CT- and fluoroscopy-guided percutaneous discectomy for lumbar radiculopathy related to disc herniation: a comparative prospective study comparing lateral to medial herniated discs.

Abstract:

OBJECTIVE:To evaluate and compare two groups of patients with sciatica due to intervertebral disc herniation with no neurologic deficit. The groups consisted of patients with intervertebral disc herniation in a medial location (group 1) and those in a lateral location (group 2). MATERIALS AND METHODS:A total of 200 patients were included in the study and were followed for a minimum of 6 months. In our series, we treated 80 postero-lateral herniated discs (40% of cases), 46 postero-medial herniated discs (23%), and 74 foraminal herniated discs (37%). Level L3-L4 was treated in 30 cases (15%), L4-L5 in 98 cases (49%), and L5-S1 in 72 cases (36%). The procedure was performed under dual guidance: fluoroscopic and CT. A helical probe was activated. It penetrates the herniated disc and causes the pulpous material to be mechanically evacuated through the probe. All 200 patients were followed for a minimum of 6 months. RESULTS:In group 1, the patients had a mean pain score of 7.9 ± 2.5 VAS units (range 6-10 units) prior to intervention. This was reduced to 3.2 ± 2.1 VAS units (range 0-10 units) at 48 h follow-up and increased to 3.9 ± 1.2 VAS units (range 0-10 VAS units) at 1 month follow-up and further reduced to 2.7 ± 1.2 units (range 0-10 VAS units) at 6 month follow-up. In group 2, the patients had a mean pain score of 8.2 ± 3.2 VAS units (range 6-10 units) prior to intervention. This was reduced to 2.8 ± 1.5 VAS units (range 0-10 units) at 48 h follow-up and decreased to 1.5 ± 0.9 VAS units (range 0-10 units) at 1 month and further reduced to 1.1 ± 0.5 VAS units (range 0-10 units) at 6 months. CONCLUSION:Our study showed that results were more satisfactory for the hernia located laterally (postero-lateral, foraminal, and extra-foraminal) as compared to the hernia located posteromedially.

journal_name

Skeletal Radiol

journal_title

Skeletal radiology

authors

Amoretti N,Huwart L,Marcy PY,Foti P,Hauger O,Boileau P

doi

10.1007/s00256-012-1422-5

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

49-53

issue

1

eissn

0364-2348

issn

1432-2161

journal_volume

42

pub_type

杂志文章
  • Imaging of radial wrist pain. I. Imaging modalities and anatomy.

    abstract::Radial wrist pain is a common clinical complaint. The relatively complex anatomy in this region, combined with the small size of the anatomical structures and occasionally subtle imaging findings, can pose problems when trying to localize the exact cause of pain. To fully comprehend the underlying pathology, one needs...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00256-014-1840-7

    authors: Lee RK,Griffith JF,Ng AW,Wong CW

    更新日期:2014-06-01 00:00:00

  • Thermography: a reevaluation.

    abstract::This is a brief review of the physical and physiologic aspects and theories of thermography and its clinical use in musculoskeletal conditions. Thermography is a simple, non-invasive procedure with a potential for usefulness. However, the majority of clinical studies to date have not been performed independent of othe...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00361052

    authors: Edeiken J,Shaber G

    更新日期:1986-01-01 00:00:00

  • Dynamic contrast-enhanced MRI with subtraction of aggressive soft tissue tumors after resection.

    abstract:OBJECTIVE:To report the application of dynamic contrast-enhanced subtraction MRI for detecting recurrences in aggressive or malignant soft tissue tumors. DESIGN:The imaging studies consisted of static (T1- and T2-weighted spin-echo) acquisitions, followed by dynamic conventional spin-echo short TR/TE images (at 45 s, ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s002560050428

    authors: Vanel D,Shapeero LG,Tardivon A,Western A,Guinebretière JM

    更新日期:1998-09-01 00:00:00

  • Bony landmark between the attachment of the medial meniscus posterior root and the posterior cruciate ligament: CT and MR imaging assessment.

    abstract:OBJECTIVES:(1) To reveal the prevalence of the bony recess (posterior dimple) and (2) to determine the position of the posterior dimple on the tibial plateau using three-dimensional computed tomography (3DCT). MATERIALS AND METHODS:In this study, a retrospective review of 112 patients was performed to identify the pos...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-017-2625-6

    authors: Fujii M,Furumatsu T,Miyazawa S,Kodama Y,Hino T,Kamatsuki Y,Ozaki T

    更新日期:2017-08-01 00:00:00

  • The effect on medical metal implants by magnetic fields of magnetic resonance imaging.

