Manifestasi Klinis Hernia Nukleus Pulposus • nyeri pada bagian spinal • Kelemahan otot • Parasthesia atau baal – servical – torakal – Lumbal Servical • C4 – C5. Symptoms from HNP vary from asymptomatic to paraplegia. Herniated disc matter may compress nerve roots, vascular structures, and even the spinal cord. In the radiological examination of the spine one frequently sees in association with kyphoses very varied contours of the upper and lower vertebral margins.

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Symptoms from HNP vary from asymptomatic to paraplegia. Nuclear material is normally contained within the annulus, but it may cause bulging of the annulus or hernia nukleus pulposus herniate through the annulus into the spinal canal. In the patients that have non-MRI comparable implanted devices, CT myelography can be performed to visualize herniated disc.

Surgical treatments for a herniated disc include laminectomies with discectomies depending on the cervical or lumbar area. These negatively charged regions have a strong avidity for water molecules and hydrate the nucleus or center of the disc by an osmotic swelling pressure effect. After a patient underwent an operation, the first thing to do is offer information about the rehabilitation program they will follow the next few weeks.

Following surgical treatment of HNP, concerns are raised regarding vertebral joint stability and subsequent catastrophic failure of the vertebral column, depending on the type and nature of the procedure. Am J Phys Med Rehabil. According to the authors, patients who had larger anular defects and removal of smaller disc volumes had increased risk of recurrent disc herniation, and those who had greater disc volumes removed had more progressive disc height loss by 6 months after surgery.

Mild HNP will most likely not create aviation problems after conservative therapy has concluded.

Standard treatment for HNP consists of conservative therapy, surgery, and chemonucleolysis. The intervertebral disc is the largest avascular structure in the body. Results showed no significant difference in relief of leg pain between the two approaches. Hirsch et al did a systematic review of the literature to determine the effectiveness of automated percutaneous lumbar discectomy APLD. And finally, cartilaginous end-plates separate the disc from the vertebral body.

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The femoral nerve can also be affected and cause the patient to experience a numb, tingling feeling throughout one or adala legs and even feet or even a burning feeling in the hips and legs.

A military waiver file lists members with the diagnosis of HNP. Surgery should be limited to: A portion of the nucleus pulposus has protruded into the epidural space. The intervertebral disc is comprised of three parts.


As nukleu January there were 3, First-class, 2, Second-class, and 5, Third-class airmen with issued medical certificates in the FAA for all variety of HNP, laminectomyand cervical disk surgery. The age-incidence curve for lumbar HNP peaks in the second through fourth decades of life and the incidence is higher in males than females.

The systematic review of Huang W. Surgery may be useful in those with a herniated disc that is causing significant pain radiating into the leg, significant leg weakness, bladder problems, or loss hernia nukleus pulposus bowel control. Computed tomography of the postoperative pulpoaus spine.

HNP – Wikipedia

Recurrent symptoms after treatment would preclude waiver consideration. A corresponding posterior bony arch encloses and protects the neural elements, and each side of the posterior elements has a facet joint or articulation to allow motion.

If hernia nukleus pulposus stability is totally regained and fully under control, strength and power can be trained. Principles of Orthopedic Practice. Herniation of the nucleus pulposus HNP occurs when the nucleus pulposus gel-like substance pulposks through.

Also, a consultation from nukkleus orthopedic surgeon should clear the examinee for flying duties and delineate prognosis. If the fissures reach the periphery of the anulus, the nuclear material can pass through as a disc herniation. The patient is asked if he feels any differences between the left and right side.


This method of surgical removal is not nuklehs with normal, pklposus material, which is encountered when aalah interverterbral disks are excised anteriorly in patients having surgery because of deformity or hernai. If history or physical elicits findings, further studies such as nerve conduction study and electromyelogram may be needed for further evaluation.

Inflammation-suppressing Pulposys Corticosteroid Injection may be given directly into the area bukleus the spinal nerves. Due to muscle spasm, a loss of normal spinal curvature may be noted. Other pathologic lesions i. However, progression of disease may lead to quadriparesisparaplegia, and emergent conditions such adalha cauda equina syndrome and conus syndrome.

A medical certificate should not be issued for any class if pain is severe enough to prevent sitting for long periods, or if nerve impingement causes severe radiculopathy or motor dysfunction.

There is no consensus hernia nukleus pulposus the criteria that have to be considered in order to determine if the radiant pain is caused hrenia disc herniation. A hemilaminectomy is less concerning than a laminectomy and fusion, and multilevel surgery is of more concern than single level surgery.


Disc herniations can result from general wear and tear, such as constant sitting or squatting, driving, or a sedentary pulposu. In contrast to a herniation, none of the central portion escapes beyond the outer layers. American Society of Aerospace Medicine Specialists. A prospective study of prognostic factors including a controlled trial.

If you log out, you will be required to enter your username and password the next time you visit. Mukleus might be a hernia nukleus pulposus indicator of lumbar disc herniation.