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Spine Disk herniation

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https://www.readbyqxmd.com/read/27853664/return-to-play-after-cervical-spine-injuries-a-consensus-of-opinion
#1
John C France, Michael Karsy, James S Harrop, Andrew T Dailey
Study Design Survey. Objective Sports-related spinal cord injury (SCI) represents a growing proportion of total SCIs but lacks evidence or guidelines to guide clinical decision-making on return to play (RTP). Our objective is to offer the treating physician a consensus analysis of expert opinion regarding RTP that can be incorporated with the unique factors of a case for clinical decision-making. Methods Ten common clinical scenarios involving neurapraxia and stenosis, atlantoaxial injury, subaxial injury, and general cervical spine injury were presented to 25 spine surgeons from level 1 trauma centers for whom spine trauma is a significant component of their practice...
December 2016: Global Spine Journal
https://www.readbyqxmd.com/read/27755207/imaging-evaluation-and-relative-significance-in-cases-of-cervical-disk-allografting-radiographic-character-after-total-disk-transplantation
#2
Yu Ding, Di-Ke Ruan, Qing He, Li Sheng Hou, Jian Ning Lin, Hong Peng Cui
STUDY DESIGN: The clinical and radiologic data of total disk allografting (TDA) cases were collected and analyzed to explore the correlation between neurological function improvements and imaging changes. OBJECTIVE: The aim of the study was to assess the medium-term and long-term outcome and radiographic character after TDA, and, furthermore, to explore the significance of the changes of imaging signs after the transplantation. SUMMARY OF BACKGROUND DATA: Spinal fusion may result in the adjacent segment degeneration...
November 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27677041/posterior-intraductal-lombar-tumor%C3%A2-about-a-migration-disc
#3
Samia Frioui Mahmoudi, Emna Toulgui, Sonia Jemni, Khalil Ben Jeddou, Mariem Gaddour, Afif Zaoui, Faycel Khachnaoui
OBJECTIVE: To talk through our observation and a review of the literature about radiological features and diagnostic difficulties of this particular form of disk migration. OBSERVATIONS: We report the case of a 29 year-old patient who presented following the wearing of a heavy load bilateral acute lombosciatalgies associated with a deficit of both lower limbs and urinary incontinence. Clinical examination revealed a motor deficit of sural triceps and foot relievers estimated1 in bilateral, hypoesthesia of the anterolateral side of the two legs and the feet, low bone tendon reflexes were abolished, anesthesia in the saddle, hypotonic anal sphincter and bladder distension...
September 2016: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27570718/minimally-invasive-direct-thoracic-interbody-fusion-mis-dtif-technical-notes-of-a-single-surgeon-study
#4
Hamid Abbasi, Ali Abbasi
BACKGROUND: Minimally invasive direct thoracic interbody fusion (MIS-DTIF) is a new single surgeon procedure for fusion of the thoracic vertebrae below the scapula (T6/7) to the thoracolumbar junction. In this proof of concept study, we describe the surgical technique for MIS-DTIF and report our experience and the perioperative outcomes of the first four patients who underwent this procedure. STUDY DESIGN/SETTING: In this study we attempt to establish the safety and efficacy of MIS-DTIF...
2016: Curēus
https://www.readbyqxmd.com/read/27499500/a-proposal-for-the-organization-of-the-referral-of-patients-with-chronicnon-specific-low-back-pain
#5
Coen Itz, Frank Huygen, Maarten van Kleef
Low back pain in general and specifically chronic low back pain forms a major burden for the patient and society. Recently studies demonstrated that up to 65% of patients evolve to chronic pain as opposed to the previously accepted 8%. As low back pain patients present first with their general practitioner, the latter should establish a treatment plan, including the appropriate referrals. There are, however, no clear guidelines as to how to refer low back pain patients. The process of trial and error of different specialties and treatment possibilities often results in a long and costly trajectory...
