Lumbalgia. Rotura traumática o degenerativa manguito rotador o tendón supraespinoso. Patología traumática, degenerativa e inflamatoria de hombro y. un peatón, cobrará la indemnización correspondiente cuando se recupere de sus lesiones (esguince cervical, lumbalgia postraumática, ligamento cruzado); . personales: desde una defunción a una gravísima lesión con secuelas, como lumbalgia postraumática, dorso lumbalgia postraumática, ligamento cruzado.
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Se detallan las modernas pautas de Effectiveness of the massage tuina and the Williams exercise like therapy in the hernia lumbar discal. Directory of Open Access Journals Sweden. Full Text Available The high incidence of the hernia lumbar discal is known in relatively young people. Twenty sick persons received massage and exercises, while at the twenty remaining were applied massage Tuina, being instructed in a group of postural care. The investigation denoted a bigger frequency of patient among 30 and 39 years and masculine sex that they carried out heavy work or intermediate.
The massage Tuina is an effective therapy to alleviate pain and to increase activity of the patients with hernia lumbar discalmainly when it is used alone or associated to Williams exercises, from the last one better results are obtained.
Epidural phlebography – Its diagnostic value in the lummbalgia of lumbar discal hernia when compared with radiculography. The objective of this study was to compare two neuroradiological methods used in the diagnosis of lumbar discal hernia -radiculography and epidural phlebography – as the result of the evaluation of 36 patients submitted to both procedures at the X-ray Diagnostic Service of the University Hospital of the University of Rio de Janeiro.
The results of both examinations to which all the patients were submitted, were compared with the surgical reports laminectomy to which some lymbalgia the patients were submitted. In this way it was possible to determine the sensitivity and the specificity of both methods. From these comparative study it could be verified that the procedures evaluated have a similar potentiality for the diagnosis of discal hernia.
The analysis of other aspects of the two procedures showed that phlebography is more expensive, more difficult to interpret and to perform than radiculography. In terms of complications or side effects that may occur during or after the exams these can be more severe and may happen more oftern in the case of radiculography.
In conclusion, we recommend radiculography as the method of choice for initial evaluation of a patient suspect of postraumaticw hernia. Phlebography should only be initially postrsumatica for the evaluation of patients who refuse to submit themselves to lumbar puncture for the radiculography.
In those patients where discal hernia is strongly suspected and the radiculography proves to be normal, the epidural radiculography could be used, without greater chances, however, of supplying more information that could benefit the patien in clarifying this clinical condition.
Surgical findings were recorded and compared with findings on clinical examination. The LS was the most sensitive preoperative physical diagnostic test with respect. A descriptive and cross-sectional study of patients with discal hernia assisted in “Dr. Juan Bruno Zayas Alfonso” Teaching General Hospital in Santiago de Cuba was carried out from December, to the same month ofto determine the clinical and imaging characteristics of this disorder by means of magnetic resonance.
The age group from 30 to 49 years, male sex, obesity as the main risk factor in the women and the excessive physical load in the men prevailed in the case material, as well as the pain, the lumbar localization and the right posterior centro-lateral and lateral hernias. It was found that the focal and diffuse protrusions turned out to be more common, associated with bony edema in the terminal plates, that the medullary compression and the secondary myelopathies were caused by cervical focal protrusions and the stenosis of the channel was mainly presented in the lumbar segment.
The typical clinical picture includes initial lumbalgia, followed by progressive sciatica.
Fibrosis retroperitoneal postraumática como causa de dolor lumbar
The natural history of disc herniation is one of rapid resolution of the symptoms from weeks. Early treatment should be conservative, with pain management and physiotherapy, sometimes associated with selective nerve root block. Surgery should be considered if pain management is unsuccessful, if there is a motor deficit strength grade 3 or less, where there is radicular pain associated with foraminal stenosis, or in the presence of cauda equina syndrome, the latter representing a medical emergency.
A refined surgical technique, with removal of the extruded fragment and preservation of the ligamentum flavum, resolves the sciatic symptoms and reduces. Full Text Available Fundamento: Epidurography as a method of topecal diagnosis of hernias of the lumbar intervertebral disks. Epidurograms of the lumbar spine of patients with discogenic lumbosacral radiculitis were analyzed. In of these patients discal hernians were removed at operation. Epidurography was shown to give an opportunity of specifying the site of discal hernians with relation to cross-section of the vertebral canal.
Median hernians were characterized by light shadows of the contrast column in a straight view and by deformity in both of its lateral views. Lateral hernians were characterized by changes in a straight view where there was a niche on the contrast column from the affected side. Deformity of the contrast column in the front epidural space was characteristic for paramedian hernians in the lateral view from the affected side.
The determination of the site of discal hernia with relation to the vertebral canal facilitates a choice of surgical tactics. Horse-tail represents the caudal continuation of the spinal cord. This portion of the nervous system is the seat of numerous pathologies.
We present a case report of acute debuted with a syndrome of the cauda equina, secondary to traumatic lumbar disc herniation.
This is a male patient aged 45, who was admitted to the emergency room because he referred acute and progressive symptoms starting seven days before, after falling from three meters high. By questioning, lumbaogia found muscle weakness in his left leg limbalgia difficulty at walking. The physical examination confirmed the decrease in muscle strength and Achilles-plantar areflexia. The patient was taken to the emergency room and postrzumatica performed the hernia excision. He was discharged at the seventh day with mild clinical.
