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International Orthopaedics

Erschienen in:

30.11.2018 | Review Article

Current concepts for lumbar disc herniation

verfasst von: Thami Benzakour, Vasilios Igoumenou, Andreas F. Mavrogenis, Ahmed Benzakour

Erschienen in: International Orthopaedics | Ausgabe 4/2019

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Abstract

Purpose

To present the pathophysiology, biology, clinical presentation, diagnosis, and current treatment options for lumbar disc herniation.

Methods

A thorough literature search was undertaken in PubMed and Google Scholar to summarize the current knowledge and future perspectives on lumbar disc herniation.

Results

Several changes in the biology of the intervertebral disc are thought to contribute to disc herniation; nevertheless, the exact inciting event leading to disc herniation is yet to be discovered. Non-operative treatments have stood the test of time as the first-line treatment for most patients with lumbar disc herniation; however, operative treatment remains the current gold standard, with minimally invasive endoscopic microdiscectomy techniques showing best results with respect to postoperative pain and function.

Conclusions

The exact event leading to disc herniation remains unclear. Non-operative treatments should be the first-line treatment for most patients with lumbar disc herniation. Operative treatment remains the current gold standard, with minimally invasive endoscopic microdiscectomy techniques showing best results with respect to postoperative pain and function. Regenerative medicine is promising.

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Titel: Current concepts for lumbar disc herniation
verfasst von: Thami Benzakour
Vasilios Igoumenou
Andreas F. Mavrogenis
Ahmed Benzakour
Publikationsdatum: 30.11.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: International Orthopaedics / Ausgabe 4/2019
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-018-4247-6

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Current concepts for lumbar disc herniation

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