Lumbar Disk Herniation

Section 1. Basics1. Disc Biomechanics and Herniation2. The Physiology of the Intravertebral Disc3. Disc Herniation and Sciatica: The Basic Science Platform Section 2. Pathology4. Schmorl's Nodes: Are They Herniations? 5. Intervertebral Disc Herniation in Children6. Intervertebral Disc Herniation in Adolescents7. Physiologic Aging of the Intervertebral Disc and Herniation in the Adult8. Aging and Degeneration: Cause and Effect of Intervertebral Disc Damage? 9. The Natural History of Lumbar Disc Herniation10. Silent Disc Herniation: Truth or Myth? 11. The Clinical Presentation of Degenerative Disc Disease12. Recurrent Disc Herniation Section 3. Diagnosis13. Magnetic Resonance Imaging Examination for Degenerative Disease of the Lumbar Spine14. Neurophysiologic Tests in Diagnosis of Nerve Root Compression Section 4. Conservative Treatment Modalities15. Importance of Sensitivity and Specificity of Diagnostic Tests16. Physical Medicine: Traction, Exercise, and Revalidation17. Single-Blind Randomized Controlled Trial of Chemonucleolysis and Manipulation in the Treatment of Symptomatic Lumbar Disc Herniation18. Chemonucleolysis19. Neuromodulation in Failed Back Surgery: A Neurosurgical Overview Section 5. Surgical Treatment Modalities20. General Principles: When to Operate21. Disc Herniation: Are Recent Surgical Developments Also Recent Advances? 22. The Reduction of Peridural Fibrosis Section 6. New Treatment Modalities and Results23. Microscopic Surgery Versus Classic Approaches24. Lumbar Posterior Endoscopic Microdiscectomy: Indications, Techniques and Midterm Results of the First 100 Consecutive Patients25. Sole Discectomy After Lumbar Disc Herniation: Is It Always a Sufficient Treatment? New Aspects by a Dynamic Neutralization System26. Soft Hardware for the Spine: OptiMesh - A Preview of Some Novel Tools and Methods for Manipulating and Stabilizing Bone Graft and Bone Graft Substitutes27. Prosthetic Disc Nucleus Implants: An Update28. Indications for Disc Replacement Following Lumbar Discectomy29. What is Failed Back Surgery? How Do We Treat? Section 7. Economic and Ethical Considerations in the Management of Spinal Stenosis30. Principles of Quality Assessment31. Prediction of Results in Lumbar Disc Herniation32. Epidemiology, Fitness for Work and Costs33. The Techniques of Local and Regional Anesthesia for Lumbar Disc Surgery34. Outpatient Logistics and Day-Care Discectomy35. Outcome Measurements and Different Languages: An IntroductionIndex