Hérnia discal lombar Lumbar disc herniation

A hérnia discal lombar é o diagnóstico mais comum dentre as alterações degenerativas da coluna lombar (acomete 2 a 3% da população) e a principal causa de cirurgia de coluna na população adulta. O quadro clínico típico inclui lombalgia inicial, seguida de lombociatalgia e, finalmente, de dor ciática pura. A história natural da hérnia de disco é de resolução rápida dos sintomas (quatro a seis semanas). O tratamento inicial deve ser conservador, com manejo medicamentoso e fisioterápico, podendo ser acompanhado ou não por bloqueios percutâneos radiculares. O tratamento cirúrgico está indicado na falha do controle da dor, déficit motor maior que grau 3, dor radicular associada à estenose óssea foraminal ou síndrome de cauda equina, sendo esta última uma emergência médica. Uma técnica cirúrgica refinada, com remoção do fragmento extruso, e preservação do ligamento amarelo, resolve a sintomatologia da ciática e reduz a possibilidade de recidiva em longo prazo.<br<Lumbar disc herniation is the most common diagnosis amongst the degenerative conditions of the lumbar spine (affecting around 2 to 3% of the population), and is the principal cause of spine surgery in the adult population. The typical clinical picture includes initial lumbalgia, followed by progressive sciatica. The natural history of disc herniation is one of rapid resolution of the symptoms (from 4-6 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 the risk of recurrence in the long term. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Luis Roberto Vialle [verfasserIn] Emiliano Neves Vialle [verfasserIn] Juan Esteban Suárez Henao [verfasserIn] Gustavo Giraldo [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch ; Portugiesisch

Erschienen:	2010

Schlagwörter:	Hérnia discal lombar Ligamento amarelo Ciática Tratamento cirúrgico Lumbar disc herniation Ligamentum flavum Sciatica Surgical treatment

Übergeordnetes Werk:	In: Revista Brasileira de Ortopedia - Thieme Revinter Publicações Ltda., 2007, 45(2010), 1, Seite 17-22
Übergeordnetes Werk:	volume:45 ; year:2010 ; number:1 ; pages:17-22

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.1590/S0102-36162010000100004

