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Lumbar spine fusion

C-Y Li, C-L Chang, T-W Tai
Impaired functional movement may occur after spinal surgery, which increases risk of fall episode and hip fracture. Patients with long-segment thoracolumbar spine fusions had a significantly higher risk of hip fracture than those with only discectomies. Fall prevention is necessary due to the highly increased hip fracture risk. INTRODUCTION: Spinal surgeries are performed to treat spondylolisthesis, fractures, scoliosis, or other deformities. Impaired balance mechanisms and functional movement may occur after spinal surgery...
October 15, 2018: Osteoporosis International
Lorraine A T Boakye, Mitchell S Fourman, Nicholas T Spina, Dann Laudermilch, Joon Y Lee
Study Design: Level III retrospective cross-sectional study. Purpose: To define and characterize the presentation, symptom duration, and patient/surgical risk factors associated with 'postdecompressive neuropathy (PDN).' Overview of Literature: PDN is characterized by lower extremity radicular pain that is 'different' from pre-surgical radiculopathy or claudication pain. Although it is a common constellation of postoperative symptoms, PDN is incompletely characterized and poorly understood...
October 16, 2018: Asian Spine Journal
Morteza Dehnokhalaji, Mohammad Reza Golbakhsh, Babak Siavashi, Parham Talebian, Sina Javidmehr, Mohammadreza Bozorgmanesh
Study Design: Retrospective study. Purpose: Lumbar intervertebral disc degeneration is an important cause of low back pain. Overview of Literature: Spinal fusion is often reported to have a good course for adolescent idiopathic scoliosis (AIS). However, many studies have reported that adjacent segment degeneration is accelerated after lumbar spinal fusion. Radiography is a simple method used to evaluate the orientation of the vertebral column...
October 16, 2018: Asian Spine Journal
Siddharth Narasimhan Aiyer, Ajit Kumar, Ajoy Prasad Shetty, Rishi Mugesh Kanna, Shanmuganath Rajasekaran
Study Design: Prospective observational study. Purpose: To determine the incidence of postoperative urinary retention (POUR) in patients undergoing elective posterior lumbar spine surgery and identify the risk factors associated with the development of POUR. Overview of Literature: POUR following surgery can lead to detrusor dysfunction, urinary tract infections, prolonged hospital stay, and a higher treatment cost; however, the risk factors for POUR in spine surgery remain unclear...
October 16, 2018: Asian Spine Journal
Jayanta Kr Biswas, Sandipan Roy, Santanu Majumder, Santanu Kr Karmakar, Subrata Saha, Amit Roychowdhury
Currently, intervertebral disc prostheses that are designed to restore mobility to a vertebral segment are possible for the lumbar spine. The ball-and-socket joint is a constrained design, wherein the rotational axis of the intervertebral joint is forced to pass through the center of the spherical surfaces that form the joint. One advantage of ball-and-socket joints versus unconstrained designs includes better shear stability, which results in sufficient flexibility. In this study, finite element analyses were performed in preimplanted and implanted (intervertebral disc replacement [IDR]) lumbar spine (L1-S) models to examine range of motion (ROM) and the resulting mechanical responses in the implant and the adjacent bones...
2018: Journal of Long-term Effects of Medical Implants
Jose Ramirez-Villaescusa, Jesús López-Torres Hidalgo, Antonio Martin-Benlloch, David Ruiz-Picazo, Francisco Gomar-Sancho
OBJECT: Adjacent segment disease (ASD) has been described as a frequent complication after a lumbar spinal fusion procedure, though its incidence and the factors related to its appearance are not well established. The radiographic signs that identify ASD in unfused segments may be a consequence of biomechanical changes induced by the fusion procedure. This study sought to analyse the incidence of radiographic changes (radiographic ASD) in all adjacent unfused segments, the clinical changes that require a second procedure (clinical ASD), and the risk factors of their appearance evaluated at different follow-up times...
