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Article
HISTOLOGICAL AND STRUCTURAL STUDY OF PROLAPSED INTERVERTEBRAL DISC

Authors: Khalida K Jbara --- Thamer A Hamdan
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2006 Volume: 12 Issue: 1 Pages: 2
Publisher: Basrah University جامعة البصرة

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Abstract

The research of the etiology of low back pain and right leg pain has been focused on the study of histological degenerative changes of human intervertebral disc prolapse. In patients with low back pain & right leg pain and disc prolapsed according to magnetic resonance imaging (MRI), histological and histochemical studies have demonstrated several histological degenerative changes in the structure of the prolapsed intervertebral disc. Surgically excised intervertebral disc from 105 patients with lumber disc prolapsed were studied by histomorphology aided with histochemistry this include patients with prolapsed disc due to several causes. 5 control intervertebral discs were studied for comparison. Our result indicated that their was a degenerative structural changes of the intervertebral disc prolapse. Chondrocytes cloning, invasion of blood vessels into the disc matrix, disorganisation and disorientation of collagen fibers, matrix depletion and many other changes were observed.

Keywords

HISTOLOGICAL --- PROLAPSED --- INTERVERTEBRAL --- DISC


Article
Disc Geometry – Based Nd:Glass Laser
هندسية القرص لليزر زجاج النديميوم

Authors: Fareed F. Rasheed فريد فارس رشيد --- Sinan A. Sadeq سنان عبدالحميد صادق --- Wrood A. Khalel ورود عبدالخالق خليل
Journal: Al-Ma'mon College Journal مجلة كلية المامون ISSN: 19924453 Year: 2012 Issue: 20 Pages: 261-271
Publisher: AlMamon University College كلية المامون الجامعة

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Abstract

Solid-state laser materials ordinarily consist of a transparent host material doped by active ions that replace some atoms or ions of the original material. These active ions contribute in stimulating laser action by the existence of energy levels relevant to spectra of absorption and emission. Specifically, neodymium glasses, which fluoresce at 1.06µm due to a transition from the 4F3/2 to the 4I11/2 state in the Nd3+ ion, have found interesting applications in the production and amplification of lasers used in laser fusion. The laser material interacts with the field incident on it and is pumped by one or more excitation sources (lamps or diode lasers). The pumping light may be directed towards the laser material from any direction relevant to laser radiation.The present work deals with the design, construction and characteristics study of solid state laser and Nd:glass, pumped with diode laser array at its end. A maximum power of 1 watt of 808 nm has been utilized to pump the Nd: glass disc of 2mm thickness and 12 mm diameter.

تَتضمّنُ موادُ ليزرِ الحالة الصلبةَ بشكل عاد من مادّة مضيّفِ شفّافةِ مطعمة بالآيوناتِ النشيطةِ التي تَستبدلُ بَعْض الذرّاتِ أَو آيوناتِ المادّةِ الأصليةِ، هذه الآيوناتِ النشيطةِ تُسهمُ بتَحفيز عملِ الليزرِ بوجودِ مستوى الطاقةِ ذي العلاقةَ بأطيافِ الإمتصاصِ والإشعاعِ. بشكل مُحدّد , زجاج الندميوم، التي تَستشعُّ في 1.06 µm بسبب إنتقال مِنْ 4F3/2 إلى حالة 4I11/2 في آيون الندميوم +3، وَجدَ إثارة اهتمام تطبيق بالمُنْتَجاتِ ومبالغاتِ الليزرِ يُستَعملانِ لإنْتاج الإنشطارِ. تَتفاعلُ مادّةُ الليزرَ بحقلِ الإشعاعَ عليه ومَضْخُوخةُ بواحد أَو مصادرِ إثارةِ أكثرِ (مصابيح أَو ليزر دايود). ضوء المضخّةَ قَدْ يَكُون على مادّةِ الليزرَ مِنْ أيّ إتّجاه نسبة إلى إشعاعَ الليزرَ.يَتضمّنُ العملُ الحاليُ التصميمُ. دراسة الخصائصَ وبناءَ ليزرِ الحالة الصلبةِ لزجاج الندميوم, ضَخَّ بصَفِّ دايود ليزر مِنْ نهايتِه. قوَّة قصوى مِنْ 1 واطِ كَانتْ مُسْتَعْملةَ مِنْ 808 nm أَنْ تَضْخَّ دسك الندميوم الزجاجي مِنْ سُمكِ 2 مليمترِ و12 مليمترِ قطرِ.

