were made by ventral approach, with discectomy, resection of the posterior longitudinal ligament and of the bone osteophytes, as well as with spinal fusion with autologeous bone graft. In the group with radicular syndromes 82.6% had an excellent or good result, and 69.9% of these attained the working capacity. In cases with cervical myelopathy good results were stated in 34.6%, however by patients with intraoperative findings of sequester in spinal canal the results are better. 69.2% of the patients with cervical myelopathy obtained disablement pension. In all cases of cervical disc disease with radicular and/or medullary syndromes the callenge to early operative intervention are accentuated.

Adult↗
PubMed1992

[The prognosis of conservatively treated lumbar intervertebral disk displacement].

72 out of 120 patients who where treated conservatively for proven lumbar disc prolapse over a seven-year-period were reexamined. Questionnaires could be obtained and evaluated for 91 patients. The date of reexamination was an average of 44.5 months after the end of inpatient-treatment. Results are given for the duration of inability to work and the "return to work" (RTW)-rate. The ability to work of 54 patients was regained after an average of 11.1 weeks, 95% of patients could return to their previous workplace.

Female↗
PubMed1991

[Surgical treatment of cervical intervertebral disk displacement].

Between the years 1976 und 1989 147 patients were operated on cervical disc herniation at the Neurosurgical Clinic of Innsbruck. 122 of these cases underwent a posterior approach according to Frykholm, 25 patients were treated by an anterior approach according to Cloward and Smith and Robinson, respectively. All patients received a descending myelography followed by a CAT-Scan of the questionable cervical segments the latter was available. In patients with disc herniation and only mild degenerative changes of the cervical spine a dorsal foraminotomy was chosen whereas the cases with nerve root compressions primarily due to spondylosis the ventral approach was preferred. Patients revealed a convincing benefit of motoric deficits after foraminotomy whereas disturbances of sensibility showed minor improvement either by ventral or posterior approach.

Adult↗