Our waits region consist of 5 spine bones. Between each of our spinal column are called discus intervertebralis, that is to say, there are structures that serve as a kind of pillow between the 2 spine bones. In the middle of the discus intervertebralis there is a soft jealous s tructure called the nucleus pulposus and a rigid structure called anulus fibrosus. Here is what we call the waist fitic, nucleus pulposus we call the soft jealous structure of the spinal cord or spinal cord to the lef t out of the spinal cord is the pressure to go.


This is most commonly seen between 30-60 years of age but there is a possibility that it may occur at any age. The rate of female men i slightly higher in women.Still life, genetic factors, excessive weight, pregnancy, alcohol smoking consumption, sudden movemen ts, removing the weight of an object from the ground instead of crouching instead of leaning, long-term use of non-lumbar support employees, unconscious sports movements to increase the risk of catching this condition.


Leg pain is more common in low back pain. Pain, numbness, loss of strength in the limbs, loss of urine or large abduction may be seen in a single or both legs, starting from the hip and spreading on both legs. Examination of the physician and magnetic resonance imaging with advanced technology today, iethe diagnosis and degree of waist fitness with MR can be determined. Treatment of each waist fitness is not an operation. Non- surgical treatment according to the degree of phytitis and the complaints of the patient. At the initial level waist tricks are usually mild pain reflected on the waist and leg. Patients with pain relievers and muscle relaxants and a few days of rest can us.Again, for the control of back and leg pain in mild-to-moderate phyla, first of all, physical therapy applications can be tried under the supervision of drug treatment and physical therapist this usually get rid of these pains, but sometimes patients with moderate levels of phytis may not benefit from drugs and physical therapy. If it is not seen with medication and physical therapy applications, relief is most of these patients by a simple injection around the lumbar joint and nerve around the facet or foraminal injection. Only 3% of patients with waist fitness need surgery. It is decided according to the MRI image, examination findings and complaint of the patient. You canʼt tell patients that they need operation or not by looking at their MRG this wouldnʼt be healthy decision and is wrong. Although MRI has small or moderate levels of phytopathy, MRI has some patients who do not benefit from any non-operative treatments.Treatment of the spinal cord and the spinal cord from the spinal cord to the left to the leg due to a decrease in muscle strength, urinary and large abduction incontinence in the case of treatment without loss of time is definitely. Emergency decision is given in the clinical situation we call cauda ekuina syndrome. Sciatica- style leg pain, advanced muscle strength loss, marked numbness or complete numbness, urinary and large abduction incontinence, loss of sex function are the findings of this syndrome, and urgently sur gery should be cleaned with phytitis pressin the spinal cord.


Open discectomy was almost the only choice in the period when the use of the microscope was not common. Since open discectomy has many disadvantages, it is now almost abandoned. Larger skin incision, complete and unclear view of the surgical area are the primary disadvantages. It has been developed due to the open discectomy operations performed in pre- microscopic bias in pre-judgment in the community re garding waist fit operations. Open discec tomy spinal cord and the nerve from the spinal cord sometimes can not be seen clearly and can not be distinguished because of undesirable results have developed in some operations. A small incision into the lumbar region at the level of the endoscopic discectomy hernia is drained with the help of the camera. This technique is very comfortable and the patients may be discharged on the same day or at the latest one day after the operation and desk workers can return to work within 1 w eek after 1 week, and those who work for physical work. However, this technique does not apply to every waist lumbar disc.

Microscopic discectomy is now the mos t common method in waist surgery. A 2 or 2.5 cm skin incision is made to the w aist area at the level of the wick and the phytic is discharged under the microscope. In this method, as in endoscopic discectomy, patients are discharged on the same day or the next day, and those who work for a desk are able to return to their jobs after 1 week, and those who work in heavy jobs at least 2 weeks later.