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[70 patients operated on for sciatica without herniated disk].

J C Richard, F Mazas

    Revue De Chirurgie Orthopedique Et Reparatrice De L'Appareil Moteur
    |January 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

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    Surgical intervention for sciatica, when conservative treatments fail, is often beneficial. Clinical signs, not just imaging, should guide surgical decisions for sciatica due to bony compression or disc issues.

    Area of Science:

    • Neurosurgery
    • Orthopedics
    • Spinal Surgery

    Context:

    • Sciatica is a common condition causing significant pain and disability.
    • Surgical intervention is considered when conservative management fails.
    • Diagnostic challenges exist in identifying the precise cause of sciatica.

    Purpose:

    • To evaluate surgical outcomes in patients with sciatica where disc herniation was not initially identified.
    • To determine the efficacy of surgical decompression for bony spinal stenosis and disc bulging.
    • To assess the role of clinical presentation versus radiological findings in surgical decision-making for sciatica.

    Summary:

    • Of 70 operated sciatica patients without disc herniation, 42 had bony compression (spinal canal or foraminal stenosis), benefiting from decompressive surgery.

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  • Disc bulging was present in 20 patients, with 17 undergoing disc excision.
  • No abnormality was found in 8 cases, though some improved with surgery.
  • Clinical signs were deemed more critical than imaging for surgical guidance.

    • Impact:

    • Highlights the importance of clinical assessment in surgical decision-making for sciatica.
    • Demonstrates the effectiveness of decompressive surgery for bony spinal stenosis causing sciatica.
    • Suggests that surgical treatment should be systematically offered to patients with persistent sciatica unresponsive to conservative care.