Treatment of lumbar intervertebral disc herniation - a review of the latest therapeutic methods
Introduction and purpose: The aim of this study is to provide a comprehensive description of intervertebral disc herniation, with a focus on the lumbar spine, including the current conservative and modern surgical treatment options such as minimally invasive procedures. State of Knowledge: Spin...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Kazimierz Wielki University
2023-05-01
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| Series: | Journal of Education, Health and Sport |
| Subjects: | |
| Online Access: | https://apcz.umk.pl/JEHS/article/view/43551 |
| _version_ | 1797832889409208320 |
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| author | Konrad Klocek Bartosz Kostecki Aleksandra Hajduk Łukasz Mrozek Aleksander Jurek Maciej Zwolski Zuzanna Szumlas Krzysztof Puchalski |
| author_facet | Konrad Klocek Bartosz Kostecki Aleksandra Hajduk Łukasz Mrozek Aleksander Jurek Maciej Zwolski Zuzanna Szumlas Krzysztof Puchalski |
| author_sort | Konrad Klocek |
| collection | DOAJ |
| description |
Introduction and purpose: The aim of this study is to provide a comprehensive description of intervertebral disc herniation, with a focus on the lumbar spine, including the current conservative and modern surgical treatment options such as minimally invasive procedures.
State of Knowledge: Spinal pain is a prevalent cause of disability in developed countries, with an increasing number of people affected by this condition. Intervertebral disc herniation resulting from degenerative changes is a common pathology, particularly in the lumbar and cervical spine. This condition involves the protrusion of the nucleus pulposus, which exerts pressure on the spinal roots, causing irritation. While the prognosis for herniated nucleus pulposus is usually positive and many patients can undergo conservative treatment, some may require a surgery. Due to advancements in technology, the current goal is to minimize tissue trauma during hernia repair procedures.
Conclusions: Due to advances in treatment of lumbar intervertebral disc herniation, patients can achieve better clinical outcomes and improved quality of life. Conservative treatment should be considered as the first line treatment in a majority of cases. Surgery is usually a last resort when conservative treatment proves insufficient. No surgical method seems to be unequivocally superior to the others, so its choice is tailored to the individual patient's needs and depends on the surgeon's preferences and experience. Recent advances in endoscopic spine surgery are providing new insights into disc surgery and pain management strategies.
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| first_indexed | 2024-04-09T14:14:57Z |
| format | Article |
| id | doaj.art-28500afbd558432d94245aff5813e17e |
| institution | Directory Open Access Journal |
| issn | 2391-8306 |
| language | English |
| last_indexed | 2024-04-09T14:14:57Z |
| publishDate | 2023-05-01 |
| publisher | Kazimierz Wielki University |
| record_format | Article |
| series | Journal of Education, Health and Sport |
| spelling | doaj.art-28500afbd558432d94245aff5813e17e2023-05-05T10:45:49ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062023-05-0125110.12775/JEHS.2023.25.01.002Treatment of lumbar intervertebral disc herniation - a review of the latest therapeutic methodsKonrad Klocek0Bartosz Kostecki1Aleksandra Hajduk2Łukasz Mrozek3Aleksander Jurek4Maciej Zwolski5Zuzanna Szumlas6Krzysztof Puchalski7Górnośląskie Centrum Medyczne im. prof. Leszka Gieca Śląskiego Uniwersytetu Medycznego w KatowicachSP ZOZ Szpital Wielospecjalistyczny w Jaworznie, Józefa Chełmońskiego 28, 43-600 JaworznoWarszawski Uniwersytet Medyczny, Żwirki i Wigury 61, 02-091 WarszawaSamodzielny Publiczny Specjalistyczny Szpital Zachodni im. Św. Jana Pawła II, ul. Daleka 11, 05-825 Grodzisk Mazowiecki, PolandUCK WUM Szpital Kliniczny Dzieciątka Jezus, ul. Lindleya 4, 02-005 WarszawaSzpital św. Elżbieta w Katowicach ul. Warszawska 52, 40-008 KatowiceLUX MED Sp. z o.o., ul. Postępu 21C, 02-676 WarszawaSamodzielny Publiczny Zespół Zakładów Opieki Zdrowotnej im. Marszałka Józefa Piłsudskiego w Płońsku, 09-100 Płońsk, ul. Henryka Sienkiewicza 7 Introduction and purpose: The aim of this study is to provide a comprehensive description of intervertebral disc herniation, with a focus on the lumbar spine, including the current conservative and modern surgical treatment options such as minimally invasive procedures. State of Knowledge: Spinal pain is a prevalent cause of disability in developed countries, with an increasing number of people affected by this condition. Intervertebral disc herniation resulting from degenerative changes is a common pathology, particularly in the lumbar and cervical spine. This condition involves the protrusion of the nucleus pulposus, which exerts pressure on the spinal roots, causing irritation. While the prognosis for herniated nucleus pulposus is usually positive and many patients can undergo conservative treatment, some may require a surgery. Due to advancements in technology, the current goal is to minimize tissue trauma during hernia repair procedures. Conclusions: Due to advances in treatment of lumbar intervertebral disc herniation, patients can achieve better clinical outcomes and improved quality of life. Conservative treatment should be considered as the first line treatment in a majority of cases. Surgery is usually a last resort when conservative treatment proves insufficient. No surgical method seems to be unequivocally superior to the others, so its choice is tailored to the individual patient's needs and depends on the surgeon's preferences and experience. Recent advances in endoscopic spine surgery are providing new insights into disc surgery and pain management strategies. https://apcz.umk.pl/JEHS/article/view/43551intervertebral disc herniationsciaticadiscectomyspondylodesis |
| spellingShingle | Konrad Klocek Bartosz Kostecki Aleksandra Hajduk Łukasz Mrozek Aleksander Jurek Maciej Zwolski Zuzanna Szumlas Krzysztof Puchalski Treatment of lumbar intervertebral disc herniation - a review of the latest therapeutic methods Journal of Education, Health and Sport intervertebral disc herniation sciatica discectomy spondylodesis |
| title | Treatment of lumbar intervertebral disc herniation - a review of the latest therapeutic methods |
| title_full | Treatment of lumbar intervertebral disc herniation - a review of the latest therapeutic methods |
| title_fullStr | Treatment of lumbar intervertebral disc herniation - a review of the latest therapeutic methods |
| title_full_unstemmed | Treatment of lumbar intervertebral disc herniation - a review of the latest therapeutic methods |
| title_short | Treatment of lumbar intervertebral disc herniation - a review of the latest therapeutic methods |
| title_sort | treatment of lumbar intervertebral disc herniation a review of the latest therapeutic methods |
| topic | intervertebral disc herniation sciatica discectomy spondylodesis |
| url | https://apcz.umk.pl/JEHS/article/view/43551 |
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