November 2016: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/27379776/low-intensity-laser-and-led-therapies-associated-with-lateral-decubitus-position-and-flexion-exercises-of-the-lower-limbs-in-patients-with-lumbar-disk-herniation-clinical-randomized-trial
#6
Maria Ester I Mendes de Carvalho, Reynaldo Mendes de Carvalho, Amélia Pasqual Marques, Lorena Mendes de Carvalho Lucio, Antonio César Almeida de Oliveira, Osmar Pinto Neto, Antonio Balbin Villaverde, Carlos José de Lima
UNLABELLED: The objective of this study is to evaluate the effectiveness of laser and LED therapies, associated with lateral decubitus position and flexion exercises of the lower limbs in patients with lumbar disk herniation (LDH). It is a randomized blinded clinical trial. Fifty-four subjects with LDH L4-L5 and L5-S1 were selected and randomly allocated into groups: laser 904 nm, placebo, and LED 945 nm. The numbers of subjects for each group that completed the treatment were 18, 13, and 18, respectively...
September 2016: Lasers in Medical Science
https://www.readbyqxmd.com/read/27275868/effectiveness-of-a-rapid-lumbar-spine-mri-protocol-using-3d-t2-weighted-space-imaging-versus-a-standard-protocol-for-evaluation-of-degenerative-changes-of-the-lumbar-spine
#7
Anousheh Sayah, Ann K Jay, Jacob S Toaff, Erini V Makariou, Frank Berkowitz
OBJECTIVE: Reducing lumbar spine MRI scanning time while retaining diagnostic accuracy can benefit patients and reduce health care costs. This study compares the effectiveness of a rapid lumbar MRI protocol using 3D T2-weighted sampling perfection with application-optimized contrast with different flip-angle evolutions (SPACE) sequences with a standard MRI protocol for evaluation of lumbar spondylosis. MATERIALS AND METHODS: Two hundred fifty consecutive unenhanced lumbar MRI examinations performed at 1...
September 2016: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27168730/diabetes-mellitus-a-new-risk-factor-for-lumbar-spinal-stenosis-a-case-control-study
#8
Leila Asadian, Kaveh Haddadi, Mohsen Aarabi, Amirhossein Zare
OBJECTIVES: This study aimed to determine the prevalence of diabetes mellitus in patients with spinal stenosis and lumbar vertebral disk degeneration, and the correlation of diabetes with these diseases. STUDY DESIGN: This is a cross-sectional study. METHODS: This case-control study was performed during 2012-2014 with 110 patients suffering from lumbar spinal stenosis and 110 patients with lumbar disk herniation, who were diagnosed using clinical and radiological evidences...
2016: Clinical Medicine Insights. Endocrinology and Diabetes
https://www.readbyqxmd.com/read/27123747/effect-of-annular-defects-on-intradiscal-pressures-in-the-lumbar-spine-an-in-vitro-biomechanical-study-of-diskectomy-and-annular-repair
#9
Richard Bostelmann, Hans-Jakob Steiger, Jan Frederick Cornelius
Background Integrity of intervertebral disks may influence, and be influenced by, the maintenance of hydrostatic pressures inside the nucleus pulposus. Disk degeneration causes decreased pressures, leading to overload and injury of the annulus fibrosus, increasing the risk of disk herniation. Diskectomies to treat disk herniation can cause further loss of hydrostatic pressures resulting in worsening degeneration. This study investigated the impact of opening the annulus on intradiscal pressure and whether implantation of an annular closure device (ACD) can restore physiologic pressures...
April 28, 2016: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/27096582/images-in-clinical-medicine-resolution-of-lumbar-disk-herniation-without-surgery
#10
Jennifer Hong, Perry A Ball
A 29-year-old woman presented to the spine clinic with new-onset pain in her right leg, accompanied by paresthesia. There were no bowel or bladder symptoms. Magnetic resonance imaging (MRI) of the lumbar spine revealed a lumbar disk herniation resulting in substantial spinal stenosis and nerve-root..
