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neurogenic claudication

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https://www.readbyqxmd.com/read/27843780/percutaneous-lumbar-decompression-with-spinejet-hydrosurgery-in-the-treatment-of-lumbar-spinal-stenosis-secondary-to-ligamentum-flavum-hypertrophy
#1
Julien Vaisman, Joe Ordia
INTRODUCTION: Lumbar spinal stenosis with symptomatic neurogenic claudication is a frequently encountered clinical entity which requires endoscopic or open spine surgery once the patients fail to respond to conservative therapies. In this case report we present a novel minimally invasive decompression technique using a fluid jet device (HydroCision Inc, Billerica, MA, USA) for a patient with symptomatic spinal stenosis secondary to ligamentum flavum hypertrophy. To our knowledge this approach has never been described in the medical literature...
August 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27801521/surgical-options-for-lumbar-spinal-stenosis
#2
REVIEW
Gustavo C Machado, Paulo H Ferreira, Rafael Ij Yoo, Ian A Harris, Marina B Pinheiro, Bart W Koes, Maurits W van Tulder, Magdalena Rzewuska, Christopher G Maher, Manuela L Ferreira
BACKGROUND: Hospital charges for lumbar spinal stenosis have increased significantly worldwide in recent times, with great variation in the costs and rates of different surgical procedures. There have also been significant increases in the rate of complex fusion and the use of spinal spacer implants compared to that of traditional decompression surgery, even though the former is known to incur costs up to three times higher. Moreover, the superiority of these new surgical procedures over traditional decompression surgery is still unclear...
November 1, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27793759/objective-measurement-of-free-living-physical-activity-performance-in-lumbar-spinal-stenosis-are-physical-activity-guidelines-being-met
#3
Justin Norden, Aman Sinha, Matthew Smuck, Christy Tomkins-Lane, Richard Hu
BACKGROUND: Research suggests that people with lumbar spinal stenosis (LSS) would benefit from increased physical activity. Yet, to date we do not have disease specific activity guidelines for LSS, and the nature of free-living physical activity (performance) in LSS remains unknown. LSS care providers could endorse the 2008 United States Physical Activity Guidelines, however, we do not know if this is realistic. The goal of this study was to determine the proportion of individuals with LSS meeting the 2008 Guidelines...
October 25, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27792054/evaluation-and-treatment-of-lumbar-facet-cysts
#4
Barrett S Boody, Jason W Savage
Lumbar facet cysts are a rare but increasingly common cause of symptomatic nerve root compression and can lead to radiculopathy, neurogenic claudication, and cauda equina syndrome. The cysts arise from the zygapophyseal joints of the lumbar spine and commonly demonstrate synovial herniation with mucinous degeneration of the facet joint capsule. Lumbar facet cysts are most common at the L4-L5 level and often are associated with spondylosis and degenerative spondylolisthesis. Advanced imaging studies have increased diagnosis of the cysts; however, optimal treatment of the cysts remains controversial...
December 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27765560/the-incidence-of-adjacent-segment-disease-after-lumbar-discectomy-a-study-of-751-patients
#5
Mohamad Bydon, Mohamed Macki, Panagiotis Kerezoudis, Daniel M Sciubba, Jean-Paul Wolinsky, Timothy F Witham, Ziya L Gokaslan, Ali Bydon
INTRODUCTION: The objective of this study is to determine the incidence and prognostic factors of adjacent segment disease (ASD) following first-time lumbar discectomy (LD). METHODS: We retrospectively reviewed all neurosurgical patients who underwent first-time LD for degenerative lumbar disease from 1990 to 2012. ASD was defined as a clinical and radiographic progression of degenerative spinal disease that required surgical decompression (with or without fusion) at the level above or below the index discectomy...
October 17, 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/27764750/changes-of-posture-and-muscle-activities-in-the-trunk-and-legs-during-walking-in-patients-with-lumbar-spinal-stenosis-after-decompression-surgery-a-preliminary-report
#6
Tsuyoshi Goto, Toshinori Sakai, Tetsuya Enishi, Nori Sato, Koji Komatsu, Koichi Sairyo, Shinsuke Katoh
Neurogenic intermittent claudication is a main symptom in lumbar spinal stenosis (LSS), and postural change is often observed during walking. This study aimed to identify the changes in posture and muscle activity in the trunk and legs during walking in patients with LSS by examining 6 patients who had undergone decompression surgery. None of them had significant paralysis. Gait analysis using Vicon motion capture system(®) with electromyographic recordings of the paravertebral muscles (PVM) and vastus lateralis muscle (VL) was performed preoperatively and 2 weeks postoperatively...
