Abstract：
:Far lateral disc herniations constitute 7-12% of all disc herniations. They may be purely far lateral or extraforaminal in location, located beyond the pedicles, or may include intraforaminal and even intracanalicular components. Occurring predominantly at the L4-L5 and L3-L4 levels in almost equal numbers, they are occasionally noted at L5-S1. Clinical syndromes reflect compression of the superiorly exiting nerve root and ganglion; ie an L4-L5 far lateral disc produces a L4 root syndrome. Clinical complaints often include severe radicular pain accompanied by very positive mechanical signs; Laségue and reverse Laségue (femoral stretch test) maneuvers. Neurological deficits, including motor, reflex, and sensory findings, are seen over 75% of the time. Although conservative management is occasionally successful (10%), surgery is usually required. The extent of stenosis and attendant degenerative changes dictate whether laminectomy, hemilaminectomy or laminotomy are required along with one of several facet resection options; full facetectomy, the intertransverse approach, medial facetectomy, or an extreme lateral procedure. Postoperatively, patients' neurological outcomes based on both surgeon and patient based outcome measures (SF-36), were comparable for the different surgical procedures which had been based on the individual patient's pathology.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Epstein NEdoi
10.1038/sj.sc.3101319subject
Has Abstractpub_date
2002-10-01 00:00:00pages
491-500issue
10eissn
1362-4393issn
1476-5624journal_volume
40pub_type
杂志文章,评审相关文献
SPINAL CORD文献大全abstract：STUDY DESIGN:Cross-sectional study by mail survey of participation in productive activities of individuals who sustained a spinal cord injury (SCI) in Quebec from 1970 to 1993. OBJECTIVES:To determine the level of productivity outcomes of a representative sample and to determine the relationship between the productivi...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3100918
更新日期：1999-10-01 00:00:00
abstract：OBJECTIVE:To determine the long-term mortality rate and the types of morbidity among all people with spinal cord injuries (SCI) that occurred during the 1948 Israel War of Independence. METHOD:Chart review and telephone interviews for collecting demographic data, injury characteristics, marital status, physical activi...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3101043
更新日期：2000-09-01 00:00:00
abstract：STUDY DESIGN:Methodological validation of dual-energy x-ray absorptiometry (DXA)-based measures of leg bone mineral density (BMD) based on the guidelines of the International Society for Clinical Densitometry. OBJECTIVES:The primary objective of this study was to determine the precision of BMD estimates at the knee an...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2016.170
更新日期：2017-05-01 00:00:00
abstract：STUDY DESIGN:Systematic literature review for primary data using predefined inclusion, exclusion and validity criteria. Primary outcome measure was standardised neurological examination or neurological function. Secondary outcomes; acute mortality, early morbidity. OBJECTIVES:To access the literature available to clin...
journal_title：Spinal cord
pub_type： 杂志文章,评审
doi：10.1038/sj.sc.3100986
更新日期：2000-05-01 00:00:00
abstract：:The International Campaign for Cures of Spinal Cord Injury Paralysis established a panel tasked with reviewing the methodology for clinical trials for spinal cord injury (SCI), and making recommendations on the conduct of future trials. This is the fourth of four papers. Here, we examine the phases of a clinical trial...
journal_title：Spinal cord
pub_type： 指南,杂志文章,评审
doi：10.1038/sj.sc.3102010
更新日期：2007-03-01 00:00:00
abstract：STUDY DESIGN:Retrospective Nationwide Inpatient Sample (NIS) study. OBJECTIVES:To determine national trends in prevalence, risk factors and mortality for vertebral column fracture (VCF) and spinal cord injury (SCI) patients with and without acute respiratory distress syndrome/acute lung injury (ARDS/ALI). SETTING:Uni...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2013.16
更新日期：2013-06-01 00:00:00
abstract：STUDY DESIGN:Prospective, regional population-based study. OBJECTIVES:To provide the incidence, aetiology and injury characteristics of traumatic spinal cord injury (TSCI) in the City of Cape Town, South Africa. SETTING:All government-funded hospitals within the City of Cape Town, South Africa. METHODS:All survivors...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2015.51
更新日期：2015-09-01 00:00:00
abstract：:A correction to this paper has been published and can be accessed via a link at the top of the paper. ...