April 21, 2016: New England Journal of Medicine
https://www.readbyqxmd.com/read/27064582/introducing-interlaminar-full-endoscopic-lumbar-diskectomy-a-critical-analysis-of-complications-recurrence-rates-and-outcome-in-view-of-two-spinal-surgeons-learning-curves
#11
Holger Joswig, Heiko Richter, Sarah Roberta Haile, Gerhard Hildebrandt, Jean-Yves Fournier
Background and Study Objective Interlaminar full-endoscopic diskectomy is a minimally invasive surgical alternative to microdiskectomy for the treatment of lumbar disk herniation. The authors analyze their surgical results and learning curves during and after the introductory phase of this surgical technique. Patients and Methods We present a case review of 76 patients operated on using interlaminar full-endoscopic diskectomy. We retrospectively analyzed two spinal surgeons' learning curves in terms of operation time with respect to intraoperative blood loss, conversion rates, complications, infections, length of hospitalization, need for rehabilitation, recurrence rates, pain intensity, and opioid use...
September 2016: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/27002374/revision-surgery-for-real-recurrent-lumbar-disk-herniation-a-systematic-review
#12
Hiroyuki Yoshihara, Dipal Chatterjee, Carl B Paulino, Thomas J Errico
STUDY DESIGN: A systematic review. OBJECTIVE: To systematically review the previous literature regarding revision surgery for real recurrent lumbar disk herniation. SUMMARY OF BACKGROUND DATA: "Real" recurrent lumbar disk herniation means the presence of herniated disk material at the same level and side as the primary disk herniation. If conservative treatment fails, revision surgery, a major concern, is indicated. It is important for both patients and spine surgeons to understand epidemiology trends and outcomes of revision surgery for real recurrent lumbar disk herniation (real-RLDH)...
April 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/26945129/minimally-invasive-less-invasive-microdiscectomy
#13
Neil Badlani, Elizabeth Yu, Junyoung Ahn, Mark F Kurd, Safdar N Khan
Herniated disks in the lumbar spine typically present with the sudden onset of back and leg pain in a myodermatomal distribution. Symptoms may include radicular pain, paresthesias, and in extreme cases weakness or foot drop. Typically patients are treated conservatively for 6-8 weeks with a combination of steroids, nonsteroidal anti-inflammatory drugs, physical therapy, epidural steroid injections, and rest. In the absence of symptom improvement, surgical intervention typically with a microdisectomy is recommended to patients who are refractory to at least 6 weeks of nonoperative treatment...
April 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/26945128/percutaneous-transforaminal-endoscopic-discectomy-for-lumbar-disk-herniation
#14
Pravesh S Gadjradj, Biswadjiet S Harhangi
Percutaneous transforaminal endoscopic discectomy (PTED) is a minimally invasive technique to treat lumbar disk herniation from a lateral approach. Performed under local anesthesia, the incision size for PTED is around 8 mm with no paraspinal muscle cutting or detachment from their insertion. PTED has been associated with less blood loss, faster rehabilitation, and less scarring of tissue than conventional open microdiscectomy. High-quality randomized controlled trials comparing PTED with open microdiscectomy have not been conducted yet...
March 3, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/26914140/intracranial-hypotension-secondary-to-spinal-pathology-diagnosis-and-treatment
#15
Kamyar Sartip, Gregory McKenna, Michael Spina, Stephen Grahovac
Spinal pathology resulting in cerebrospinal fluid (CSF) leak and intracranial hypotension is an infrequently reported and a potentially severe cause of headaches. We present a case of cerebrospinal fluid (CSF) leak caused by a thoracic disk herniation successfully treated with two targeted epidural blood patches. Although patients typically present with orthostatic headaches, the imaging findings of intracranial hypotension should prompt investigation of the spine for site and cause of the CSF leakage. Treatment includes autologous blood patch and surgery in refractory cases...
