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

Publication

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

Journal Paper/Review - Nov 30, 2011

Stienen Martin N., Cadosch D, Hildebrandt Gerhard, Gautschi O P

Citation

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.

Type

Journal Paper/Review (Deutsch)

Journal

Praxis (Bern 1994) 2011; 100

Publication Date

Nov 30, 2011

Issn Print

1661-8157

Pages

1475-85

Brief description/objective

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.