Disc Herniation Associated to Other Conditions
The clinical presentation of central stenosis associated with marked annular bulging or disc herniation is extremely variable. In some cases, signs and symptoms differ from those typical of lumbar stenosis: chronic symptoms with a predominance of radicula
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Franco Postacchini Lumbar Disc Herniation
Springer-Verlag Wien GmbH
Praf. Dr. Franca Pastacchini Department of Orthopaedic Surgery, University "La Sapienza" Rome, Italy
This work is subject to copyright. AII rights are reserved, whether the whole or part of the material is concerned, specificalIy those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machines or similar means, and storage in data banks. © 1999 Springer-Verlag Wien Originally published by Springer-Verlag/Wien in 1999 Softcover reprint ofthe hardcover lst edition 1999
Typesetting: Thomson Press (India) Ud., New Delhi Cover design: Bernhard Kollmann Printed on acid-free and chlorine-free bleached paper SPIN: 10674039
With 478 partly calaured Figures CIP data applied for
© Copyright 1998 by Antonio Delfino Editore lIIedicina-scienzeVia Udine 32/40 - 00161 Rome
ISBN 978-3-7091-7322-0 ISBN 978-3-7091-6430-3 (eBook) DOI 10.1007/978-3-7091-6430-3
To my family, to the teachers who guided me in the medical arts and to all those friends and colleagues who have contributed to the advancement of my scientific and professional formation.
FOREWORD In the past ten years, there has been an explosion in the material published on low back pain. Franco Postacchini and his group have been active in this area for some twenty years. This book represents the experience of Professor Postacchini and his co-authors and their vast exposure to the lumbar disc. This unique textbook offers a broad yet concentrated look at the single topic of lumbar disc herniation. While it is rare indeed to devote a full textbook to a single topic, lumbar disc herniation deserves such attention. It is the most common diagnosis for which operative intervention occu rs, yet on the other hand we know, given time, that lumbar disc herniation can be treated non-operatively in many patients with equal success. Franco Postacchini and his colleagues have provided us with 24 unique chapters ranging from a wonderful historical perspective through anatomy, pathophysiology, biochemistry and biomechanics, and ending with diagnostic imaging treatment algorithms and complications. Further, they have broadened the horizons of the usual discussion of the lumbar disc to provide an insight into the issues of professional liability co-authored by a physician. The wonderful figures, short tables, and easily read text make this an exceptionally useful book for those practicing and treating patients with lumbar disc herniations. The breadth of references in this book are second to none on this single topic. There has been ample space
devoted to and information provided on not only the background of lumbar radicular syndromes associated with herniated disc, but also the techniques, both past and future, in the diagnosis and treatment of this common problem, as well as their current status. I have enjoyed reading Franco Postacchini's textbook and applaud him and his small number of colleagues on providing us with over 500 illustra
