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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 .
An intervertebral disc (British English), also spelled intervertebral disk (American English), lies between adjacent vertebrae in the vertebral column.Each disc forms a fibrocartilaginous joint (a symphysis), to allow slight movement of the vertebrae, to act as a ligament to hold the vertebrae together, and to function as a shock absorber for the spine.
Degenerative disc disease (DDD) is a medical condition typically brought on by the aging process in which there are anatomic changes and possibly a loss of function of one or more intervertebral discs of the spine. [1] DDD can take place with or without symptoms, but is typically identified once symptoms arise.
The most common cause of an intractable sCSF leak is discogenic, either from a spinal disc herniation, osteophyte or microspur on the disc or vertebral body. "Recent radiological and microsurgical investigations revealed that a calcified, degenerative bony microspur is often the culprit lesion in cases of intractable CSF leaks.
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IDET (Intradiscal Electrothermal Annuloplasty) [1] is a recently developed minimally invasive form of annuloplasty consisting of the insertion of a hollow needle into the affected disc. Through this needle, a heating wire is passed. Once the wire has reached the disc, it is heated to 90 °C for approximately fifteen minutes.
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Surgery appears to lead to better outcomes if symptoms continue after 3–6 months of conservative treatment. [30] Laminectomy is the most effective of the surgical treatments. [ 26 ] In those who worsen despite conservative treatments surgery leads to improvement in 60–70% of cases. [ 7 ]
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