지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.4
- 수록면
- 200 - 204 (5page)
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초록· 키워드
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Study Design: The prevalence of disc herniation is estimated to be about 100 000 new cases per year in France and disc herniation accounts for 25% to 30% of surgical activity in Departments of Neurosurgery. Classically, sciatica is expected to follow its specific dermatome?L5 or S1?. In clinical practice, we regularly encounter patients showing discrepancy between clinical sciatica and imaging findings.
Purpose: The aim of this paper is to review the medical concept and management of sciatica pain in patients showing this discrepancy.
Overview of Literature: To the best of our knowledge, this subject has not yet been discussed in the medical literature.
Methods: The medical records of 241 patients who were operated on for L5 or S1 sciatica caused by disc herniation were reviewed.
Results: We found an apparent clinicoradiological discrepancy between sciatica described by patients on one side and magnetic resonance imaging (MRI) finding on the other side in 27 (11.20%) patients. We did not find any other abnormalities in the preoperative and postoperative period. All of these patients underwent lumbar discectomy via posterior interlaminar approach. Three months after surgery, 25 patients (92.59%) had been totally relieved of sciatica pain. Two patients (7.41%) continued to experience sciatica in spite of the surgery.
Conclusions: The discrepancy between clinical sciatica and disc herniation level on MRI is not rare. Management of this discrepancy requires further investigation in order to avoid missing the diagnosis and treatment failure.
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