Keywords

Nd:Glass --- Laser --- Disc


Article
Recurrence after SurgeryIn Lumbar Disc Protrusions

Author: Abdullah Y Al-Mihyawi
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2006 Volume: 3 Issue: 1 Pages: 67-74
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Persistent symptoms after operation
for lumbar disc protrusions may be due to: (1) disc
prolapse at another level; (2) residual disc material in
the spinal canal; (3) nerve root pressure by a
hypertrophic facet joint or a narrow lateral recess
(‘root canal stenosis’). After careful investigation, any
of these may call for re-operation; but second
procedures don’t have a high success rate.
Objective: This study is designed to verify the
possible causes of recurrence after surgery for lumbar
disc prolapse and their appropriate treatment
regarding re-exploration.
Methods: A follow-up and result of treatment in
100 cases operated upon for lumbar disc prolapse is
presented. Clinical & radiological assessments
including myelography and magnetic resonance
imaging were done post-operatively in persistent
symptoms including backache or sciatica.
Results: In this series, twelve patients required reexploration,
9 patients had only one re-exploration
and 3 patients had two explorations each. One patient
had one re-exploration was subjected to sacro-iliac
fusion, which improved his symptoms.
Conclusion: In the majority of patients the causes
of persistence of symptoms are beyond the control of
the surgeon. Removal of disc prolapse is effective in
most instances in relieving the pain in lower extremity
but a large number of patients continue to suffer from
further backache and a few from further leg pain of
varying intensity. Re-exploration carries a bad
prognosis but if a disc prolapse is found at reexploration
then the result is much more favorable
Keywords: Sciatica, recurrent lumbar disc, reexploration.


Article
Cauda Equina Syndrome (CES) Due to Lumbar Disc Herniation; Correlation between Delayed Decompression and Clinical Outcome

Author: Mousa Imran Alghazali
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2015 Volume: 12 Issue: 2 Pages: 323-328
Publisher: Babylon University جامعة بابل

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Abstract

Twenty-six patients presented with fully developed CES with delay of 48 hrs to two months, with average age of 40 years ranging from 20-60 years. The follow-up of patients was for two years post-operatively. All patients underwent surgical decompression. The result is not dramatic, but it takes time, leg and back pain relieved in all patients, nineteen patients regained full control of urination, five patients urinate with straining and two patients remained needing catheterization to treat retention. We concluded that surgical decompression is beneficial for those patients presenting late with fully developed CES. So we recommend to do decompression to all patients with CES in spite of the delay in presentation. Further urodynamic studies and monitoring of the intrathecal pressure preoperatively is required.


Article
MICRO-ENDOSCOPIC DISCECTOMY, A MODERN APPROACH FOR LUMBAR DISC PATHOLOGY

Authors: Mohamed El Husseini --- Taghrid Chaaban
Journal: Basrah Journal of Surgery مجلة البصرة الجراحية ISSN: 16833589 / ONLINE 2409501X Year: 2017 Volume: 23 Issue: 2 Pages: 26-33
Publisher: Basrah University جامعة البصرة

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Abstract

MICRO-ENDOSCOPIC DISCECTOMY, A MODERN APPROACH FOR LUMBAR DISC PATHOLOGYMohamed El Husseini* & Taghrid Chaaban@ *MD, PhD, Neurosurgeon, Hôpital Libano Français, Zahle, Lebanon. @MS Nursing, IUL, Beirut, Lebanon.Abstract In the last decade, the neuro-endoscope has been used increasingly in the surgical management of spinal diseases, both intradural and extradural. Endoscopic discectomy is increasingly performed in lumbar region. This study included 200 patients with lumbar disc pathology operated upon with both techniques: Classic and Endospine Karl Storz system technique introduced by Destandau. Based on results (Macnab modified criteria), microendoscopic discectomy should be used in properly selected patients.Key words: endoscopic, lumbar disc hernia, Endospine, Destandau technique


Article
A Misleading Presentation of Vogt – koyanaji – Harada Disease

Author: Hussain Ali Tufaili
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2018 Volume: 11 Issue: 2 Pages: 4059-4063
Publisher: Kerbala University جامعة كربلاء

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Abstract

Purpose: To report an unusual clinical presentation of Vogt – koyanaji – Harada disease.Design and methods: A 36 years-old Iraqi woman presented to Neurology department with chronic headache and bilateral disc edema, neuro-imaging was normal, a provisional diagnosis of idiopathic intracranial hypertension was made, aspiration of cerebrospinal fluid (CSF) was done. The CSF pressure was normal and the patient did not respond to conventional treatment. After 3 weeks, the patient developed drop of vision in the right eye, the patient referred to the Ophthalmology department for evaluation of the visual problem. On examination, vision was counting finger 3 meters right eye and 5 meters left eye. There is bilateral granulomatous uveitis both eyes, bilateral disc edema, and multifocal exudative retinal detachment in both eyes. Optical coherence tomography (OCT), and posterior fundus photography document the presence of multifocal retinal detachment.