October 13, 2018: British Journal of Neurosurgery
Juan M Vinas-Rios, Fatima Medina-Govea, Viktor von Beeg-Moreno, Frerk Meyer
BACKGROUND: Risk factors for incidental durotomies are good documented claimed from some authors the degree of invasiveness as a direct risk factor on this serious complication. We compared the rate of incidental durotomies and its dependence from the degree of invasiveness. METHODS: The German Spine Registry could document 6016 surgeries for lumbar spinal canal stenosis, n= 2539 microsurgical decompression and n= 2371 open decompression with stabilization. RESULTS: Both groups were identical concerning age and sex of patients: mean age 77,1 ± 1,60, female 58%, male 32%...
October 10, 2018: Journal of Neurosurgical Sciences
Chia-Wei Chang, Tsung-Ting Tsai, Chi-Chien Niu, Tsai-Sheng Fu, Po-Liang Lai, Lih-Huei Chen, Wen-Jer Chen
BACKGROUND: Traditionally, non-operative management with long-term antibiotics and bed rest has been recommended as the first-line treatment for most post-operative discitis patients. However, a recent trend in treatment under a limited range of indications has been to perform surgical debridement followed by the long-term administration of antibiotics. This descriptive study investigated whether transforaminal lumbar interbdoy debridement and fusion (TLIDF) combined with intravenous antibiotics is appropriate to manage post-discectomy discitis...
October 8, 2018: World Neurosurgery
John H Chi, Kurt M Eichholz, Paul A Anderson, Paul M Arnold, Andrew T Dailey, Sanjay S Dhall, James S Harrop, Daniel J Hoh, Sheeraz Qureshi, Craig H Rabb, P B Raksin, Michael G Kaiser, John E O'Toole
BACKGROUND: Treatment of thoracolumbar burst fractures has traditionally involved spinal instrumentation with fusion performed with standard open surgical techniques. Novel surgical strategies, including instrumentation without fusion and percutaneous instrumentation alone, have been considered less invasive and more efficient treatments. OBJECTIVE: To review the current literature and determine the role of fusion in instrumented fixation, as well as the role of percutaneous instrumentation, in the treatment of patients with thoracolumbar burst fractures...
October 8, 2018: Neurosurgery
Victor E Staartjes, Alessandro Siccoli, Marlies P de Wispelaere, Marc L Schröder
BACKGROUND: In modern clinical research, the accepted minimum follow-up for patient-reported outcome measures (PROMs) after lumbar spine surgery is 24 months, particularly after fusion. Recently, this minimum requirement has been called into question. PURPOSE: We aim to quantify the concordance of 1- and 2-year PROMs to evaluate the importance of long-term follow-up after elective lumbar spine surgery. STUDY DESIGN: Retrospective analysis of data from a prospective registry...
October 5, 2018: Spine Journal: Official Journal of the North American Spine Society
Ishan Shah, Christopher Wang, Nick Jain, Blake Formanek, Zorica Buser, Jeffrey Wang
BACKGROUND CONTEXT: Previous studies have found an association between mental illness and poor outcomes in spine surgery, but little is known about the effects of depression and/or anxiety on the adult spinal deformity population. In addition, most relevant studies exclusively focused on the lumbar spine and had relatively small patient sizes. PURPOSE: The aim of this study was to investigate whether adult spinal deformity patients with depression and/or anxiety have an increased risk of postoperative complications and reoperation following posterior thoracolumbar spinal surgery...
October 5, 2018: Spine Journal: Official Journal of the North American Spine Society
M Repko, M Filipovič, M Prýmek, M Latalski, A Šprláková-Puková, J Hořák
PURPOSE OF THE STUDY The Growth Guidance System (GGS) represent a relatively new alternative to the traditional growing systems used for the treatment of early onset scoliosis. Ranking among the main aims of this surgical treatment is a three-dimensional correction of the deformity, maintenance of spinal growth and postponement of the necessity of final treatment by spondylodesis. MATERIAL AND METHODS Our study retrospectively evaluates the results of surgical correction in a group of 35 patients treated by GGS technique...
