First report of perforation of ligamentum flavum by sequestrated lumbar intervertebral disc

Özdemi̇r, Bülent; Kanat, Ayhan; Batçık, Osman Ersegun; Erturk, Cihangir; Çeliker, Fatma Beyazal; Güvercin, Ali Rıza; Yazar, Uğur

doi:10.4103/0974-8237.199867

Cited by 14 publications

(2 citation statements)

References 24 publications

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“…It is well-known that disc fragments may migrate to superior, inferior, or lateral sites in the anterior epidural space. [ 11 ] In this study, the involved levels of herniations were L3–4 (eight patients), L4–5 (21 patients), and L5–S1 (17 patients), and differences in levels were not statistically significant ( P > 0.05).…”

Section: Discussionmentioning

confidence: 66%

“…[ 10 ] A thorough understanding of anatomy is necessary for practicing medicine. [ 11 ] The load-bearing forces in the lumbar spine are more important than the thoracic spine and the cervical spine. [ 3 ] The posterior longitudinal ligament (PLL) extends from the cervical spine to the sacrum[ 12 ] on the dorsal surface of the vertebral body and represents the anterior portion of the vertebral canal and adheres to the intervertebral discs and adjacent marginal strips.…”

Section: Introductionmentioning

confidence: 99%

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Posterior longitudinal ligament suturation after lumbar discectomy provides postoperative a large intradural area: First report

Batçık

Kanat

Durmaz

et al. 2023

Journal of Craniovertebral Junction and Spine

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Background: Stability and flexibility of the spine are provided by the posterior longitudinal ligament (PLL). It plays a key role in the pathogenesis of lumbar disc herniation (LDH) by preventing disc protrusion. The effect of the suturing of the PLL on the intradural area was investigated. Patients and Methods: The patients were included in whom lumbar microdiscectomy was performed between January 2021 and July 1, 2022. The patients were randomly divided into two groups as PLLs were sutured and unsutured. Results: Forty-six (23 males and 23 females) patients were included. The PLLs were sutured in 22 patients (Group 1) and not sutured in 24 patients (Group 2). The levels, sides of LDHs, and ages and gender of patients were also analyzed in both groups, which were not statistically significant. Preoperative mean spinal intradural areas were 77.29 mm 2 for the PLL unsutured group and 85.40 mm 2 for the PLL sutured group (Groups 1 and 2). For patients in Groups 1 and 2, the postoperative mean spinal intradural areas grew to 134.73 mm 2 and 96.12 mm 2 , respectively. The difference in preoperative mean spinal intradural regions between the two groups was not statistically significant; however, Group 1 showed a substantial difference (sutured PLL patients). Conclusions: This study first time indicates that suturing PLL has a protective and supportive role in patients who were operated on for LDH.

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Section: Discussionmentioning

confidence: 66%

Section: Introductionmentioning

confidence: 99%

Posterior longitudinal ligament suturation after lumbar discectomy provides postoperative a large intradural area: First report

Batçık

Kanat

Durmaz

et al. 2023

Journal of Craniovertebral Junction and Spine

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Does the anesthesia technique of cesarean section cause persistent low back pain after delivery? A retrospective analysis

et al. 2022

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Objective Cesarean sections (CS) under spinal anesthesia may lead to newly developed low back pain (LBP) after anesthesia. The cause of this pain is still unknown. This subject was investigated. Methods The persistent LBP after the section was retrospectively analyzed in patients who were operated on under spinal or general anesthesia between January 1, 2018, and January 1, 2020. Result General anesthesia was used in 52 women, but 251 women were operated on under spinal anesthesia. Newly developed persistent LBP was detected in 57 (18,8%) of a total of 303 patients. Of those patients with LBP, general anesthesia was used in 14 of 52 (26,9%) patients, but 43 of 251 (17.1%) patients received spinal anesthesia. Baby weight after CS was the only variable associated with persistent LBP after 3 and 6 months ( P < 0.05) in multiple logistic regression analysis. Patient age and anesthesia type were not associated with persistent LBP ( P > 0.05). Conclusion This study shows anesthesia type as spinal or general was not associated with increased persistent LBP. Performing more spinal than general anesthesia in the cesarean section may be false data about the increased rate of LBP after CS.

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Posterior epidural migration of herniated lumbar disc fragment: a literature review

2019

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First report of perforation of ligamentum flavum by sequestrated lumbar intervertebral disc

Cited by 14 publications

References 24 publications

Posterior longitudinal ligament suturation after lumbar discectomy provides postoperative a large intradural area: First report

Posterior longitudinal ligament suturation after lumbar discectomy provides postoperative a large intradural area: First report

Does the anesthesia technique of cesarean section cause persistent low back pain after delivery? A retrospective analysis

Posterior epidural migration of herniated lumbar disc fragment: a literature review

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