    abstract::Forces and torques, due to a 0.3 Tesla magnetic field were evaluated on ten hip prostheses and ten hemostat clips. Measurements were performed with an instrument utilizing the movement of a laser beam caused by the deflection of a cantilever. The results indicate effects, if any, to be smaller than the instrument's se...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00355565

    authors: Mesgarzadeh M,Revesz G,Bonakdarpour A,Betz RR

    更新日期:1985-01-01 00:00:00

  • Prospective and longitudinal evolution of postoperative periprosthetic findings on metal artifact-reduced MR imaging in asymptomatic patients after uncemented total hip arthroplasty.

    abstract:OBJECTIVE:To prospectively assess the evolution of postoperative MRI findings in asymptomatic patients after total hip arthroplasty (THA) over 24 months (mo). METHODS:This prospective cohort study included 9 asymptomatic patients (56.7 ± 15.0 years) after THA. Metal artifact-reduced 1.5-T MRI was performed at 3, 6, 12...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-020-03666-8

    authors: Germann C,Filli L,Jungmann PM,Graf DN,Fritz J,Pfirrmann CWA,Sutter R

    更新日期:2020-11-09 00:00:00

  • Metal wear-induced pseudotumour following an endoprosthetic knee replacement for Ewing sarcoma.

    abstract::Pseudotumours are well recognised as a complication of metal-on-metal hip arthroplasties and are thought to develop on the basis of an innate and adaptive immune response to cobalt-chrome (Co-Cr) wear particles. We report a case of a large pseudotumour that developed following a knee endoprosthetic replacement (EPR) u...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-017-2610-0

    authors: Craig R,Vlychou M,McCarthy CL,Gibbons CLMH,Athanasou NA

    更新日期:2017-07-01 00:00:00

  • Radiographic findings in patients with clinical Tietze syndrome.

    abstract::Thirteen patients with similar painful tender swelling in the region of the sternocostal joint (SCJ) are reported. X-ray tomography revealed changes which might explain the swelling in 11 patients. Three patients had anatomical variants of the sternum. One of these and a further two patients had marginal osteophytes a...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00351265

    authors: Jurik AG,Justesen T,Graudal H

    更新日期:1987-01-01 00:00:00

  • Irreducible anterior dislocation of the shoulder due to soft tissue interposition of subscapularis tendon.

    abstract::The shoulder joint is the most unstable joint in the body and is easily dislocated. Anterior shoulder dislocation is the commonest and can be associated with glenoid and humeral fractures. Anterior shoulder dislocations are not infrequently associated with cuff tendon tears; however, anterior shoulder dislocation is e...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-007-0370-y

    authors: Connolly S,Ritchie D,Sinopidis C,Brownson P,Aniq H

    更新日期:2008-01-01 00:00:00

  • An in vitro comparative study of T2 and T2* mappings of human articular cartilage at 3-Tesla MRI using histology as the standard of reference.

    abstract:OBJECTIVE:The aim of this study was to evaluate the correlations between T2 value, T2* value, and histological grades of degenerated human articular cartilage. MATERIALS AND METHODS:T2 mapping and T2* mapping of nine tibial osteochondral specimens were obtained using a 3-T MRI after total knee arthroplasty. A total of...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00256-014-1872-z

    authors: Kim T,Min BH,Yoon SH,Kim H,Park S,Lee HY,Kwack KS

    更新日期:2014-07-01 00:00:00

  • Mannosidosis: an unusual cause of a deforming arthropathy.

    abstract::We report on a case of a deforming arthropathy in a young man with a lysosomal storage disorder. A 31-year-old man with a known diagnosis of mannosidosis presented with a painful swollen right elbow. Radiographs of his right elbow showed a disorganised joint with multiple fragments resembling the appearances of a neur...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s002560000213

    authors: DeFriend DE,Brown AE,Hutton CW,Hughes PM

    更新日期:2000-06-01 00:00:00

  • Metastatic skeletal leiomyomatosis (leiomyomatosis ossea).

    abstract::We present a unique case of metastatic leiomyomatosis to the skeleton. The very extensive involvement of the axial and peripheral skeleton with "ring" lesions and associated cyclical premenstrual pain eventually led to the correct diagnosis and total relief with hormonal therapy. ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s002560100425

    authors: Pimentel JR,de Almeida AL,Aymoré IL,Pinto EP,Osthoff L,Smith J

    更新日期:2002-01-01 00:00:00

  • Predicting outcomes in patients undergoing intra-articular corticosteroid hip injections.

    abstract:OBJECTIVE:To investigate the associations between clinical, procedural, and radiographic factors and outcomes of steroid hip injections, including long-term and immediate pain reduction, time to arthroplasty, time to reinjection, and the total number of injections. MATERIALS AND METHODS:All intra-articular anesthetic ...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-020-03673-9

    authors: Kanthawang T,Lee A,Baal JD,Joseph GB,Vail T,Link TM,Patel R

    更新日期:2020-11-27 00:00:00

  • Os acromiale: evaluation of markers for identification on sagittal and coronal oblique MR images.

