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"description": "Comment diagnostiquer une hernie discale ?\nQuels sont les signes cliniques d'une hernie discale ?\nQuand envisager une discectomie percutanée ?\nQuels tests sont nécessaires avant l'opération ?\nLa discectomie est-elle toujours nécessaire ?",
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"@type": "Question",
"name": "Comment diagnostiquer une hernie discale ?",
"position": 1,
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"text": "Un examen clinique, une IRM ou un scanner sont utilisés pour diagnostiquer une hernie discale."
}
},
{
"@type": "Question",
"name": "Quels sont les signes cliniques d'une hernie discale ?",
"position": 2,
"acceptedAnswer": {
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"text": "Douleur radiculaire, engourdissements, faiblesse musculaire et douleur lombaire."
}
},
{
"@type": "Question",
"name": "Quand envisager une discectomie percutanée ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Si les traitements conservateurs échouent après 6 à 12 semaines et que la douleur persiste."
}
},
{
"@type": "Question",
"name": "Quels tests sont nécessaires avant l'opération ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des tests sanguins, une évaluation neurologique et des examens d'imagerie sont requis."
}
},
{
"@type": "Question",
"name": "La discectomie est-elle toujours nécessaire ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, elle est réservée aux cas où les symptômes sont sévères et persistants malgré le traitement."
}
},
{
"@type": "Question",
"name": "Quels symptômes indiquent une hernie discale ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Douleur intense dans le dos, douleur irradiant dans les jambes, engourdissements."
}
},
{
"@type": "Question",
"name": "La douleur est-elle toujours présente ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, la douleur peut varier en intensité et peut s'aggraver avec certains mouvements."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes neurologiques associés ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Faiblesse musculaire, réflexes diminués et sensations anormales dans les membres."
}
},
{
"@type": "Question",
"name": "Les symptômes peuvent-ils s'aggraver ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les symptômes peuvent s'aggraver avec le temps si la hernie n'est pas traitée."
}
},
{
"@type": "Question",
"name": "Y a-t-il des symptômes d'urgence ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, perte de contrôle de la vessie ou des intestins nécessite une attention médicale immédiate."
}
},
{
"@type": "Question",
"name": "Comment prévenir une hernie discale ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Maintenir un poids santé, pratiquer des exercices de renforcement du dos et éviter les mouvements brusques."
}
},
{
"@type": "Question",
"name": "Le port de charges lourdes est-il risqué ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, porter des charges lourdes sans technique appropriée augmente le risque de hernie discale."
}
},
{
"@type": "Question",
"name": "Les exercices de renforcement sont-ils efficaces ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, ils aident à stabiliser la colonne vertébrale et à réduire le risque de hernie discale."
}
},
{
"@type": "Question",
"name": "Le tabagisme influence-t-il la santé du dos ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le tabagisme peut réduire la circulation sanguine et affecter la santé des disques intervertébraux."
}
},
{
"@type": "Question",
"name": "Est-il important de maintenir une bonne posture ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une bonne posture réduit la pression sur la colonne vertébrale et prévient les blessures."
}
},
{
"@type": "Question",
"name": "Quels traitements précèdent la discectomie ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements conservateurs incluent la physiothérapie, les médicaments anti-inflammatoires."
}
},
{
"@type": "Question",
"name": "Comment se déroule une discectomie percutanée ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'intervention se fait sous anesthésie locale avec une petite incision pour retirer le disque."
}
},
{
"@type": "Question",
"name": "Quels sont les avantages de cette technique ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Moins invasive, récupération plus rapide et moins de douleur post-opératoire par rapport à la chirurgie ouverte."
}
},
{
"@type": "Question",
"name": "Quels médicaments sont prescrits après l'opération ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des analgésiques et des anti-inflammatoires sont souvent prescrits pour gérer la douleur."
}
},
{
"@type": "Question",
"name": "Quelle est la durée de la réhabilitation ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "La réhabilitation peut durer de quelques semaines à plusieurs mois selon la gravité de la condition."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles de la discectomie ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Infection, saignement, lésion nerveuse et récidive de la hernie discale sont possibles."
}
},
{
"@type": "Question",
"name": "Comment gérer une infection post-opératoire ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des antibiotiques sont prescrits et un suivi médical est nécessaire pour surveiller l'infection."
}
},
{
"@type": "Question",
"name": "La récidive de la hernie est-elle fréquente ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la récidive peut survenir dans 5 à 15 % des cas après une discectomie percutanée."
}
},
{
"@type": "Question",
"name": "Quels signes indiquent une lésion nerveuse ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Engourdissements, faiblesse musculaire ou douleur persistante peuvent indiquer une lésion nerveuse."
}
},
{
"@type": "Question",
"name": "Comment prévenir les complications ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Suivre les recommandations post-opératoires et signaler tout symptôme anormal à votre médecin."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque de hernie discale ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Âge, obésité, sédentarité, tabagisme et antécédents familiaux augmentent le risque."
}
},
{
"@type": "Question",
"name": "Le vieillissement influence-t-il le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le vieillissement entraîne une dégénérescence des disques, augmentant le risque de hernie."
}
},
{
"@type": "Question",
"name": "Les sports à impact augmentent-ils le risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les sports à impact peuvent accroître le risque de blessures au dos et de hernies discales."
}
},
{
"@type": "Question",
"name": "Le stress peut-il contribuer à des problèmes de dos ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le stress peut provoquer des tensions musculaires et aggraver les douleurs lombaires."
}
},
{
"@type": "Question",
"name": "Les professions à risque existent-elles ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les métiers nécessitant des efforts physiques ou des positions statiques prolongées sont à risque."
}
}
]
}
]
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Anteroposterior (AP) and lateral fluoroscopies are often used to evaluate the intraoperative location and angulation of the trajectory in percutaneous endoscopic transforaminal lumbar discectomy (PETL...
