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Spine Disk herniation

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https://www.readbyqxmd.com/read/28481388/minimally-invasive-transforaminal-lumbar-interbody-fusion-with-percutaneous-bilateral-pedicle-screw-fixation-for-lumbosacral-spine-degenerative-diseases-a-retrospective-database-of-40-consecutive-treated-cases-and-literature-review
#1
Daniele Francesco Millimaggi, Valerio DI Norcia, Sabino Luzzi, Tommaso Alfiero, Renato Juan Galzio, Alessandro Ricci
AIM: To report our results about minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) with bilateral pedicle screw fixation, in patients with degenerative lumbosacral spine disease. To describe the indications, surgical technique and results of a consecutive series of 40 patients undergone MI-TLIF. Despite the limited number of clinical studies, published data suggest tremendous potential advantages of this technique. MATERIAL AND METHODS: Forty patients with radiological findings of degenerative lumbosacral spine disease were undergone MI-TLIF between July 2012 and January 2015...
April 12, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/28358974/the-impact-of-lumbar-spine-disease-and-deformity-on-total-hip-arthroplasty-outcomes
#2
Daniel J Blizzard, Charles Z Sheets, Thorsten M Seyler, Colin T Penrose, Mitchell R Klement, Michael A Gallizzi, Christopher R Brown
Concomitant spine and hip disease in patients undergoing total hip arthroplasty (THA) presents a management challenge. Degenerative lumbar spine conditions are known to decrease lumbar lordosis and limit lumbar flexion and extension, leading to altered pelvic mechanics and increased demand for hip motion. In this study, the effect of lumbar spine disease on complications after primary THA was assessed. The Medicare database was searched from 2005 to 2012 using International Classification of Diseases, Ninth Revision, procedure codes for primary THA and diagnosis codes for preoperative diagnoses of lumbosacral spondylosis, lumbar disk herniation, acquired spondylolisthesis, and degenerative disk disease...
May 1, 2017: Orthopedics
https://www.readbyqxmd.com/read/28191383/minimally-invasive-direct-lateral-interbody-fusion-mis-dlif-proof-of-concept-and-perioperative-results
#3
Hamid Abbasi, Ali Abbasi
BACKGROUND: Minimally invasive direct lateral interbody fusion (MIS-DLIF) is a novel approach for fusions of the lumbar spine. In this proof of concept study, we describe the surgical technique and report our experience and the perioperative outcomes of the first nine patients who underwent this procedure. STUDY DESIGN/SETTING: In this study we establish the safety and efficacy of this approach. MIS-DLIF was performed on 15 spinal levels in nine patients who failed to respond to conservative therapy for the treatment of a re-herniated disk, spondylolisthesis, or other severe disk disease of the lumbar spine...
January 14, 2017: Curēus
https://www.readbyqxmd.com/read/28144773/lumbar-disk-herniation-during-pregnancy-a-review-on-general-management-and-timing-of-surgery
#4
REVIEW
Hugo Ardaillon, Yosef Laviv, Jeffrey E Arle, Ekkehard M Kasper
STUDY DESIGN: Narrative review with case illustration. OBJECTIVE: Provide an overview of existing management strategies to suggest a guideline for surgical management of lumbar disk herniation in pregnant women based on time of presentation. METHODS: We performed a narrative review on the topic using the PubMed database. A total of 63 relevant articles published after 1992 were identified, of which 17 fulfilled selection criteria. RESULTS: A total of 22 published cases of spine surgery for disk herniation during pregnancy were found in 17 studies on the topic...
January 31, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28099187/a-comparative-study-of-anterior-decompression-with-fusion-and-posterior-decompression-with-laminoplasty-for-the-treatment-of-cervical-spondylotic-myelopathy-patients-with-large-anterior-compression-of-the-spinal-cord
#5
Takashi Hirai, Toshitaka Yoshii, Yoshiyasu Arai, Kenichiro Sakai, Ichiro Torigoe, Hidetsugu Maehara, Masaki Tomori, Takashi Taniyama, Hirokazu Sato, Atsushi Okawa
STUDY DESIGN: This is a retrospective observational single-center study. OBJECTIVES: To compare anterior decompression and fusion (ADF) and laminoplasty (LAMP) for the treatment of cervical spondylotic myelopathy (CSM) patients with large anterior compression in terms of clinical and radiologic outcomes. SUMMARY OF BACKGROUND DATA: We have reported that insufficient posterior decompression could be often seen after laminoplasty for CSM patients with preoperative anterior clearance of the spinal cord, defined as an interval <4 mm between the preoperative the modified K-line and anterior structure of the spinal canal at most compressive segment on sagittal T1-weighted magnetic resonance imaging...
January 17, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28050718/national-trends-following-decompression-discectomy-and-fusion-in-octogenarians-and-nonagenarians
#6
Doniel Drazin, Carlito Lagman, Siddharth Bhargava, Miriam Nuño, Terrence T Kim, J Patrick Johnson
BACKGROUND: The National Inpatient Sample (NIS) database is used to evaluate a wide variety of surgical procedures across a range of specialties. The authors of this study assess national trends of the three commonest spine procedures performed (decompression, fusion, and discectomy) in patients between the ages of 80 and 100 years (octogenarians and nonagenarians). METHODS: The NIS database was queried to identify patients between the ages of 80 and 100 with a primary diagnosis of spinal stenosis, disk herniation without myelopathy, or protrusion due to degeneration of spine/disk disorders and who have undergone spinal decompression, fusion, or discectomy between the years 1998 and 2011...
March 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/27942133/effect-of-spinal-decompression-on-the-lumbar-muscle-activity-and-disk-height-in-patients-with-herniated-intervertebral-disk
#7
Jeong-Il Kang, Dae-Keun Jeong, Hyun Choi
[Purpose] This study was conducted to clarify the difference in therapeutic effects between traction and decompression therapies, and their clinical therapeutic significance. [Subjects and Methods] The subjects were 31 patients aged 35 to 50 years who had unilateral or bilateral lumbar and radicular leg pain. An intervention program was implemented in 31 patients with lumbar herniated intervertebral disks. For the experimental group, 15 subjects were randomly selected to receive decompression therapy and trunk stabilization exercise...
November 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27935769/fluoroscopically-guided-epidural-injections-of-the-cervical-and-lumbar-spine
#8
Euddeum Shim, Joon Woo Lee, Eugene Lee, Joong Mo Ahn, Yusuhn Kang, Heung Sik Kang
Advances in imaging and the development of injection techniques have enabled spinal intervention to become an important tool in managing chronic spinal pain. Epidural steroid injection (ESI) is one of the most widely used spinal interventions; it directly delivers drugs into the epidural space to relieve pain originating from degenerative spine disorders-central canal stenoses and neural foraminal stenoses-or disk herniations. Knowledge of the normal anatomy of the epidural space is essential to perform an effective and safe ESI and to recognize possible complications...
March 2017: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/27853664/return-to-play-after-cervical-spine-injuries-a-consensus-of-opinion
#9
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
#10
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
#11
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
#12
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...
July 18, 2016: Curēus
https://www.readbyqxmd.com/read/27499500/a-proposal-for-the-organization-of-the-referral-of-patients-with-chronicnon-specific-low-back-pain
#13
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
#14
RANDOMIZED CONTROLLED TRIAL
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
#15
COMPARATIVE STUDY
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
#16
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
#17
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
#18
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
#19
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
#20
REVIEW
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
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