    abstract::An os acromiale is a developmental abnormality of ossification involving the anterior acromion which may contribute to impingement and rotator cuff disease. When axial MR sections do not include the acromioclavicular joint, the diagnosis of this often subtle abnormality will rest on its recognition on oblique and coro...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s002560050187

    authors: Uri DS,Kneeland JB,Herzog R

    更新日期:1997-01-01 00:00:00

  • Intra-articular fibroma of tendon sheath arising in the acromioclavicular joint.

    abstract::Fibroma of the tendon sheath, a rare benign soft tissue tumor that most often occurs in the distal upper extremities (hands and wrist), is exceedingly rare to present as an intraarticular mass. Presented here is the first case in the English literature, to our knowledge, of a fibroma of the tendon sheath arising in th...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00256-013-1749-6

    authors: Glover M,Chebib I,Simeone FJ

    更新日期:2014-05-01 00:00:00

  • Case report 795. High-grade surface osteosarcoma of the radius.

    abstract::We described a case of high-grade surface sarcoma of the radius in a 14-year-old boy. The lesion appeared radiologically benign and was confined to the surface. The tumor was resected. At the time of biopsy both lungs showed diffuse metastases. Following surgery the patient underwent chemotherapy and the lung metastas...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:

    authors: Hermann G,Abdelwahab IF,Kenan S,Lewis MM,Klein MJ

    更新日期:1993-01-01 00:00:00

  • Radiologic findings of Patterson-Lowry rhizomelic dysplasia in two sisters.

    abstract::We report two sisters who have a rare skeletal abnormality termed Patterson-Lowry rhizomelic dysplasia. The typical findings of these cases on bone survey are isolated shortening and proximal metaphyseal enlargement and cupping of the bilateral humeri. The elder sister also has coxa vara deformity and dysplastic proxi...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-014-1957-8

    authors: Damar Ç,Boyunağa Ö,Derinkuyu BE,Battaloğlu N,Ezgü FS

    更新日期:2014-11-01 00:00:00

  • Spinal osteoid osteoma: efficacy and safety of radiofrequency ablation.

    abstract:OBJECTIVE:The aim of this study was to evaluate the efficacy and complications of CT-guided radiofrequency ablation (RFA) of spinal osteoid osteoma (OO). MATERIALS AND METHODS:Between 2002 and 2012, a total of 61 patients (46 male and 15 female, mean age 26.4 ± 12.7 years) were subjected to RFA for spinal OO. The diag...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-017-2662-1

    authors: Albisinni U,Facchini G,Spinnato P,Gasbarrini A,Bazzocchi A

    更新日期:2017-08-01 00:00:00

  • Osteoblastoma of the clavicle at the site of a previous fracture-first case report and review of the literature.

    abstract::Osteoblastoma is a rare, benign primary tumor of bone, accounting for < 1% of all bone tumors. We report the case of a 27-year-old female who developed pain and swelling five and a half years after a clavicular fracture and was subsequently found to have an osteoblastoma arising at the fracture site. This is the first...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00256-019-03197-x

    authors: Moreira AC,Suster DI,Eide SE,Rosenthal DI,Chang CY

    更新日期:2019-10-01 00:00:00

  • Acute bone infarction: a rare complication in thalassemia.

    abstract::Acute bone infarction is a well-described complication in sickle cell hemoglobinopathy but it is rarely reported in patients with thalassemia. This report describes an 18-year-old man with homozygous β-thalassemia presenting with a fever and severe acute bilateral ankle pain. The acute onset of severe pain and fever w...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-016-2387-6

    authors: Kanthawang T,Pattamapaspong N,Louthrenoo W

    更新日期:2016-07-01 00:00:00

  • Iodine-125 labeled phenylphosphonic acid: a new radiopharmaceutical for long-term investigations of the skeleton.

    abstract::A skeletal seeking radiopharmaceutical labeled with a long-lived radionuclide was developed to evaluate regional bone formation and its subsequent resorption. The agent is [phosphonate (phenylmethylene hydroxy) bis] - I-125 or I-125 phi PA. Tissue distribution studies in mice (N = 16) showed approximately 40% of the a...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00361978

    authors: Castronovo FP Jr,Strauss HW,McKusick KA,Potsaid MS

    更新日期:1982-01-01 00:00:00

  • Cerebellar and brainstem infarction as a complication of CT-guided transforaminal cervical nerve root block.

    abstract::A 60-year-old man with a 4-year history of intractable neck pain and radicular pain in the C5 nerve root distribution presented to our department for a CT-guided transforaminal left C5 nerve root block. He had had a similar procedure on the right 2 months previously, and had significant improvement of his symptoms wit...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-006-0215-0

    authors: Suresh S,Berman J,Connell DA

    更新日期:2007-05-01 00:00:00

  • Unusual variation of the rotator interval: insertional abnormality of the pectoralis minor tendon and absence of the coracohumeral ligament.