Article
A study of 22 Cases of Dorsal Inter-Vertebral Disc Prolapse treated by Thoracic Laminectomy

Author: Ali K. AL-Shalchy
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: 00419419 Year: 2008 Volume: 50 Issue: 4 Pages: 414-415
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: dorsal spine intervertebral disc prolapse (IVDP) not a very common entity compared with cervical & lumbar region usually treated surgically.
Patients & method: 22 patients studied in the specialized surgical hospital neurosurgical department from Jan 2002 till Jan. 2006. the study included age, gender, cases. clinical features, diagnoses & surgical management.
Results: 22 patients were studied 76% of the patients are at the age of 30-60 with slight male predominance, all diagnosed by MRI & or CT scan, all managed surgically by laminectomy the results are compared with other studies.
Conclusion: posterior thoracic laminectomy at the dorsal region is a safe, simple procedure with good results if done early & meticolous.


Article
Correlation between magnetic resonance imaging and intra-operative findings in disc herniation at lumbo-sacral region

Author: Correlation between magnetic resonance imaging and intra-operative findings in disc herniation at lumbo-sacral region
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2015 Volume: 11 Issue: 1 Pages: 25-27
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Prolapsed intervertebral disc is an important and common cause of low backache. MRI has now become universally accepted investigation for prolapsed intervertebral disc. We, however, regularly come across situations, when MRI shows diffuse disc bulges, even at multiple levels, which cannot be correlated clinically and when such cases are operated, no significant disc prolapse is found resulting in negative exploration.Objective: To evaluate the role of M.R.I. finding not only for diagnosis of disc herniation at lumbar region but also for localization the level of herniationMethods: A prospective study on seventy five symptomatic low backache and MRI confirmed prolapsed intervertebral disc patients at lumbo-sacral region were operated on, all of the cases required excision of disc through posterior approach in knee elbow position. The time between MRI taken and surgery was two weeks, from which the data were taken in a questioner forma which include name , age ,gender , occupation , chief complaint , duration, MRI findings and intra operative finding , from June 2011 to October 2013 at Al- Kindy teaching hospital .Results: In our study 75 patients were diagnosed by clinical examination and MRI finding to have disc herniation at lumbar region . The female more than male( 36 females , 12 males) and the ratio was 5-1, the accuracy of MRI against intra operative finding in deciding the provisional diagnosis as disc herniation was 68% .The commonest site was L4-5 disc herniation 43 patients (57.3 % ) , and L5-S1 prolapse is the next common disc herniation level 27 patient (36 % ) , L3-L4 disc herniation was two cases (2.7 %) and L4-L5 ,L5-S1 disc herniation was 3 cases (4% ).Conclusion: The most common level was L4-5 followed by L5S1.The MRI is more accurate in diagnosis of the lumbo-sacral disc herniation and its level in single one is more than multiple levels.Keywords: Disc herniation, MRI, Surgery, posterior approachAl


Article
Surgical or Non Surgical Treatment of Lumbar Spinal Stenosis (LSS) ((Compares Study))

Authors: Isam Ali Al-Sudany --- Salah Mahdi Jaddoa
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2015 Volume: 12 Issue: 4 Pages: 1161 -1167
Publisher: Babylon University جامعة بابل

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Abstract

This study is to assess the effectiveness of decompressive surgery as compared with non-operative measures in the treatment of patients with lumbar spinal stenosis.prospective study carried out for Forty seven patients with lumber spinal stenosis (LSS) of one level or more categorized into 25patients with surgical group and 22patients with non operative treatment group . The surgical procedure was laminectomy of stenosed segments and undercutting ligamentum flavum while the group of non operative measurements received non steroid anti inflammatory drugs and physiotherapy.Result in both groups showed improvement in leg and back pain and walking ability in first 6 months follow up .At one year follow up the difference was clear in improvement of walking ability and pain in surgical group than non operative group.our conclusion was although the improvements appeared in both group. The outcome of surgery remain favorable in long time follow up. we recommended that more than 2 years follow up needed for evaluation of the surgical results.


Article
Y Risk Factors of Recurrent Lumbar Disk Herniation

Author: Isam Ali Alsudany
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2015 Volume: 12 Issue: 4 Pages: 1168 -1172
Publisher: Babylon University جامعة بابل

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Abstract

Recurrent intervertebral disc prolapsed (RDP) is a major cause of poor result after lumbar discectomy surgery. The aim of current study is to assess risk factors of recurrent disc prolapse in Iraqian population in Hilla teaching hospital from 2002-2013. The study reviewed 40 patients with recurrent disc prolapsed and 100 patients without recurrence retrospectively. To evaluate possible risk factors for herniation recurrence A clinically significant recurrent herniation was defined as a disc herniation causing lower limb pain (sciatica) and (MRI) evidence of disc material at the same level of the previous surgery. Other 100 patients without recurrence were used just for compares to identify possible risk factors for recurrent RDP. There was important variation between groups with and without RDP in sex, smoking, height, weight and occupational characteristic. By putting these differences in logistic regression analysis, it showed that gender (male), height, heavy workers and heavy smoker could expected in lumbar disc prolapsed recurrence(RDP). Taking into consideration sex, heavy smoking and heavy workers as predictors of recurrent RPD, surgeons should advice their patients to limit hard work and put away smoking especially in tall and male ones to prevent RDP recurrence.

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