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The biomechanical relationship between the sacroiliac joint, the piriformis muscle (see "piriformis syndrome"), and the sciatic nerve had not yet been discovered. [18] In 1934, the work of Mixter and Barr shifted all emphasis in research and treatment from the sacroiliac to the herniated intervertebral disc, namely lumbar discs. [30]
Disc herniation can occur in any disc in the spine, but the two most common forms are lumbar disc herniation and cervical disc herniation. The former is the most common, causing low back pain (lumbago) and often leg pain as well, in which case it is commonly referred to as sciatica .
A rupture disc (burst) Pressure-effect acting at a rupture disc A rupture disc, also known as a pressure safety disc, burst disc, bursting disc, or burst diaphragm, is a non-reclosing pressure relief safety device that, in most uses, protects a pressure vessel, equipment or system from overpressurization or potentially damaging vacuum conditions.
The most common causes of cord compression are tumors, but abscesses and granulomas (e.g. in tuberculosis) are equally capable of producing the syndrome. Tumors that commonly cause cord compression are lung cancer (non-small cell type), breast cancer , prostate cancer , renal cell carcinoma , thyroid cancer , lymphoma and multiple myeloma .
A minor rupture may only result in paresis, but a major rupture can cause enough damage to cut off circulation. If no signs of pain can be elicited, surgery should be performed within 24 hours of the incident, to remove the disc material and relieve pressure on the spinal cord. After 24 hours, the chance of recovery declines rapidly, since with ...
Lumbar disc disease is the drying out of the spongy interior matrix of an intervertebral disc in the spine. Many physicians and patients use the term lumbar disc disease to encompass several different causes of back pain or sciatica. In this article, the term is used to describe a lumbar herniated disc.
rupture Greek ῥῆξῐς (rhêxis), breaking, bursting, discharge karyorrhexis-rrhoea flowing, discharge Greek ῥοίᾱ (rhoíā), flow, flux diarrhoea: rubr(o)-of or pertaining to the red nucleus of the brain Latin ruber, red rubrospinal-rupt: break or burst Latin rumpō: erupt, interrupt
[59] [60] Many observers have noted that the most common cause of a failed back syndrome (FBS) is caused from recurrent disc herniation at the same level originally operated. A rapid removal in a second surgery can be curative. The clinical picture of a recurrent disc herniation usually involves a significant pain-free interval.
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