    abstract:OBJECTIVE:To evaluate the anomalous insertion of the pectoralis minor tendon with absence of the coracohumeral ligament on MR arthrography and to demonstrate the associated findings seen with this anatomical variation. MATERIALS AND METHODS:We retrospectively reviewed the 335 MR arthrograms of the shoulder joint (mean...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-010-0926-0

    authors: Lee SJ,Ha DH,Lee SM

    更新日期:2010-12-01 00:00:00

  • Radiological manifestations of bisphosphonate treatment with APD in a child suffering from osteogenesis imperfecta.

    abstract::A 12-year-old female suffering from osteogenesis imperfecta (OI) was treated with 3-amino-1-hydroxypropylidene-1,1-bisphosphonate (APD) orally, 250 mg daily, for periods of 2 months, alternating with periods of 2 months of abstinence. Total duration of therapy was 1 year. Radiological and clinical improvement was stri...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00350961

    authors: Devogelaer JP,Malghem J,Maldague B,Nagant de Deuxchaisnes C

    更新日期:1987-01-01 00:00:00

  • Magnetic resonance appearance of posterosuperior labral peel back during humeral abduction and external rotation.

    abstract:OBJECTIVE:To describe the magnetic resonance appearance of posterosuperior labral peel back and determine the reliability of MR in the abducted and externally rotated (ABER) position for the prospective diagnosis of arthroscopically proven cases of posterosuperior labral peel back. METHODS:After approval by the instit...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s00256-009-0744-4

    authors: Borrero CG,Casagranda BU,Towers JD,Bradley JP

    更新日期:2010-01-01 00:00:00

  • Society of Skeletal Radiology 2015 annual meeting summary.

    abstract::Peer-reviewed abstracts presented at the 2015 Society of Skeletal Radiology (SSR) 38th Annual Meeting were reviewed following oral presentation. Topics felt to be of potential interest to musculoskeletal (MSK) investigators and practicing clinicians are highlighted in this compilation and analysis of the meeting. New ...

    journal_title:Skeletal radiology

    pub_type:

    doi:10.1007/s00256-015-2245-y

    authors: Fox MG,Bancroft LW

    更新日期:2016-01-01 00:00:00

  • Computed tomography of sternoclavicular joint lesions in spondylarthropathies.

    abstract:UNLABELLED:To evaluate the computed tomography (CT) findings of inflammatory lesions of the sternoclavicular joints (SCJ) in spondylarthropathies. DESIGN AND PATIENTS:CT scans of the SCJs were obtained in 23 patients (group 1) with inflammatory SCJ lesions in spondylarthropathies. These scans were reviewed by four rea...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/s002560050258

    authors: Louvel JP,Duvey A,Da Silva F,Primard E,Mejjad O,Henry J,Le Loët X

    更新日期:1997-07-01 00:00:00

  • Usefulness of an acoustic edge artifact in assessment of the Ilizarov corticotomy interval.

    abstract::Thirty-three ultrasound examinations of the corticotomy interval of patients undergoing Ilizarov procedures were retrospectively evaluated for the presence or absence of an acoustic edge artifact. This artifact, consisting of a fine anechoic band, has been previously described in phantom models and is presumed to be d...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00241766

    authors: Zynamon A,Crabbe JP,Rubin JM,Adler RS

    更新日期:1992-01-01 00:00:00

  • Computed tomography analysis of bone tumors: patterns of cortical destruction and soft tissue extension.

    abstract::Computed tomography was used to identify three different ways in which primary bone tumors may transgress a bony cortex. Analysis of the pattern of cortical transgression was used in conjunction with the presence or absence of matrix mineralization to classify correctly the lesion into one of four different diagnostic...

    journal_title:Skeletal radiology

    pub_type: 杂志文章

    doi:10.1007/BF00355103

    authors: Brown KT,Kattapuram SV,Rosenthal DI

    更新日期:1986-01-01 00:00:00

  • Primary pleomorphic liposarcoma of bone: MRI findings and review of the literature.

    abstract::Primary liposarcoma of bone is exceedingly rare. We report a case of primary pleomorphic liposarcoma in the humerus of a 38-year-old female. Radiographs demonstrated an expansile and osteolytic lesion extending from the head to the proximal part of the shaft in the right humerus. MR study showed a defined lesion in th...

    journal_title:Skeletal radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00256-005-0018-8

    authors: Torigoe T,Matsumoto T,Terakado A,Takase M,Yamasaki S,Kurosawa H

    更新日期:2006-07-01 00:00:00