Katalog-ID:	DOAJ011741341

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allfields	10.1590/S0102-36162010000100004 doi (DE-627)DOAJ011741341 (DE-599)DOAJb9a941847fc84368ad5d40f89bc06a6e DE-627 ger DE-627 rakwb eng por RD701-811 Luis Roberto Vialle verfasserin aut Hérnia discal lombar Lumbar disc herniation 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier A hérnia discal lombar é o diagnóstico mais comum dentre as alterações degenerativas da coluna lombar (acomete 2 a 3% da população) e a principal causa de cirurgia de coluna na população adulta. O quadro clínico típico inclui lombalgia inicial, seguida de lombociatalgia e, finalmente, de dor ciática pura. A história natural da hérnia de disco é de resolução rápida dos sintomas (quatro a seis semanas). O tratamento inicial deve ser conservador, com manejo medicamentoso e fisioterápico, podendo ser acompanhado ou não por bloqueios percutâneos radiculares. O tratamento cirúrgico está indicado na falha do controle da dor, déficit motor maior que grau 3, dor radicular associada à estenose óssea foraminal ou síndrome de cauda equina, sendo esta última uma emergência médica. Uma técnica cirúrgica refinada, com remoção do fragmento extruso, e preservação do ligamento amarelo, resolve a sintomatologia da ciática e reduz a possibilidade de recidiva em longo prazo.<br<Lumbar disc herniation is the most common diagnosis amongst the degenerative conditions of the lumbar spine (affecting around 2 to 3% of the population), and is the principal cause of spine surgery in the adult population. The typical clinical picture includes initial lumbalgia, followed by progressive sciatica. The natural history of disc herniation is one of rapid resolution of the symptoms (from 4-6 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 the risk of recurrence in the long term. Hérnia discal lombar Ligamento amarelo Ciática Tratamento cirúrgico Lumbar disc herniation Ligamentum flavum Sciatica Surgical treatment Medicine R Orthopedic surgery Emiliano Neves Vialle verfasserin aut Juan Esteban Suárez Henao verfasserin aut Gustavo Giraldo verfasserin aut In Revista Brasileira de Ortopedia Thieme Revinter Publicações Ltda., 2007 45(2010), 1, Seite 17-22 (DE-627)559077734 (DE-600)2411301-3 19824378 nnns volume:45 year:2010 number:1 pages:17-22 https://doi.org/10.1590/S0102-36162010000100004 kostenfrei https://doaj.org/article/b9a941847fc84368ad5d40f89bc06a6e kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162010000100004 kostenfrei https://doaj.org/toc/0102-3616 Journal toc kostenfrei https://doaj.org/toc/1982-4378 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 45 2010 1 17-22
spelling	10.1590/S0102-36162010000100004 doi (DE-627)DOAJ011741341 (DE-599)DOAJb9a941847fc84368ad5d40f89bc06a6e DE-627 ger DE-627 rakwb eng por RD701-811 Luis Roberto Vialle verfasserin aut Hérnia discal lombar Lumbar disc herniation 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier A hérnia discal lombar é o diagnóstico mais comum dentre as alterações degenerativas da coluna lombar (acomete 2 a 3% da população) e a principal causa de cirurgia de coluna na população adulta. O quadro clínico típico inclui lombalgia inicial, seguida de lombociatalgia e, finalmente, de dor ciática pura. A história natural da hérnia de disco é de resolução rápida dos sintomas (quatro a seis semanas). O tratamento inicial deve ser conservador, com manejo medicamentoso e fisioterápico, podendo ser acompanhado ou não por bloqueios percutâneos radiculares. O tratamento cirúrgico está indicado na falha do controle da dor, déficit motor maior que grau 3, dor radicular associada à estenose óssea foraminal ou síndrome de cauda equina, sendo esta última uma emergência médica. Uma técnica cirúrgica refinada, com remoção do fragmento extruso, e preservação do ligamento amarelo, resolve a sintomatologia da ciática e reduz a possibilidade de recidiva em longo prazo.<br<Lumbar disc herniation is the most common diagnosis amongst the degenerative conditions of the lumbar spine (affecting around 2 to 3% of the population), and is the principal cause of spine surgery in the adult population. The typical clinical picture includes initial lumbalgia, followed by progressive sciatica. The natural history of disc herniation is one of rapid resolution of the symptoms (from 4-6 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 the risk of recurrence in the long term. Hérnia discal lombar Ligamento amarelo Ciática Tratamento cirúrgico Lumbar disc herniation Ligamentum flavum Sciatica Surgical treatment Medicine R Orthopedic surgery Emiliano Neves Vialle verfasserin aut Juan Esteban Suárez Henao verfasserin aut Gustavo Giraldo verfasserin aut In Revista Brasileira de Ortopedia Thieme Revinter Publicações Ltda., 2007 45(2010), 1, Seite 17-22 (DE-627)559077734 (DE-600)2411301-3 19824378 nnns volume:45 year:2010 number:1 pages:17-22 https://doi.org/10.1590/S0102-36162010000100004 kostenfrei https://doaj.org/article/b9a941847fc84368ad5d40f89bc06a6e kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162010000100004 kostenfrei https://doaj.org/toc/0102-3616 Journal toc kostenfrei https://doaj.org/toc/1982-4378 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 45 2010 1 17-22
