Persistent radiculopathy after surgical treatment for lumbar disc herniation: causes and treatment options
Autor: | Jessica P. Aidlen, Ashley Rogerson, Louis G. Jenis |
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Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Nerve root Pain Intervertebral Disc Degeneration 03 medical and health sciences 0302 clinical medicine Lumbar disc surgery Intervention (counseling) medicine Humans Orthopedics and Sports Medicine Radiculopathy Surgical treatment 030203 arthritis & rheumatology 030222 orthopedics Lumbar Vertebrae business.industry Lumbosacral Region Treatment options Surgery Orthopedic surgery Lumbar disc herniation business Psychosocial Intervertebral Disc Displacement |
Zdroj: | International Orthopaedics. 43:969-973 |
ISSN: | 1432-5195 0341-2695 |
DOI: | 10.1007/s00264-018-4246-7 |
Popis: | Lumbar disc surgery is a common procedure in the USA. It is frequently performed with good or excellent results in most patients. This article reviews common causes of persistent radiculopathy after surgical intervention. We performed an extensive review of the literature as well as applying our own experience. Common causes of persistent leg pain following operative intervention include re-herniation, epidural fibrosis, biochemical/physiologic changes in the nerve root, and psychosocial issues. Patients with persistent leg pain after surgical treatment of lumbar disc herniation can pose a challenging clinical problem. Summary of these topics and available treatment options are reviewed. |
Databáze: | OpenAIRE |
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