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LUMBAR DISC HERNIATION.

Luis Roberto Vialle¹, Emiliano Neves Vialle², Juan Esteban Suárez Henao³

¹Titular Professor of Orthopedics and Traumatology, Catholic Pontificate University of Paraná, and Spinal Surgery Group, Cajuru University Hospital, Curitiba.

Revista Brasileira De Ortopedia

|March 29, 2016

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Lumbar disc herniation, a common spinal condition, often resolves with conservative treatment. Surgery is reserved for severe cases, with specialized techniques improving outcomes and reducing recurrence.

Area of Science:

Neurosurgery
Orthopedics
Spinal Medicine

Background:

Lumbar disc herniation is a prevalent degenerative spinal abnormality, affecting 2-3% of the population.
It is a leading indication for spinal surgery in adults, characterized by lumbalgia and sciatica.
The condition typically shows natural symptom resolution within 4-6 weeks.

Purpose of the Study:

To outline the diagnostic criteria and natural history of lumbar disc herniation.
To delineate the indications for conservative versus surgical management.
To describe an effective surgical technique for persistent or severe cases.

Main Methods:

Review of clinical presentation, natural history, and treatment outcomes for lumbar disc herniation.
Analysis of conservative management strategies including medication, physiotherapy, and nerve root blocks.

Keywords:

Ligamentum flavum Lumbar disc herniation Sciatica Surgical treatment

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Evaluation of surgical indications and a refined technique involving extruded fragment removal and ligamentum flavum preservation.

Main Results:

Conservative treatment is the initial approach, with most cases resolving spontaneously.
Surgical intervention is indicated for refractory pain, significant motor deficits (grade >3), or cauda equina syndrome.
The described surgical technique effectively resolves sciatic symptoms and lowers long-term recurrence risk.

Conclusions:

Lumbar disc herniation management requires a stepwise approach, prioritizing conservative measures.
Careful patient selection and refined surgical techniques are crucial for optimizing outcomes in surgical candidates.
Prompt recognition and management of cauda equina syndrome are critical due to its emergent nature.