allfields_unstemmed	10.1590/S0102-36162010000100004 doi (DE-627)DOAJ011741341 (DE-599)DOAJb9a941847fc84368ad5d40f89bc06a6e DE-627 ger DE-627 rakwb eng por RD701-811 Luis Roberto Vialle verfasserin aut Hérnia discal lombar Lumbar disc herniation 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier A hérnia discal lombar é o diagnóstico mais comum dentre as alterações degenerativas da coluna lombar (acomete 2 a 3% da população) e a principal causa de cirurgia de coluna na população adulta. O quadro clínico típico inclui lombalgia inicial, seguida de lombociatalgia e, finalmente, de dor ciática pura. A história natural da hérnia de disco é de resolução rápida dos sintomas (quatro a seis semanas). O tratamento inicial deve ser conservador, com manejo medicamentoso e fisioterápico, podendo ser acompanhado ou não por bloqueios percutâneos radiculares. O tratamento cirúrgico está indicado na falha do controle da dor, déficit motor maior que grau 3, dor radicular associada à estenose óssea foraminal ou síndrome de cauda equina, sendo esta última uma emergência médica. Uma técnica cirúrgica refinada, com remoção do fragmento extruso, e preservação do ligamento amarelo, resolve a sintomatologia da ciática e reduz a possibilidade de recidiva em longo prazo.<br<Lumbar disc herniation is the most common diagnosis amongst the degenerative conditions of the lumbar spine (affecting around 2 to 3% of the population), and is the principal cause of spine surgery in the adult population. The typical clinical picture includes initial lumbalgia, followed by progressive sciatica. The natural history of disc herniation is one of rapid resolution of the symptoms (from 4-6 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 the risk of recurrence in the long term. Hérnia discal lombar Ligamento amarelo Ciática Tratamento cirúrgico Lumbar disc herniation Ligamentum flavum Sciatica Surgical treatment Medicine R Orthopedic surgery Emiliano Neves Vialle verfasserin aut Juan Esteban Suárez Henao verfasserin aut Gustavo Giraldo verfasserin aut In Revista Brasileira de Ortopedia Thieme Revinter Publicações Ltda., 2007 45(2010), 1, Seite 17-22 (DE-627)559077734 (DE-600)2411301-3 19824378 nnns volume:45 year:2010 number:1 pages:17-22 https://doi.org/10.1590/S0102-36162010000100004 kostenfrei https://doaj.org/article/b9a941847fc84368ad5d40f89bc06a6e kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162010000100004 kostenfrei https://doaj.org/toc/0102-3616 Journal toc kostenfrei https://doaj.org/toc/1982-4378 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 45 2010 1 17-22
allfieldsGer	10.1590/S0102-36162010000100004 doi (DE-627)DOAJ011741341 (DE-599)DOAJb9a941847fc84368ad5d40f89bc06a6e DE-627 ger DE-627 rakwb eng por RD701-811 Luis Roberto Vialle verfasserin aut Hérnia discal lombar Lumbar disc herniation 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier A hérnia discal lombar é o diagnóstico mais comum dentre as alterações degenerativas da coluna lombar (acomete 2 a 3% da população) e a principal causa de cirurgia de coluna na população adulta. O quadro clínico típico inclui lombalgia inicial, seguida de lombociatalgia e, finalmente, de dor ciática pura. A história natural da hérnia de disco é de resolução rápida dos sintomas (quatro a seis semanas). O tratamento inicial deve ser conservador, com manejo medicamentoso e fisioterápico, podendo ser acompanhado ou não por bloqueios percutâneos radiculares. O tratamento cirúrgico está indicado na falha do controle da dor, déficit motor maior que grau 3, dor radicular associada à estenose óssea foraminal ou síndrome de cauda equina, sendo esta última uma emergência médica. Uma técnica cirúrgica refinada, com remoção do fragmento extruso, e preservação do ligamento amarelo, resolve a sintomatologia da ciática e reduz a possibilidade de recidiva em longo prazo.<br<Lumbar disc herniation is the most common diagnosis amongst the degenerative conditions of the lumbar spine (affecting around 2 to 3% of the population), and is the principal cause of spine surgery in the adult population. The typical clinical picture includes initial lumbalgia, followed by progressive sciatica. The natural history of disc herniation is one of rapid resolution of the symptoms (from 4-6 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 the risk of recurrence in the long term. Hérnia discal lombar Ligamento amarelo Ciática Tratamento cirúrgico Lumbar disc herniation Ligamentum flavum Sciatica Surgical treatment Medicine R Orthopedic surgery Emiliano Neves Vialle verfasserin aut Juan Esteban Suárez Henao verfasserin aut Gustavo Giraldo verfasserin aut In Revista Brasileira de Ortopedia Thieme Revinter Publicações Ltda., 2007 45(2010), 1, Seite 17-22 (DE-627)559077734 (DE-600)2411301-3 19824378 nnns volume:45 year:2010 number:1 pages:17-22 https://doi.org/10.1590/S0102-36162010000100004 kostenfrei https://doaj.org/article/b9a941847fc84368ad5d40f89bc06a6e kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162010000100004 kostenfrei https://doaj.org/toc/0102-3616 Journal toc kostenfrei https://doaj.org/toc/1982-4378 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 45 2010 1 17-22