April 2016: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/26889986/obtuse-angled-laminotomy-as-a-modification-of-multilevel-laminectomy-for-spinal-cord-decompression
#16
Sumit Jhas, Farhad Pirouzmand
The purpose of this note is to describe an obtuse-angled laminotomy of C7 during cervical decompression that aims to preserve cervicothoracic junction stability and potentially reduce pain. Cervical spondylotic myelopathy can result from degenerative cervical spinal disease including, herniated disk material, osteophytes, redundant ligamentum flavum, or ossification of the posterior longitudinal ligament. Surgical intervention for multilevel myelopathy aims to decompress the spinal cord and maintain stability of the cervical spine...
March 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/26885607/clinical-features-of-thoracic-spinal-stenosis-associated-myelopathy-a-retrospective-analysis-of-427-cases
#17
Xiaofei Hou, Chuiguo Sun, Xiaoguang Liu, Zhongjun Liu, Qiang Qi, Zhaoqing Guo, Weishi Li, Yan Zeng, Zhongqiang Chen
STUDY DESIGN: This was a retrospective review. OBJECTIVE: The aim of this study was to examine the epidemiological characteristics and causes of spinal cord compression in thoracic spinal stenosis (TSS). SUMMARY OF BACKGROUND DATA: As the thoracic spinal canal is relatively narrow and the thoracic cord has a poor blood supply, severe neurological symptoms may develop if TSS is not treated promptly. However, as it is rare, TSS is less often studied and its clinical features are often not recognized...
March 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/26871821/the-relation-between-sacral-angle-and-vertical-angle-of-sacral-curvature-and-lumbar-disc-degeneration-a-case-control-study
#18
Ahmad Ghasemi, Kaveh Haddadi, Mohammad Khoshakhlagh, Hamid Reza Ganjeh
The purpose of this study is to determine the reliability and validity of a goniometric measurement of the vertical angle of the sacrum and sacral angle (SA), and their relationships to lumbar degeneration.A herniated lumbar disc is one of the most frequent medical issues. Investigators in a number of studies have reported associated risk factors for prevalent disc degeneration. Atypical lumbosacral angles and curvature are thought to contribute to the degradation of the spine by many researchers. This study analyzed 360 patients referred to our clinic from 2013 to 2015 due to low back pain...
February 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26835207/return-to-play-in-athletes-receiving-cervical-surgery-a-systematic-review
#19
Robert W Molinari, Krystle Pagarigan, Joseph R Dettori, Robert Molinari, Kenneth E Dehaven
Study Design Systematic review. Clinical Questions Among athletes who undergo surgery of the cervical spine, (1) What proportion return to play (RTP) after their cervical surgery? (2) Does the proportion of those cleared for RTP depend on the type of surgical procedure (artificial disk replacement, fusion, nonfusion foraminotomies/laminoplasties), number of levels (1, 2, or more levels), or type of sport? (3) Among those who return to their presurgery sport, how long do they continue to play? (4) Among those who return to their presurgery sport, how does their postoperative performance compare with their preoperative performance? Objectives To evaluate the extent and quality of published literature on the topic of return to competitive athletic completion after cervical spinal surgery...
February 2016: Global Spine Journal
https://www.readbyqxmd.com/read/26807615/ten-day-response-to-ct-guided-spinal-infiltration-therapy-in-more-than-a-thousand-patients
#20
Kilian Brändle, Martin Nikolaus Stienen, Armin Neff, Gerhard Hildebrandt, Holger Joswig
BACKGROUND AND STUDY AIMS: Infiltration therapy (IT) for degenerative spine disease is considered a valuable nonsurgical treatment option in the absence of severe neurologic deficits. The aim of this study was to evaluate the 10-day response to computed tomography (CT)-guided IT and to identify parameters that are positively or negatively associated with short-term outcome. PATIENTS AND METHODS: We conducted a prospective study on 1327 consecutive patients that received CT-guided IT for various spinal disorders between February 2007 and June 2013...
May 2016: Journal of Neurological Surgery. Part A, Central European Neurosurgery
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