Publikation

[The lumbar disc herniation - management, clinical aspects and current recommendations]

Wissenschaftlicher Artikel/Review - 30.11.2011

Bereiche
PubMed
DOI

Zitation
Stienen M, Cadosch D, Hildebrandt G, Gautschi O. [The lumbar disc herniation - management, clinical aspects and current recommendations]. Praxis (Bern 1994) 2011; 100:1475-85.
Art
Wissenschaftlicher Artikel/Review (Deutsch)
Zeitschrift
Praxis (Bern 1994) 2011; 100
Veröffentlichungsdatum
30.11.2011
ISSN (Druck)
1661-8157
Seiten
1475-85
Kurzbeschreibung/Zielsetzung

Lumbar disc herniation has a high prevalence and strong social-medical impact. Patients suffer from lower back pain that radiates from the spine. Loss of sensation or paresis adds to the clinical picture. The diagnosis should be confirmed by imaging in patients considered for surgery. High remission rates initially warrant conservative treatment (adequate analgesia and physiotherapy) in many patients. If this treatment does not lead to significant alleviation within 5-8 weeks, surgery should be performed to reduce the risk of chronic nerve affection. Posterior interlaminar fenestration is the intervention primarily conducted for this diagnosis. A relapse in the same region occurs in up to 10% of patients after months through years, which sometimes necessitates a reoperation if symptoms are pertinent.