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Lumbar Degenerative Disc Disease and Lumbar Disc Herniation

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Essentials of Spine Surgery

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Abstract

Low back pain (LBP) can have a variety of generators including degenerative disc disease (DDD) and lumbar disc herniation (LDH). DDD is a lifelong condition that will require significant efforts in lifestyle modifications and physical therapy for the best chance of a good outcome. Patients with DDD can have a variable clinical course due to the complexity of treating LBP. On the other hand, patients with LDH with symptoms lasting longer than 6 weeks or with neurological compromise have better outcomes with surgery. These patients have a great chance for a full functional recovery.

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Further Readings

  • Buller M. MRI degenerative disease of the lumbar spine: a review. J Am Osteopath Coll Radiol. 2018;7(4):11–9.

    Google Scholar 

  • Jensen RK, Leboeuf-Yde C, Wedderkopp N, Sorensen JS, Manniche C. Rest versus exercise as treatment for patients with low back pain and Modic changes. A randomized controlled clinical trial. BMC Med. 2012;10:22.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lurie JD, Tosteson TD, Tosteson ANA, Zhao W, Morgan TS, Abdu WA, Herkowitz H, Weinstein JN. Surgical versus nonoperative treatment for lumbar disc herniation: eight-year results for the spine patient outcomes research trial. Spine. 2014;39(1):3–16.

    Article  PubMed  PubMed Central  Google Scholar 

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Author information

Authors and Affiliations

  1. Hospital for Special Surgery, Department of Orthopaedic Surgery, Weill Cornell Medical College, New York, NY, USA

    James E. Dowdell III & Todd J. Albert

Authors
  1. James E. Dowdell III
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  2. Todd J. Albert
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Corresponding author

Correspondence to James E. Dowdell III .

Editor information

Editors and Affiliations

  1. Department of Orthopaedics and Traumatology, Gazi University, Ankara, Turkey

    Alpaslan Şenköylü

  2. Department of Pediatric Orthopedic Surgery, Lille University Center and Faculty of Medicine, Jeanne de Flandre Hospital, Lille, France

    Federico Canavese

1 Electronic Supplementary Material

Video 45.1

Thoracic and lumbar pedicle screw fixation (MP4 635137 kb)

Video 45.2

Neurological examination of upper and lower extremities (MOV 232487 kb)

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© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

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Dowdell, J.E., Albert, T.J. (2022). Lumbar Degenerative Disc Disease and Lumbar Disc Herniation. In: Şenköylü, A., Canavese, F. (eds) Essentials of Spine Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-80356-8_45

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  • DOI: https://doi.org/10.1007/978-3-030-80356-8_45

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-80355-1

  • Online ISBN: 978-3-030-80356-8

  • eBook Packages: MedicineMedicine (R0)

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