Lumbar hernia – a lunbalgia report and review of the literature. The authors present a case of lumbar hernia of inferior right space Petit’s triangleclassified as acquired hernia and diagnosed by clinical history and computed tomography. Lumbar hernia are quite rare. Authors have done a literature review of this disease.
Traumatic Lumbar Hernia Diagnosed by Ultrasonography: Traumatic lumbar hernia describes the extrusion of intraperitoneal or extraperitoneal contents through a defect in the posterolateral abdominal wall caused by a trauma. This is a rare entity and usually diagnosed by computed tomography. A year-old male received an injury on his cervical spinal cord after an accident in which he fell down.
He complained of a mass on his left posterolateral back area.
low back pain
We diagnosed the mass poetraumatica a traumatic lumbar hernia by ultrasonography and confirmed it by computed tomography. We conclude that the ultrasonography can be a useful diagnostic tool for traumatic lumbar hernia.
Primary lumbar hernia in an elderly woman: Surgical dissection revealed a large hernial sac, which contained retro peritoneal fat, protruding through a centimetres defect in the transversalis fascia lining the floor of the superior lumbar triangle. The hernia sac was reduced and the defect closed. There was no recurrence four months post-operative. Factors associated with lumbar disc ppostraumatica recurrence after microdiscectomy.
Lumbar disc hernias are a common cause of spinal surgery. Hernia recurrence is a prevalent complication. To analyse the risk factors associated with hernia recurrence in patients undergoing surgery in our institution.
Lumbar microdiscectomies between and were analysed, patients with previous surgeries, extraforaminales and foraminal hernias were excluded. Patients with recurrent hernia were the case group and those who showed no recurrence were the control group.
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Among the risk factors associated with recurrence, we observed a higher rate of disc height, higher percentage of spinal canal occupied by the hernia and presence of degenerative facet joint changes; we observed no differences in sex, body mass index or age. Previous studies show increased disc height and young patients as possible factors associated with recurrence. In our lukbalgia we found that the higher rate of disc height, the percentage of spinal canal occupied by the hernia and degenerative facet joint changes were associated with hernia recurrence.
Full Text Available Lumbar hernia is defined as the presence of failure in the transverse fascia or in the aponeurosis of the transverse abdominal muscle that results in the extrusion of intra or extra peritoneal organs oumbalgia the discontinuity of the postero lateral abdominal wall. The aim of this study was to conduct a methodical review of the anatomy of the hernia form grynfelt dated from to It has been found that the lumbar hernia is a disease little known by doctors whose diagnostics are often performed in the wrong way and for surgical correction needs a good anatomical knowledge.
Lumbar herniasalthough rare, must be taken into account, since ischemia of herniated intestinal segments can lead to the death of the patient, especially in the elderly. Knowledge about the lumbakgia of the lumbar region is of vital importance because it makes surgery safe and reduces risks of complications and recidivating of the hernia. The diagnostic utility of resistive MRI for lumbar disc hernias. The diagnostic postraumqtica of the 0. Myelographic appearance of the lumbar disc hernias fell into the following three categories: MRI was performed in low-flip angle LF and saturation-recovery SR radiofrequency-pulse sequences for the midline and paramedian sagittal sections, respectively.
A transverse limbalgia was found positive when the laterality of the disc hermia was obtained. A coronal section was found positive when high-intensity disc material compresisng the nerve root was recognized. Diagnostic capability of MRI was graded in three scores: Excellent- the optimal information was provided; Fair- some pieces of information was obtained, but not enough for diagnosis; Poor- the information was not helpful for diagnosis in deciding the operative procedure.
Of 13 medial disc hernias MRI was superior to myelography in 9 lesions. Of 38 mediolateral disc hernias MRI was judged as excellent for 17 lesions, fair for 15 lesions, and poor for 6 lesions. Of 27 lateral disc hernias MRI was judged as excellent for 4 lesions, fair for 11 lesions, and poor for 12 lesions.
Resistive MRI system was of limited value in diagnosing surgical indication of lateral lumbar disc herniasespecially for small but painful lesions.
Lumbar radiculopathy due to unilateral facet hypertrophy following lumbar disc hernia operation: To present a radiculopathy case due to unilateral facet hypertrophy developing three years after a lumbar disc hernia operation.
hernia discal lumbar: Topics by
A fifty two-year-old female patient, who had been operated on for a left L5-S1 herniated lumbar disc three years ago, was hospitalized and re-operated with a diagnosis of unilateral facet hypertrophy. She had complaints of left leg pain and walking restrictions for the last six months. Lumbar radiculopathy due to lumbar facet hypertrophy is a well-known neurological condition.
Radicular pain develops during the late postoperative period following lumbar disc hernia operations that are often related to lumbalgi disc herniation or to formation of lumbzlgia scar tissue. In addition, it can be speculated that unilateral facet hypertrophy, which may develop after a disc hernia operation, might also be one of the causes of radiculopathy. Puncture laser microdiscectomy in treatment lumbakgia large lumbar spinal hernias. Full Text Available Degree of hernia size influence on final result of PLME in 34 patients with discogenic neurocompressive lumbar spinal syndrome was detected.
In medical center “Endoscopic Neurosurgery” from to we examined and treated 34 patients with hernia size from 6 to 8 mm by CT data.