allfieldsSound	10.1590/S0102-36162010000100004 doi (DE-627)DOAJ011741341 (DE-599)DOAJb9a941847fc84368ad5d40f89bc06a6e DE-627 ger DE-627 rakwb eng por RD701-811 Luis Roberto Vialle verfasserin aut Hérnia discal lombar Lumbar disc herniation 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier A hérnia discal lombar é o diagnóstico mais comum dentre as alterações degenerativas da coluna lombar (acomete 2 a 3% da população) e a principal causa de cirurgia de coluna na população adulta. O quadro clínico típico inclui lombalgia inicial, seguida de lombociatalgia e, finalmente, de dor ciática pura. A história natural da hérnia de disco é de resolução rápida dos sintomas (quatro a seis semanas). O tratamento inicial deve ser conservador, com manejo medicamentoso e fisioterápico, podendo ser acompanhado ou não por bloqueios percutâneos radiculares. O tratamento cirúrgico está indicado na falha do controle da dor, déficit motor maior que grau 3, dor radicular associada à estenose óssea foraminal ou síndrome de cauda equina, sendo esta última uma emergência médica. Uma técnica cirúrgica refinada, com remoção do fragmento extruso, e preservação do ligamento amarelo, resolve a sintomatologia da ciática e reduz a possibilidade de recidiva em longo prazo.<br<Lumbar disc herniation is the most common diagnosis amongst the degenerative conditions of the lumbar spine (affecting around 2 to 3% of the population), and is the principal cause of spine surgery in the adult population. The typical clinical picture includes initial lumbalgia, followed by progressive sciatica. The natural history of disc herniation is one of rapid resolution of the symptoms (from 4-6 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 the risk of recurrence in the long term. Hérnia discal lombar Ligamento amarelo Ciática Tratamento cirúrgico Lumbar disc herniation Ligamentum flavum Sciatica Surgical treatment Medicine R Orthopedic surgery Emiliano Neves Vialle verfasserin aut Juan Esteban Suárez Henao verfasserin aut Gustavo Giraldo verfasserin aut In Revista Brasileira de Ortopedia Thieme Revinter Publicações Ltda., 2007 45(2010), 1, Seite 17-22 (DE-627)559077734 (DE-600)2411301-3 19824378 nnns volume:45 year:2010 number:1 pages:17-22 https://doi.org/10.1590/S0102-36162010000100004 kostenfrei https://doaj.org/article/b9a941847fc84368ad5d40f89bc06a6e kostenfrei http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162010000100004 kostenfrei https://doaj.org/toc/0102-3616 Journal toc kostenfrei https://doaj.org/toc/1982-4378 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 45 2010 1 17-22
language	English Portuguese
source	In Revista Brasileira de Ortopedia 45(2010), 1, Seite 17-22 volume:45 year:2010 number:1 pages:17-22
sourceStr	In Revista Brasileira de Ortopedia 45(2010), 1, Seite 17-22 volume:45 year:2010 number:1 pages:17-22
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Hérnia discal lombar Ligamento amarelo Ciática Tratamento cirúrgico Lumbar disc herniation Ligamentum flavum Sciatica Surgical treatment Medicine R Orthopedic surgery
isfreeaccess_bool	true
container_title	Revista Brasileira de Ortopedia
authorswithroles_txt_mv	Luis Roberto Vialle @@aut@@ Emiliano Neves Vialle @@aut@@ Juan Esteban Suárez Henao @@aut@@ Gustavo Giraldo @@aut@@
publishDateDaySort_date	2010-01-01T00:00:00Z
hierarchy_top_id	559077734
id	DOAJ011741341
language_de	englisch portugiesisch
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callnumber-first	R - Medicine
author	Luis Roberto Vialle
spellingShingle	Luis Roberto Vialle misc RD701-811 misc Hérnia discal lombar misc Ligamento amarelo misc Ciática misc Tratamento cirúrgico misc Lumbar disc herniation misc Ligamentum flavum misc Sciatica misc Surgical treatment misc Medicine misc R misc Orthopedic surgery Hérnia discal lombar Lumbar disc herniation
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topic_title	RD701-811 Hérnia discal lombar Lumbar disc herniation Hérnia discal lombar Ligamento amarelo Ciática Tratamento cirúrgico Lumbar disc herniation Ligamentum flavum Sciatica Surgical treatment
topic	misc RD701-811 misc Hérnia discal lombar misc Ligamento amarelo misc Ciática misc Tratamento cirúrgico misc Lumbar disc herniation misc Ligamentum flavum misc Sciatica misc Surgical treatment misc Medicine misc R misc Orthopedic surgery
topic_unstemmed	misc RD701-811 misc Hérnia discal lombar misc Ligamento amarelo misc Ciática misc Tratamento cirúrgico misc Lumbar disc herniation misc Ligamentum flavum misc Sciatica misc Surgical treatment misc Medicine misc R misc Orthopedic surgery
topic_browse	misc RD701-811 misc Hérnia discal lombar misc Ligamento amarelo misc Ciática misc Tratamento cirúrgico misc Lumbar disc herniation misc Ligamentum flavum misc Sciatica misc Surgical treatment misc Medicine misc R misc Orthopedic surgery
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title	Hérnia discal lombar Lumbar disc herniation
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title_full	Hérnia discal lombar Lumbar disc herniation
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author_browse	Luis Roberto Vialle Emiliano Neves Vialle Juan Esteban Suárez Henao Gustavo Giraldo
