 Posted: Tue 0:08, 08 Mar 2011 Post subject: _658 Elderly lumbar disc herniation |
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| Elderly lumbar disc herniation
Significant, nerve root and surrounding tissue adhesions and more serious. Wang is indeed broken free surgical-type disc cases, crr showed greater prominence, accounting for more than 1,3 sagittal diameter of spinal canal, intervertebral disc associated with the relatively narrow base of the loose, the rim of the less prominent smooth; MR showed prominent nucleus is round or oval mass, with the nucleus is not prominent among the non-contact. Some deviation from the level in the disc down. For more performance for free old broken disc type of lumbar disc and the elderly that the low water content, elastic buffering capacity of less relevant, the exact mechanism yet to be further studied. 4.3 The elderly lumbar disc hernia treatment with the non-surgical treatment options mainly massage,tory burch outlet, traction, physical therapy, medication and epidural being closed J. Surgery should also solve the lumbar spine with degenerative disc hernia and spinal stenosis caused by two problems, if only to satisfy the removal of the nucleus, ignoring the exploration of the nerve root canal and decompression,p90x workout calendar, patients are often poor efficacy. Yellow ligament surgical resection should be used, with the gap one way of vertebral discectomy f argument. The possible surgical bilateral semi laminectomy discectomy exposed to the full, can detect bilateral nerve root canal, to facilitate removal of the cohesive proliferation of small water chestnut section of protrusion and hypertrophy of the yellow ligament, completely remove the cauda equina or nerve root compression, the compression of the nerve root is fully decompression, nerve root can move around 1. Ocm about diminishing the load of the elderly spine, interbody bone by bone bridge or leaf 'form to enhance the stability of the ridge Zhu, laminectomy range can be slightly larger than the younger elderly multi-vertebral disc hernia combined with the yellow facet joint ligament hypertrophy and hyperplasia, only using the fenestration procedure, and often not fully revealed, the decompression of nerve root canal may not thorough enough. For a wide range of bone compression, nerve compression or central severance severe combined outstanding center for spinal stenosis can be asymptomatic if the patient total laminectomy, only imaging the vertebral degenerative disease, clinical not be processed; if the same vertebral disc hernia, mainly to spinal stenosis, the symptoms are not heavy, can be alleviated after the break package on a normal work and life was less affected. Possible conservative treatment: the elderly Jiang vertebral disc hernia cyberspace, the system boils conservative treatment (massage, traction, closed, reason boils and drug), significantly alleviate the disease can be treated without surgery; disc herniation with spinal stenosis, walked the line was intermittent, severe symptoms of patients,timberland portugal, a greater impact on those living and working properly. Surgical treatment of spinal stenosis should be based: patients in this group of degenerative spinal stenosis is based on. Typical limitations have asked disc hernia or prolapse,belstaff italia, the cause of pain is mainly cyberspace disc hernia and on the nerve root stimulation,timberland shoes, treatment with removal of lesion segments highlight the main discs, should not be multi-segment degeneration with removal of discs, and spinal canal and nerve root canal on a thorough decompression, in order to obtain a satisfactory long-term effect. 4.4 on Taiwan and the disease complicated with leukemia patients. Use of epidural anesthesia, blood pressure control should be noted that the merger = patients with diabetes, antidiabetic treatment should be given before surgery boil until the normal blood sugar control before surgery for heart and lung dysfunction, should be invited to give medical consultation to improve the treatment of heart and lung function, intraoperative ECG monitoring is best equipped units. Preoperative patients with benign prostatic hypertrophy, postoperative dysuria and more may be related to narcotic drugs, such patients before surgery should develop the habit of bed, urinate. Xinjiang old bag out of intervertebral disc disease, once diagnosed, clear indications for surgery, surgical treatment should be positive, age is not a surgical contraindication. |
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