Association Between Conservative Treatment Modalities and Clinical Outcomes in Patients With Lumbosacral Disc Herniation Following Short Term and Long Term Treatments: A Retrospective Cohort Study

Multidimensional Etiology, Risk Factors, and Management Strategies for Early Residual Low Back Pain After Percutaneous Endoscopic Lumbar Discectomy: A Narrative Review

Comments on “Nonoperative Management of the Adult Spinal Deformity Patient: A Biopsychosocial Intervention versus Care-as-usual - A Comparative Treatment-Based Cohort Study with One-Year Follow-Up”

the AdIS:DN ratio. The authors state that baseline differences were “corrected” by calculating baseline-to-one-year difference scores and that weak correlations between selected baseline variables and ODI change rendered those differences not relevant. 1 However, change-score analysis does not itself adjust for confoun...

Multimodal Conservative Management of Lumbar Disc Herniation with Radicular Symptoms and Gait Impairment Using Underwater Lumbar Extension in A Patient Refusing Surgical Intervention

Lumbar disc herniation (LDH) with radiculopathy may lead to significant functional impairment, including gait disturbance and pain-related disability. While surgical decompression is indicated in severe cases, many patients opt for conservative rehabilitation-based management.

Radiological alignment versus functional outcomes in fifth metacarpal neck fractures – a narrative review

Introduction and Objective. Fifth metacarpal neck fractures are common, but optimal treatment remains controversial because anatomical reduction does not consistently predict functional recovery. The aim of the narrative review is to examine the relationship between radiographic deformity and patient-important outcomes...

Surgical Management of Cervical Disc Herniation in a Resource-Limited Setting: Outcomes and Challenges

Objectives: To evaluate clinical and functional outcomes and identify perioperative and health-system challenges among patients undergoing surgical treatment for symptomatic cervical disc herniation in a resource-limited tertiary-care hospital. Methodology: This observational study was conducted in the Department of N...

Mini‐Open Versus Open Transforaminal Lumbar Interbody Fusion in Patients Aged ≥ 75 Years: Perioperative Surgical Burden and Clinical Outcomes

Patients aged ≥ 75 years are at increased risk of perioperative stress and delayed early recovery after lumbar fusion, making the choice of surgical approach clinically relevant. However, direct comparative data on mini‐open transforaminal lumbar interbody fusion (MO‐TLIF) and conventional open TLIF in this population...