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Lumbaler Bandscheibenvorfall - Management, klinische Aspekte und aktuelle Empfehlungen

Cadosch, Dieter
Hildebrandt, Gerhard
Published in Praxis (Bern 1994). 2011, vol. 100, no. 24, p. 1475-85
Abstract Lumbar disc herniation has a high prevalence and strong social-medical impact. Patients suffer from lower back pain that radiates from the spine. Loss of sensation or paresis adds to the clinical picture. The diagnosis should be confirmed by imaging in patients considered for surgery. High remission rates initially warrant conservative treatment (adequate analgesia and physiotherapy) in many patients. If this treatment does not lead to significant alleviation within 5-8 weeks, surgery should be performed to reduce the risk of chronic nerve affection. Posterior interlaminar fenestration is the intervention primarily conducted for this diagnosis. A relapse in the same region occurs in up to 10% of patients after months through years, which sometimes necessitates a reoperation if symptoms are pertinent.
Keywords AgedAlgorithmsDiagnosis, DifferentialFemaleHumansIntervertebral Disc Displacement/diagnosis/physiopathology/therapyLumbar Vertebrae/physiopathologyMagnetic Resonance ImagingMaleMiddle AgedNerve Compression Syndromes/diagnosis/physiopathology/therapyNeurologic ExaminationPolyradiculopathy/diagnosis/physiopathology/therapySpinal Cord/physiopathologySpinal Nerves/physiopathologyTomography, X-Ray Computed
PMID: 22124958
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Research group Groupe Schaller Karl Lothard (neurochirurgie) (851)
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STIENEN, Martin et al. Lumbaler Bandscheibenvorfall - Management, klinische Aspekte und aktuelle Empfehlungen. In: Praxis (Bern 1994), 2011, vol. 100, n° 24, p. 1475-85. doi: 10.1024/1661-8157/a000733 https://archive-ouverte.unige.ch/unige:44425

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