A technical study was performed to assess the angulation errors of PETLD trajectories shown in AP and lateral fluoroscopic views. After reconstructing a lumbar CT image, a virtual trajectory was place...
In PETLD, the coronal CA is approximately equal to the real CA, with a small angle difference and percentage error, whereas the sagittal CA shows a rather large angle difference and percentage error....
The AP view is more reliable than the lateral view in determining the CA of the PETLD trajectory....
Treatment of adjacent segment disease (ASD) is still controversial. The aim of this study was to evaluate the short-term efficacy and safety and to analyze the technical advantages, surgical approach,...
A retrospective of 32 patients with symptomatic ASD were accepted for PELD from October 2017 to January 2020. All patients used the transforaminal approach and recorded the operation time and intraope...
A total of 32 patients were included in the study, including 17 males and 15 females. The follow-up time ranged from 24 to 50 months, with an average of (33.2 ± 8.1) months and an average operation ti...
PELD showed satisfactory short-term efficacy and safety in the management of ASD after lumbar fusion in elderly patients. Therefore, PELD might be an alternative choice for elderly patients with sympt...
In recent years, radiomics has been shown to be an effective tool for the diagnosis and prediction of diseases. Existing evidence suggests that imaging features play a key role in predicting the recur...
This was a retrospective case-control study involving 487 patients who underwent PELD at the L4/5 level. The rLDH and negative groups were matched using propensity score matching (PSM). A total of 140...
Following screening and matching, 128 patients were included in both the recurrence and control groups. Moreover, 18 of the extracted radiomic features were selected for generating six models, which a...
Radiomics based on MRI can be used to predict the risk of rLDH, offering more comprehensive guidance for perioperative treatment by extracting imaging information that cannot be visualized with the na...
To determine the safety and efficacy of percutaneous endoscopic lumbar discectomy (PELD) combined with platelet-rich plasma (PRP) hydrogel injection in patients with lumbar disc herniation (LDH)....
A total of 98 consecutive patients with LDH who underwent either PELD combined with PRP hydrogel injection or PELD alone were reviewed. This retrospective study was performed between January 2019 and ...
No severe adverse events were reported during an 18-month follow-up period. VAS scores for back pain were decreased at 1 month, 3 months, and 18 months in the treatment group than that in the control ...
We suggest that PELD combined with PRP hydrogel injection to treat patients with LDH is a safe and promising method. PRP injection was beneficial for disc remodelling after PELD....
Percutaneous endoscopic lumbar discectomy (PELD) has demonstrated efficacy in alleviating leg pain among patients with lumbar disc herniation. Nonetheless, residual back pain persists as a troubling i...
This retrospective study reviewed Lumbar disc herniation (LDH) patients with low back pain who underwent combined PELD and sinuvertebral nerve ablation in our department between January 2021 and Septe...
A total of 80 patients, including 53 males and 27 females, were included in the study. Following surgical intervention, patients demonstrated remarkable improvements in pain and functional parameters....
The combination of percutaneous endoscopic lumbar discectomy and sinuvertebral nerve ablation demonstrates effective improvement in low back pain for LDH patients....
Recurrent lumbar disc herniation (rLDH) is one of the most serious complications and major causes of surgical failure and paralysis following percutaneous endoscopic lumbar discectomy (PELD). There ar...
To evaluate the clinical efficacy and imaging outcomes of percutaneous endoscopic lumbar discectomy (PELD) combined with platelet-rich plasma (PRP) for the treatment of lumbar disc herniation (LDH)....
A total of 155 patients with LDH between January 2020 and June 2022 were retrospective analyzed, of which 75 underwent PELD with PRP and 80 underwent PELD only. Clinical functional scores and imaging ...
Both groups showed clinical improvement, and VAS-LP, VAS-BP, JOA and ODI were significantly improved in the PRP group compared with the control group at 3, 6 and 12 months postoperatively (P < 0.05). ...
PELD combined with PRP is a safe and effective method for treating patients with LDH. PRP injection was beneficial for delaying disc degeneration and promoting disc remodeling....
Percutaneous endoscopic lumbar discectomy (PELD) is increasingly used in patients with lumbar disc herniation due to its less invasive nature and faster recovery. In this study, we aimed to investigat...
To assess the cost and effectiveness of percutaneous endoscopic interlaminar discectomy (PEID) and microscope-assisted tubular discectomy (MATD) for patients with L5/S1 lumbar disc herniation (LDH)....
The medical and financial records of patients diagnosed with L5/S1 LDH and who underwent either PEID or MATD from April 2021 to April 2022 were retrospectively collected. Demographic and baseline info...
Sixty patients were included, with 30 patients in the PEID group and 30 patients in the MATD group. No significant difference was found in demographic and baseline information between the 2 groups (P ...
PEID and MATD provide equivalent clinical efficacy and safety in treating LDH at L5/S1 segment within a 1-year follow-up. However, PEID is less invasive and MATD is less costly. No one surgical techni...
Interlaminar endoscopic lumbar discectomy (IELD) is a prevalent method for managing lumbar disc herniation. Local anesthesia (LA) is frequently employed during IELD, albeit with its merits and drawbac...
The propensity score matching was conducted to ensure the comparability of the SA and LA groups. The outcome measures were operation time, intraoperative visual analogue scale (VAS) for pain, need for...
Fifty-six patients were assigned to each group. Significant differences were found between the groups regarding intraoperative VAS for pain, use of adjuvant analgesics, willingness to undergo reoperat...
SA as an alternative anesthesia for IELD surgery holds great promise, exhibiting superior efficacy compared to LA. However, it is crucial to meticulously evaluate the indications due to potential risk...