A Study of the Causes of Failure in the Herniated Intervertebral Disc Operation

An Analysis of Sixty-Seven Reoperated Cases

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Figures

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    (A) Evaginated cartilage which if not removed with herniation over interspace may still continue to compress nerve root. (B) Hyperostosis which may compress nerve root against overhanging facet.

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    Acute lateral angle (left side) formed by pedicle, facet, and body of vertebra. Adherent nerve root will be traumatized by motion at the interspace (root leaves spinal canal at interspace below). Normal clearance is shown on the right.

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    (A, B, C, D) Locations from which loose pieces of migrated cartilage have been removed. (E) Bony exposure deemed necessary to insure that such migrations are not missed.

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    Illustrates how cartilage adherent to nerve root is hidden by retraction, but returns to compress the nerve root. Gentle pressure above the nerve root will demonstrate that it is still compressed.

References

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    BradfordF. K. and SpurlingR. G. The intervertebral disc. With special reference to rupture of the annulus fibrosus with herniation of the nucleus pulposus. Springfield, Ill.: Charles C Thomas19452nd ed.xii192 pp.Bradford F. K. and Spurling R. G. The intervertebral disc. With special reference to rupture of the annulus fibrosus with herniation of the nucleus pulposus. Springfield Ill.: Charles C Thomas 1945 2nd ed. xii 192 pp.

  • 2.

    CampbellE. and WhitfieldR. D. Certain reasons for failure following disk operations. N. Y. St. J. Med.194747: 25692572.Campbell E. and Whitfield R. D. Certain reasons for failure following disk operations. N. Y. St. J. Med. 1947 47: 2569–2572.

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    EcholsD. H. Rupture of fourth and fifth lumbar disks with bilateral sciatic pain. Report of a case. Texas St. J. Med.194439: 477479.Echols D. H. Rupture of fourth and fifth lumbar disks with bilateral sciatic pain. Report of a case. Texas St. J. Med. 1944 39: 477–479.

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