journal_title：Spinal cord
pub_type： 已发布勘误
doi：10.1038/s41393-019-0397-7
更新日期：2020-01-01 00:00:00
abstract：STUDY DESIGN:Prospective cohort study. OBJECTIVES:To evaluate the relationship between quality of life (QOL) after a traumatic spinal cord injury (TSCI) and acute predictors, with a particular emphasis on the initial severity of the neurological injury. Secondarily, to compare the QOL after a TSCI with the general pop...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/s41393-018-0178-8
更新日期：2018-11-01 00:00:00
abstract：STUDY DESIGN:Cross-sectional comparison, control group. OBJECTIVES:To investigate the relationship between carotid arterial stiffness and circulating markers for cardiovascular disease (CVD) in spinal cord-injured (SCI) subjects compared with able-bodied (AB) individuals. SETTING:University Research Laboratory, Unive...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2011.56
更新日期：2011-09-01 00:00:00
abstract：STUDY DESIGN:Experimental study. OBJECTIVE:Individuals with spinal cord injuries (SCI) may present with impaired sympathetic control over thermoregulatory responses to environmental and exercise stressors, which can impact regional core temperature (Tcore) measurement. The purpose of this study was to investigate whet...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/s41393-019-0257-5
更新日期：2019-07-01 00:00:00
abstract：STUDY DESIGN:Cross-sectional study. OBJECTIVES:Determine dietary, lifestyle, and clinical factors associated with plasma 25-hydroxyvitamin D [25(OH)D] levels in persons with chronic spinal cord injury (SCI). SETTING:Veterans Affairs Medical Center in Boston, MA. METHODS:174 participants completed food frequency and ...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/s41393-018-0148-1
更新日期：2019-02-01 00:00:00
abstract：STUDY DESIGN:A case report of cervical myelopathy caused by epidural beta (2)-microglobulin (beta2m) amyloid deposits in a 50-year-old woman with haemodialysis treatment. OBJECTIVE:Long-term haemodialysis in patients with end-stage renal disease leads to several complications based on beta2m deposits, which can affect...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3101969
更新日期：2007-04-01 00:00:00
abstract：STUDY DESIGN:Systemic reviewObjective:We carried out a systematic review and meta-analysis to assess the efficacy and safety of phosphodieterase-5 (PDE5) inhibitors on erectile dysfunction (ED) secondary to spinal cord injury (SCI). METHODS:A literature review was performed to identify all published randomized, double...
journal_title：Spinal cord
pub_type： 杂志文章,meta分析,评审
doi：10.1038/sc.2016.3
更新日期：2016-07-01 00:00:00
abstract：:This preliminary study evaluates the suitability of a gaze controlled communication system for severely handicapped patients. The system drives a computer by movements of the patient's pupils. The capacity to communicate by producing text on a screen was assessed in 30 patients, 22 traumatic tetraplegics and 8 patient...
journal_title：Spinal cord
pub_type： 临床试验,杂志文章
doi：10.1038/sj.sc.3100496
更新日期：1998-02-01 00:00:00
abstract：STUDY DESIGN:A controlled, descriptive and comparative, questionnaire based study. OBJECTIVES:To describe the bowel function of spinal cord injured (SCI) patients and compare this with a general community control group. SETTING:Christchurch, New Zealand. METHODOLOGY:A postal questionnaire was sent out to past SCI pa...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3101058
更新日期：2000-12-01 00:00:00
abstract：STUDY DESIGN:Retrospective cohort study. OBJECTIVES:The old-version JOA score for cervical myelopathy (CM) is an evaluation system performed by medical providers that focuses only on neurological function. The purpose of this study was to evaluate patient-reported outcomes using the Japanese Orthopaedic Association Ce...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/s41393-019-0258-4
更新日期：2019-08-01 00:00:00
abstract：STUDY DESIGN:Intervention study. OBJECTIVES:The present study aimed at examining whether spinal and/or peripheral alterations are in the origin of neuromuscular fatigue development induced by intermittent neuromuscular electrical stimulation (NMES) in subjects with complete spinal cord injury (SCI). SETTING:Neurologi...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2013.172
更新日期：2014-03-01 00:00:00
abstract：STUDY DESIGN:Descriptive study. OBJECTIVES:To describe the epidemiological features of spinal cord injury (SCI) following the 2015 earthquakes in Nepal. SETTING:Spinal Injury Rehabilitation Centre, Kavre, Nepal. METHODS:Data were collected from the medical records of all earthquake-related patients seen from 25 Apri...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2017.25
