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WAIST hernia
Lumbar hernia – Lumbar disc herniation (Herniad intervertebral disc) is a condition that occurs as a result of herniation of the intevebral discs located between the vertebral bones of the waist. It manifests itself with low back pain and it is important to treat it to avoid further complications.
Intervertebral discs are placed between both vertebrae of the spine, providing flexibility, allowing a wide range of movements and relieving tension in daily life. This is due to their specific structure, the interaction of which leads to its characteristic degenerative formation and changes over time. Each disc consists of a centrally located iliac nucleus, a circumferential fibrous ring, and cartilaginous plaques.
SYMPTOMS
In the presence of a disc herniation, part of the disc nucleus protrudes from the fibers of the fibrous ring and creates problems when it touches the nerve root.
What are the symptoms of discopathy:
Long-term back/neck and lower back pain; Spasm of the musculature around the spine; muscle weakness in the upper and/or lower extremities; pain and numbness in the upper and/or lower legs; Weakening of reflexes in the upper and / or lower legs; Changes in pelvic reservoir function; The pain that causes a herniated disc appears to come on suddenly, but is usually the result of a gradual process of damage. Less common cause of disc hernia is trauma (for example, fall), car accident, etc.
Stage Bulging (flooded) disk. Slightly convex image extending beyond adjacent vertebral disc margins. Annulus fibrosus and Sharpey's fibers located in the periphery are intact.
Stage Prolapse disc. Posterior herniation of the disc from the partial defect in the annulus fibrosus. Only the most peripheral or posterior annulus fibers are intact. Hernia or prolapsed disc is associated with the non-herniated portion.
Stage Extruded (exploded) disc. Posterior herniation of the disc from the defect in the annulus fibrosus.
Stage Sequestrated disc (free fragment). The defect in the annulus fibrosus is the extruded nucleus pulposus, and there is no relationship between this extruded fragment and non-herniated disc. The fragment may be post.long.lig.a anterior or posterior, superior or inferior to the disc space, or rarely intradural.
LOCALIZATION OF LUMBAR DISC HERNIA
L4-L5 and L5-S1 levels are most commonly affected (98% of cases).
The remaining locations were L1-L2 (under 1%), L2-L3 (about 1% of cases), L3-L4 (about 3%). About 24% of patients with disc herniations at the L3-L4 levels usually have a history of herniated discs at the L4-L5 and L5-S1 levels, indicating a general propensity for disc disease.
DIAGNOSIS OF WAIST hernia
At our Private EKOL Hospital in Edirne, we make every effort to provide your personal and quality treatments with the best and most equipped technology. Diagnosis of lumbar disc herniation is carried out after careful examination by an experienced specialist. In our clinic, Prof. Dr. Erol Yalnız orthopedics and traumatology professor gives you this opportunity.
The skilled practitioner can easily orient himself to the possible cause of patient complaints. Physical examination alone is not sufficient for disc herniation. It is necessary to carry out a figurative study - Computed Tomography (CT), Nuclear Magnetic Resonance (MR).
A normal x-ray image is not an indication of a herniated disc. Quite often it is found in many patients without significant complaints such as degenerative changes (osteophytes). The importance of X-ray image is more evident in diseases such as osteoporosis, inflammatory diseases, traumas, tumor diseases, but it has no practical importance in the diagnosis of disc herniation. Non-invasive techniques such as CT and MRI provide important information and details about the dissection of the hernia in 75-95% of cases. TREATMENT OF LUMBAR DISC Hernia Our clinic has a highly qualified healthcare team that cares about the quality and professional treatment of patients. The patients are offered modernly prepared rooms that provide comfortable treatment and accommodation.
Treatment of lumbar disc herniation is surgical. Indications for surgical treatment are urgent and planned. Some complaints requiring surgery: Tissue reservoir disorders (incontinence or inability to urinate) Progressive neurological disorders (acute weakness leading to paresis or paralysis of lower extremity muscles) Disqualification from conservative treatment Onset of pelvic-vascular disorders (later surgical treatment indications become urgent). Methods used to treat lumbar hernia in our Edirne Private Ekol Hospital, Professor of Orthopedics and Traumatology. It complies with the most advanced standards in spine surgery with Erol Yalnız. We make every effort to provide your individual and quality treatment.
Treatment methods are Microscopic discectomy and Laminectomy. Microdiscectomy surgery is a minimally invasive procedure to remove herniation of the intervertebral disc, thereby preventing compression of the nerve root. This procedure is done in a small incision.
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