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2017 ; 10
(4
): 507-516
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Lumbar Disc Herniation
#MMPMID28980275
Amin RM
; Andrade NS
; Neuman BJ
Curr Rev Musculoskelet Med
2017[Dec]; 10
(4
): 507-516
PMID28980275
show ga
PURPOSE OF REVIEW: Substantial advancements have been made in the cause,
diagnosis, imaging, and treatment options available for patients with lumbar disc
herniation (LDH). We examined the current evidence and highlight the concepts on
the frontline of discovery in LDH. RECENT FINDINGS: There are a myriad of novel
etiologies of LDH detailed in recent literature including inflammatory factors
and infectious microbes. In the clinical setting, recent data focuses on
improvements in computer tomography as a diagnostic tool and non-traditional
injection options including tumor necrosis alpha inhibitors and platelet-rich
plasma. Operative treatment outcomes have focused on minimally invasive
endoscopic approaches and demonstrated robust 5-year post-operative outcomes.
Advances in the molecular etiology of LDH will continue to drive novel treatment
options. The role of endoscopic treatment for LDH will continue to evolve.
Further research into10-year outcomes will be necessary as this surgical approach
continues to gain widespread popularity.