January 2017: Gait & Posture
https://www.readbyqxmd.com/read/27753733/cauda-equina-conduction-time-determined-by-f-waves-in-normal-subjects-and-patients-with-neurogenic-intermittent-claudication-caused-by-lumbar-spinal-stenosis
#7
Yasuaki Imajo, Tsukasa Kanchiku, Hidenori Suzuki, Masahiro Funaba, Norihiro Nishida, Kazuhiro Fujimoto, Toshihiko Taguchi
INTRODUCTION: Lumbar spinal stenosis (LSS) typically presents with neurogenic intermittent claudication (NIC). The aim is to investigate cauda equina conduction time (CECT) in patients with NIC caused by LSS and its relationship with age and body height in normal subjects. METHODS: The study included 172 normal subjects (mean age 44.1 ± 16.6 years; mean height 163.7 ± 8.9 cm). (Group C) 47 patients (mean age 71.3 ± 8.7 years; mean height 158.8 ± 11.2 cm) underwent surgery due to NIC in cauda equina type for LSS...
October 5, 2016: Journal of Clinical Neurophysiology: Official Publication of the American Electroencephalographic Society
https://www.readbyqxmd.com/read/27751507/-spinal-extradural-arachnoid-cyst-a-case-report-and-review-of-literature
#8
Javier Quillo-Olvera, Javier Quillo-Reséndiz, Carlos-Francisco Gutiérrez-Partida, Manuel Rodríguez-García
BACKGROUND: Arachnoid cysts of spine are a very rare occurrence. The aetiology still remains unclear, but the most accepted explanation is the existence of areas of weakness in the spinal dura. Symptoms depend on the location in the spine. Magnetic resonance imaging is used for its diagnosis. Management depends of clinical presentation, and the surgery is reserved for patients with neurological impairment. CLINICAL CASE: A case is described of 67 year-old male with myelopathy and radiculopathy symptoms, both diagnosed simultaneously...
October 14, 2016: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/27683674/lumbar-interbody-fusion-techniques-indications-and-comparison-of-interbody-fusion-options-including-plif-tlif-mi-tlif-olif-atp-llif-and-alif
#9
REVIEW
Ralph J Mobbs, Kevin Phan, Greg Malham, Kevin Seex, Prashanth J Rao
Degenerative disc and facet joint disease of the lumbar spine is common in the ageing population, and is one of the most frequent causes of disability. Lumbar spondylosis may result in mechanical back pain, radicular and claudicant symptoms, reduced mobility and poor quality of life. Surgical interbody fusion of degenerative levels is an effective treatment option to stabilize the painful motion segment, and may provide indirect decompression of the neural elements, restore lordosis and correct deformity. The surgical options for interbody fusion of the lumbar spine include: posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF), minimally invasive transforaminal lumbar interbody fusion (MI-TLIF), oblique lumbar interbody fusion/anterior to psoas (OLIF/ATP), lateral lumbar interbody fusion (LLIF) and anterior lumbar interbody fusion (ALIF)...
December 2015: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/27664416/cerebrospinal-fluid-dynamics-at-the-lumbosacral-level-in-patients-with-spinal-stenosis-a-pilot-study
#10
Se-Woong Chun, Hack-Jin Lee, Koong-Ho Nam, Chul-Ho Sohn, Kwang Dong Kim, Eun-Jin Jeong, Sun-Gun Chung, Keewon Kim, Dong-Joo Kim
Spinal stenosis is a common degenerative condition. However, how neurogenic claudication develops has not been clearly elucidated. Moreover, cerebrospinal fluid physiology at the lumbosacral level has not received adequate attention. This study was conducted to compare cerebrospinal fluid hydrodynamics at the lumbosacral spinal level between patients with spinal stenosis and healthy controls. Twelve subjects (4 patients and 8 healthy controls; 25-77 years old; 7 males) underwent phase-contrast magnetic resonance imaging to quantify cerebrospinal fluid dynamics...
