title: [The lumbar disc herniation - management, clinical aspects and current recommendations].
abstract: Lumbar disc herniation has a high prevalence and strong social-medical impact. Patients suffer from lower back pain that radiates from the spine. Loss of sensation or paresis adds to the clinical picture. The diagnosis should be confirmed by imaging in patients considered for surgery. High remission rates initially warrant conservative treatment (adequate analgesia and physiotherapy) in many patients. If this treatment does not lead to significant alleviation within 5-8 weeks, surgery should be performed to reduce the risk of chronic nerve affection. Posterior interlaminar fenestration is the intervention primarily conducted for this diagnosis. A relapse in the same region occurs in up to 10% of patients after months through years, which sometimes necessitates a reoperation if symptoms are pertinent.
authors: Klinik für Neurochirurgie, Kantonsspital St. Gallen. martin.stienen@kssg.ch
authors: M N
authors: MN
authors: Stienen
authors: D
authors: D
authors: Cadosch
authors: G
authors: G
authors: Hildebrandt
authors: O P
authors: OP
authors: Gautschi
mesh_terms: D000368:Aged; D000465:Algorithms; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D008159:Lumbar Vertebrae / Q000503:physiopathology; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D009460:Neurologic Examination; D011128:Polyradiculopathy / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D013116:Spinal Cord / Q000503:physiopathology; D013127:Spinal Nerves / Q000503:physiopathology; D014057:Tomography, X-Ray Computed