S M Krieg1, B Meyer2. 1. Neurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland. 2. Neurochirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland. bernhard.meyer@tum.de.
Abstract
BACKGROUND: Post-nucleotomy syndrome includes all existing sequelae after surgical nucleotomy for the resection of a lumbar disc herniation, such as axial lumbar back pain and persisting radiculopathy. OBJECTIVES: To describe underlying pathologies and to determine operative treatment options. MATERIALS AND METHODS: Extensive literature research was carried out on Medline. RESULTS: Various devices and approaches have been developed in the last decades. Nonetheless, surgical and non-surgical therapy of post-nucleotomy syndrome remains complex and frequently fails. CONCLUSIONS: Better studies providing a better level of evidence for each sub-entity of post-nucleotomy syndrome are required.
BACKGROUND: Post-nucleotomy syndrome includes all existing sequelae after surgical nucleotomy for the resection of a lumbar disc herniation, such as axial lumbar back pain and persisting radiculopathy. OBJECTIVES: To describe underlying pathologies and to determine operative treatment options. MATERIALS AND METHODS: Extensive literature research was carried out on Medline. RESULTS: Various devices and approaches have been developed in the last decades. Nonetheless, surgical and non-surgical therapy of post-nucleotomy syndrome remains complex and frequently fails. CONCLUSIONS: Better studies providing a better level of evidence for each sub-entity of post-nucleotomy syndrome are required.
Entities:
Keywords:
Back ache; Herniated disc; Sequels; Spinal column; Spondylodesis
Authors: Jeffrey C Wang; Andrew T Dailey; Praveen V Mummaneni; Zoher Ghogawala; Daniel K Resnick; William C Watters; Michael W Groff; Tanvir F Choudhri; Jason C Eck; Alok Sharan; Sanjay S Dhall; Michael G Kaiser Journal: J Neurosurg Spine Date: 2014-07
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