September 24, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27660596/effect-of-tens-versus-placebo-on-walking-capacity-in-patients-with-lumbar-spinal-stenosis-a-protocol-for-a-randomized-controlled-trial
#11
Carlo Ammendolia, Pierre Côté, Y Raja Rampersaud, Danielle Southerst, Brian Budgell, Claire Bombardier, Gillian Hawker
BACKGROUND: Lumbar spinal stenosis (LSS) is a growing health problem and a leading cause of disability and loss of independence in older adults. It is usually caused by age-related degenerative narrowing of the spinal canals leading to compression and ischemia of the spinal nerves and symptoms of neurogenic claudication. Limited walking ability is the dominant functional impairment caused by LSS. Animal studies suggest increased blood flow to the spinal nerves and spinal cord with superficial paraspinal electrical stimulation...
September 2016: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/27651508/eidurographic-findings-following-percutaneous-epidural-adhesiolysis-failed-to-correlate-with-level-of-pain-reduction-in-patients-with-lumbar-spinal-stenosis
#12
Chan Hong Park, Sang Ho Lee
BACKGROUND : Spinal stenosis is characterized by narrowing of the spinal canal, with mechanical compression of spinal nerve roots. The latter may cause low back pain and/or leg pain, as well as neurogenic claudication. Epidural steroid injection is commonly used to treat patients with lumbar spinal stenosis (LSS), but percutaneous epidural adhesiolysis has been utilized when symptoms prove refractory. Our goal was to assess the relationship between improvement shown on epidurogram and subjective patient response to adhesiolysis...
September 20, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/27627708/evolution-of-design-of-interbody-cages-for-anterior-lumbar-interbody-fusion
#13
REVIEW
Kevin Phan, Ralph J Mobbs
Anterior lumbar interbody fusion (ALIF) is one of the surgical procedures for the relief of chronic back pain, radiculopathy and neurogenic claudication in patients with degenerative lumbar spine disease that is refractory to conservative therapy, low-grade spondylolisthesis and pseudo arthrosis. Over the past half century, both the surgical techniques and instrumentation required for ALIF have changed significantly. In particular, the designs of ALIF cage and the materials used have evolved dramatically, the common goal being to improve fusion rates and optimize clinical outcomes...
August 2016: Orthopaedic Surgery
https://www.readbyqxmd.com/read/27616440/-spinal-sinovial-cysts-surgical-treatment-and-clinical-outcomes-in-a-series-of-18-cases
#14
Beatriz Mansilla, Alberto Isla, Carlos Pérez-López, María Román-de Aragón, Jorge Zamorano, Javier Giner
OBJECT: A series of 18 patients with symptomatic synovial cysts was analysed from May 2009 to November 2013. Different approaches were performed for their removal. MATERIAL AND METHODS: The study included 18 patients, 8 men and 10 women, aged between 50 and 77 years. An analysis was made of the variables including age, gender, symptoms, imaging studies, histopathology, surgery, follow-up, complications, and clinical outcome. RESULTS: An articular synovial cyst was diagnosed in 17 cases, and a ganglion in one cases...
September 5, 2016: Neurocirugía
https://www.readbyqxmd.com/read/27555222/effect-of-acupuncture-on-pain-and-quality-of-life-in-patients-with-lumbar-spinal-stenosis-a-case-series-study
#15
Mohammad J Hadianfard, Ali Aminlari, Arghavan Daneshian, Ali R Safarpour
Lumbar spinal stenosis (LSS) is a major cause of debilitation in adults, and acupuncture is a recommended treatment. We assessed the effect of acupuncture on pain and quality of life in patients with LSS. Twenty-four patients with LSS who had symptoms of neurogenic claudication were randomly selected and underwent 10 sessions of acupuncture. Pain and quality of life were evaluated before and immediately after the intervention and 6 weeks later using a visual analogue scale and Short Form-36 Health Survey. Paired t tests and repeated measure tests were used to analyze the data...
