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Tears are almost always posterolateral (on the back sides) owing to relative narrowness of the posterior longitudinal ligament relative to the anterior longitudinal ligament. [3] A tear in the disc ring may result in the release of chemicals causing inflammation, which can result in severe pain even in the absence of nerve root compression.
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.
[28] [29] This inflammatory molecule, called tumor necrosis factor-alpha (TNF), is released not only by the herniated or protruding disc, but also in cases of disc tear (annular tear), by facet joints, and in spinal stenosis. [24] [30] [31] [32] In addition to causing pain and inflammation, TNF may also contribute to disc degeneration. [33]
Disk biacuplasty is a medical procedure that applies heat to the annulus of disks that separate the vertebra of the back with the goal of ablating the neurons that generate pain sensations. [1]
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.
Jensen and colleagues, in an MRI study of the lumbar spine in 98 asymptomatic adults, found that in more than half, there was a symmetrical extension of a disc (or discs) beyond the margins of the interspace (bulging). In 27 percent, there was a focal or asymmetrical extension of the disc beyond the margin of the interspace (protrusion), and in ...
Nonsurgical treatments include medications, physiotherapy, and injection procedures. [1] Decompressive spinal surgery may modestly improve outcomes but carries greater risk than conservative treatment. [1] Overall, there is limited supporting evidence to determine the most effective surgical or nonsurgical treatment for people with symptomatic ...
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.
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