更新日期：2017-07-01 00:00:00
abstract：STUDY DESIGN:Retrospective chart review. OBJECTIVE:To analyze the role of sonography in detecting heterotopic ossification (HO) following spinal cord injury (SCI). SETTING:Department of Spinal Cord Injury and Department of General and Trauma Surgery, BG University Hospital Bergmannsheil Bochum, Ruhr University Bochum...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2016.93
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVE:To draw attention to inadequate care received by some spinal cord injury patients after discharge from the regional spinal injury center. SETTING:Regional Spinal Injuries Centre, Southport, UK. METHODS:Presence of the urethral stricture was not recognised in a 69-year-old male with T-3 paraplegia, who atten...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3101576
更新日期：2004-08-01 00:00:00
abstract：STUDY DESIGN:Prospective cross-sectional study. OBJECTIVES:To investigate residual urine volumes after intermittent catheterization (IC) in men with spinal cord injury (SCI) and the effect of residual urine on the rate of symptomatic urinary tract infections (UTIs). SETTING:Single SCI rehabilitation center in Switzer...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2013.81
更新日期：2013-10-01 00:00:00
abstract：STUDY DESIGN:Retrospective multicenter study. OBJECTIVES:To analyze the predictive factors for postoperative ambulatory recovery in paretic non-ambulatory patients with metastatic spinal cord compression (MSCC). SETTING:Japan. METHODS:Eighty-two consecutive patients (74.4% men; mean age, 66.2 years) who could not wa...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2016.145
更新日期：2017-05-01 00:00:00
abstract：STUDY DESIGN:A case-control study evaluating seminal zinc level in spinal cord injury (SCI) patients. OBJECTIVES:Patients with SCI have neurological prostate dysfunction. There are only some indications in the literature that seminal zinc level may be lower in these patients. Seminal zinc is mainly produced by the pro...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2010.122
更新日期：2011-03-01 00:00:00
abstract：STUDY DESIGN:Two validation studies. OBJECTIVES:To assess the measurement properties of the short version of the Van Lieshout test (VLT-SV), a new test for arm/hand function of persons with tetraplegia after spinal cord injury (SCI). SETTING:Two specialized rehabilitation centres in The Netherlands. METHODS:Study 1 ...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sj.sc.3101937
更新日期：2006-12-01 00:00:00
abstract：STUDY DESIGN:Experimental animal study. OBJECTIVE:The current study aims to test whether the blood flow within the contused spinal cord can be assessed in a rodent model via the acoustic window of the laminectomy utilizing transcutaneous ultrasound. SETTING:Department of Neurological Surgery, University of Washington...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/s41393-020-0415-9
更新日期：2020-06-01 00:00:00
abstract：STUDY DESIGN:Randomized, double-blind, crossover, sham-controlled trial. OBJECTIVES:Repetitive transcranial magnetic stimulation (rTMS) over the primary motor cortex (M1) leads to a significant reduction of spasticity in subjects with spinal cord injury (SCI), but the physiological basis of this effect is still not we...
journal_title：Spinal cord
pub_type： 杂志文章,随机对照试验
doi：10.1038/sc.2014.136
更新日期：2014-11-01 00:00:00
abstract：STUDY DESIGN:The study is conducted on the basis of comparative-repeated measures. OBJECTIVES:The objective of this study is to assess the reliability of non-invasive cardiac output (CO) measurements in individuals with tetraplegia (TP) at rest and during exercise using Innocor, and to test the hypothesis that CO meas...
journal_title：Spinal cord
pub_type： 杂志文章,随机对照试验
doi：10.1038/sc.2010.173
更新日期：2011-05-01 00:00:00
abstract：STUDY DESIGN:Cross-sectional. OBJECTIVES:To describe the manual wheelchair (MWC) skill profiles of experienced MWC users with spinal cord injury and their wheeled mobility (distance and speed) while considering their level of injury and age. SETTING:Rehabilitation centers, participant's home and the community. METHO...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2011.98
更新日期：2012-01-01 00:00:00
abstract：STUDY DESIGN:Prospective case series. OBJECTIVES:Male infertility is a common sequela of spinal cord injury (SCI). Fatherhood is a goal in this group of young patients; however, most are anejaculatory. Penile vibratory stimulation is recommended as the first line of treatment for this condition. Our study evaluated th...
journal_title：Spinal cord
pub_type： 杂志文章
doi：10.1038/sc.2014.110
更新日期：2014-08-01 00:00:00