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title_sort	hérnia discal lombar lumbar disc herniation
callnumber	RD701-811
title_auth	Hérnia discal lombar Lumbar disc herniation
abstract	A hérnia discal lombar é o diagnóstico mais comum dentre as alterações degenerativas da coluna lombar (acomete 2 a 3% da população) e a principal causa de cirurgia de coluna na população adulta. O quadro clínico típico inclui lombalgia inicial, seguida de lombociatalgia e, finalmente, de dor ciática pura. A história natural da hérnia de disco é de resolução rápida dos sintomas (quatro a seis semanas). O tratamento inicial deve ser conservador, com manejo medicamentoso e fisioterápico, podendo ser acompanhado ou não por bloqueios percutâneos radiculares. O tratamento cirúrgico está indicado na falha do controle da dor, déficit motor maior que grau 3, dor radicular associada à estenose óssea foraminal ou síndrome de cauda equina, sendo esta última uma emergência médica. Uma técnica cirúrgica refinada, com remoção do fragmento extruso, e preservação do ligamento amarelo, resolve a sintomatologia da ciática e reduz a possibilidade de recidiva em longo prazo.<br<Lumbar disc herniation is the most common diagnosis amongst the degenerative conditions of the lumbar spine (affecting around 2 to 3% of the population), and is the principal cause of spine surgery in the adult population. The typical clinical picture includes initial lumbalgia, followed by progressive sciatica. The natural history of disc herniation is one of rapid resolution of the symptoms (from 4-6 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 the risk of recurrence in the long term.
abstractGer	A hérnia discal lombar é o diagnóstico mais comum dentre as alterações degenerativas da coluna lombar (acomete 2 a 3% da população) e a principal causa de cirurgia de coluna na população adulta. O quadro clínico típico inclui lombalgia inicial, seguida de lombociatalgia e, finalmente, de dor ciática pura. A história natural da hérnia de disco é de resolução rápida dos sintomas (quatro a seis semanas). O tratamento inicial deve ser conservador, com manejo medicamentoso e fisioterápico, podendo ser acompanhado ou não por bloqueios percutâneos radiculares. O tratamento cirúrgico está indicado na falha do controle da dor, déficit motor maior que grau 3, dor radicular associada à estenose óssea foraminal ou síndrome de cauda equina, sendo esta última uma emergência médica. Uma técnica cirúrgica refinada, com remoção do fragmento extruso, e preservação do ligamento amarelo, resolve a sintomatologia da ciática e reduz a possibilidade de recidiva em longo prazo.<br<Lumbar disc herniation is the most common diagnosis amongst the degenerative conditions of the lumbar spine (affecting around 2 to 3% of the population), and is the principal cause of spine surgery in the adult population. The typical clinical picture includes initial lumbalgia, followed by progressive sciatica. The natural history of disc herniation is one of rapid resolution of the symptoms (from 4-6 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 the risk of recurrence in the long term.
abstract_unstemmed	A hérnia discal lombar é o diagnóstico mais comum dentre as alterações degenerativas da coluna lombar (acomete 2 a 3% da população) e a principal causa de cirurgia de coluna na população adulta. O quadro clínico típico inclui lombalgia inicial, seguida de lombociatalgia e, finalmente, de dor ciática pura. A história natural da hérnia de disco é de resolução rápida dos sintomas (quatro a seis semanas). O tratamento inicial deve ser conservador, com manejo medicamentoso e fisioterápico, podendo ser acompanhado ou não por bloqueios percutâneos radiculares. O tratamento cirúrgico está indicado na falha do controle da dor, déficit motor maior que grau 3, dor radicular associada à estenose óssea foraminal ou síndrome de cauda equina, sendo esta última uma emergência médica. Uma técnica cirúrgica refinada, com remoção do fragmento extruso, e preservação do ligamento amarelo, resolve a sintomatologia da ciática e reduz a possibilidade de recidiva em longo prazo.<br<Lumbar disc herniation is the most common diagnosis amongst the degenerative conditions of the lumbar spine (affecting around 2 to 3% of the population), and is the principal cause of spine surgery in the adult population. The typical clinical picture includes initial lumbalgia, followed by progressive sciatica. The natural history of disc herniation is one of rapid resolution of the symptoms (from 4-6 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 the risk of recurrence in the long term.
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title_short	Hérnia discal lombar Lumbar disc herniation
url	https://doi.org/10.1590/S0102-36162010000100004 https://doaj.org/article/b9a941847fc84368ad5d40f89bc06a6e http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162010000100004 https://doaj.org/toc/0102-3616 https://doaj.org/toc/1982-4378
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score	7.4008894

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Hérnia discal lombar Lumbar disc herniation

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