August 2016: Journal of Acupuncture and Meridian Studies
https://www.readbyqxmd.com/read/27437763/neurogenic-claudication-secondary-to-degenerative-spondylolisthesis-is-fusion-always-necessary
#16
W J Kitchen, Mohamed Mohamed, Manesh Bhojak, Martin Wilby
OBJECTIVE: This study examines the efficacy and long-term safety of a midline sparing decompression for patients with degenerative spondylolisthesis (DS). We specifically looked at the rate of re-operation with a lumbar fusion. Of the patients that did require a secondary fusion procedure, we examined retrospectively any risk factors (both clinical and radiological) that could have been identified pre-operatively to predict the necessity of a primary fusion procedure. MATERIALS AND METHODS: Data was collected prospectively within a single surgeon practice at our institution...
July 20, 2016: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/27433416/evaluation-of-a-hybrid-dynamic-stabilization-and-fusion-system-in-the-lumbar-spine-a-10-year-experience
#17
Ahmed Kashkoush, Nitin Agarwal, Erin Paschel, Ezequiel Goldschmidt, Peter C Gerszten
INTRODUCTION: The development of adjacent-segment disease is a recognized consequence of lumbar fusion surgery. Posterior dynamic stabilization, or motion preservation, techniques have been developed which theoretically decrease stress on adjacent segments following fusion. This study presents the experience of using a hybrid dynamic stabilization and fusion construct for degenerative lumbar spine pathology in place of rigid arthrodesis. METHODS: A clinical cohort investigation was conducted of 66 consecutive patients (31 female, 35 male; mean age: 53 years, range: 25 - 76 years) who underwent posterior lumbar instrumentation with the Dynesys Transition Optima (DTO) implant (Zimmer-Biomet Spine, Warsaw, IN) hybrid dynamic stabilization and fusion system over a 10-year period...
2016: Curēus
https://www.readbyqxmd.com/read/27433402/unilateral-laminotomy-with-bilateral-spinal-canal-decompression-for-lumbar-stenosis-a-technical-note
#18
Marc Moisi, Christian Fisahn, Lara Tkachenko, R Shane Tubbs, Daniel Ginat, Peter Grunert, Shiveindra Jeyamohan, Stephen Reintjes, Olaide Ajayi, Jeni Page, Rod J Oskouian, David Hanscom
Lumbar stenosis has become one of the most common spinal pathologies and one that results in neurogenic claudication, back and leg pain, and disability. The standard procedure is still an open laminectomy, which involves wide muscle retraction and extensive removal of the posterior spinal structures. This can lead to instability and the need for additional spinal fusion. We present a systemized and detailed approach to unilateral laminotomy for bilateral decompression, which we believe is superior to the standard open laminectomy in terms of intraoperative visualization, postoperative stability, and degree of invasiveness...
2016: Curēus
https://www.readbyqxmd.com/read/27433335/the-boot-camp-program-for-lumbar-spinal-stenosis-a-protocol-for-a-randomized-controlled-trial
#19
Carlo Ammendolia, Pierre Côté, Y Raja Rampersaud, Danielle Southerst, Brian Budgell, Claire Bombardier, Gillian Hawker
BACKGROUND: Lumbar spinal stenosis (LSS) causing neurogenic claudication is a leading cause of pain, disability and loss of independence in older adults. The prevalence of lumbar spinal stenosis is growing rapidly due to an aging population. The dominant limitation in LSS is walking ability. Postural, physical and psychosocial factors can impact symptoms and functional ability. LSS is the most common reason for spine surgery in older adults yet the vast majority of people with LSS receive non-surgical treatment...
2016: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/27417399/neuroimaging-of-spinal-canal-stenosis
#20
REVIEW
Peter Cowley
Spinal stenosis is common and presents in a variety of forms. Symptomatic lumbar stenosis occurs in approximately 10% of the population and cervical stenosis in 9% over age 70. Imaging is central to the management decision process and first-choice MR imaging may be substituted with CT and CT myelography. A review of the literature is presented with particular emphasis on the clinical-radiologic correlation in both neurogenic intermittent claudication and cervical spondylotic myelopathy. Advanced techniques promise improvements, particularly with radicular compressive lesions, but remain underutilized in routine clinical practice...
August 2016: Magnetic Resonance Imaging Clinics of North America
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