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A large study of spinal stenosis from Finland found the prognostic factors for ability to work after surgery were ability to work before surgery, age under 50 years, and no prior back surgery. The very long-term outcome (mean follow-up time of 12.4 years) was excellent-to-good in 68% of patients (59% women and 73% men).
The surgery can be performed with external incisions (open surgery) or endoscopically. Endoscopy allows for complete sciatic nerve visualization and access for decompression in the extrapelvic gluteal space. [1] The goal of surgery is to restore normal nerve kinematics and nerve conduction.
1764: Domenico Cotugno describes sciatica as a disease of nervous origin. [89] 1881: Lasegue's sign is described for the diagnosis of sciatica. [90] 1916: Tardy nerve palsy is described in ulnar nerve. [91] 1934: Theory that a spinal disc pressing on the spinal cord can cause sciatica is introduced. [92] 1947: Piriformis syndrome is described. [93]
A study on sciatica showed that about one-third of patients with sciatica recover within two weeks after presentation using conservative measures alone, and about three-quarters of patients recovered after three months of conservative treatment. [47] However, sciatica may also less commonly be caused by nerve compression by muscles, tumors and ...
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While this test is positive in about 90% of people with sciatica, approximately 75% of people with a positive test do not have sciatica. [4] Straight leg raising of the leg unaffected by sciatica may produce sciatica in the leg on the affected side; this is known as the Fajersztajn sign. [15]