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1. a herniated disc when other non-surgical treatments have failed. The nucleus pulposus (the jelly-like center of the disc) of the herniated disc bulges out through the annulus (surrounding wall) and presses on the nerve root next to it. 2. degenerative disc disease (spondylosis). The disc consists of about 80% water.
Microdiscectomy (or microdecompression) is a minimally invasive surgical procedure in which a portion of a herniated nucleus pulposus is removed by way of a surgical instrument. [2] The purpose of this procedure is to relieve the pressure and reduce the local inflammatory reaction around a nerve root, caused by the herniated nucleus pulposus.
Herniated disc at C6–C7 level. Cervical disc herniations occur in the neck, most often between the fifth and sixth (C5–6) and the sixth and seventh (C6–7) cervical vertebral bodies. There is an increased susceptibility amongst older (60+) patients to herniations higher in the neck, especially at C3–4. [23]
Non-radicular back pain is most commonly caused by injury to the spinal muscles or ligaments, degenerative spinal disease or a herniated disc. [11] Disc herniation and foraminal stenosis are the most common causes of radiculopathy. [11] Imaging of the spine and laboratory tests is not recommended during the acute phase. [19]
DAHANCA 8 (1998-2003, 70 pts) - Vineralbine and 5-FU in advanced head and neck cancer (phase 2). DAHANCA 9 (2000–06, 71 pts) - Randomized study of hyperfractionated accelerated vs accelerated radiotherapy in node-negative head and neck carcinoma. DAHANCA 10 (2002-2006, 522 pts) - Randomized study of the role of EPO in low-Hb patients
The second disc replacement to achieve wide clinical use was the prodisc total disc replacement; it continues to have worldwide use today. Designed by French orthopedic spine surgeon Thiery Marnay, M.D., in the late 1980s, early implantations of the prodisc device began in 1990, with a 7-11 year follow-up published in 2005.
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Cancer should be suspected if there is previous history of cancer, unexplained weight loss, or low-back pain that does not decrease by lying down or is unremitting. [3] Spinal epidural abscess is more common among those with diabetes mellitus or immunocompromised , who use intravenous drugs , or had spinal surgery , injection or catheter ; it ...
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