2018: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
Christopher T Esapa, Sian E Piret, M Andrew Nesbit, Gethin P Thomas, Leslie A Coulton, Orla M Gallagher, Michelle M Simon, Saumya Kumar, Ann-Marie Mallon, Ilaria Bellantuono, Matthew A Brown, Peter I Croucher, Paul K Potter, Steve Dm Brown, Roger D Cox, Rajesh V Thakker
Kyphosis and scoliosis are common spinal disorders that occur as part of complex syndromes or as nonsyndromic, idiopathic diseases. Familial and twin studies implicate genetic involvement, although the causative genes for idiopathic kyphoscoliosis remain to be identified. To facilitate these studies, we investigated progeny of mice treated with the chemical mutagen N -ethyl- N -nitrosourea (ENU) and assessed them for morphological and radiographic abnormalities. This identified a mouse with kyphoscoliosis due to fused lumbar vertebrae, which was inherited as an autosomal dominant trait; the phenotype was designated as hereditary vertebral fusion (HVF) and the locus as Hvf ...
May 2018: JBMR Plus
William C Tally, H Thomas Temple, T Y Subhawong, Timothy Ganey
Background: When conservative treatments fail to alleviate the discomfort of abnormal motion, spinal fusion has been shown to provide symptomatic treatment for spinal instability, stenosis, spondylolisthesis, and symptomatic degenerative disc disease. The trend and rates of fusion over the past few years have been dramatic in the United States. Accompanying that higher incidence has been the shifting from traditional open surgery to minimally invasive techniques to reduce scar tissue formation, extent of muscle stripping, and muscle retraction which all have been shown to adversely affect outcomes...
January 2018: International Journal of Spine Surgery
Ashish Patel, Jason Oh, Dante Leven, Frank S Cautela, Dipal Chatterjee, Qais Naziri, Francesco Langella, Bassel G Diebo, Carl B Paulino
Background: We investigated impact of vertebral axial rotation on neurovascular anatomy in adult spinal deformity (ASD) patients and provided recommendations on the approach based on degree of axial rotation. In order to isolate vertebral rotation (VR) impact from the superimposed degenerative cascade observed in adulthood, adolescent idiopathic scoliosis (AIS) patients were analyzed. Methods: Magnetic resonance imaging (MRI) scans (L1-S1) from 50 right-convex thoracic (left-convex lumbar) AIS patients were analyzed...
January 2018: International Journal of Spine Surgery
Congcong Liu, Lianqi Yan, Qing Liu, Jing Li, Hongtao Jin, Jingcheng Wang, Youwen Deng
RATIONALE: Microcystic/reticular schwannoma (MRS) is a rare histological variant of schwannoma which was initially described in 2008 with a predilection for the visceral organs. This distinct tumor had been reported to mainly affect gastrointestinal tract, subcutaneous and soft tissue, various glands and head and neck region. However, MRS involving spine is extremely rare. PATIENT CONCERNS: The authors report the first case of MRS occurring in the lumbar (L) spinal canal of a 40-year-old male who presented with continuous pain and numbness in both feet for 2...
September 2018: Medicine (Baltimore)
Peter O Newton, Dylan G Kluck, Wataru Saito, Burt Yaszay, Carrie E Bartley, Tracey P Bastrom
BACKGROUND: Anterior spinal growth tethering (ASGT) has been shown to alter spinal growth with the potential to correct scoliosis while maintaining spine flexibility. The purpose of this study was to report the 2 to 4-year outcomes of ASGT in skeletally immature patients with thoracic scoliosis. METHODS: We conducted a retrospective review of patients with thoracic scoliosis who underwent ASGT with a minimum of 2 years of follow-up. Patient demographics, perioperative data, and radiographic outcomes are reported...
October 3, 2018: Journal of Bone and Joint Surgery. American Volume
Keisan Moazzeni, Kasra Amin Kazemi, Ramin Khanmohammad, Mohammad Eslamian, Mohsen Rostami, Morteza Faghih-Jouibari
Background: The prevalence of diabetes mellitus (DM) is increasing worldwide. Thereby, an increasing rate of patients with DM are subjecting to spine surgery. Reviewing the literature, a higher rate of surgery-related complications is reported in DM patients. There is no prospective study comparing the outcomes of lumbar fusion surgery in patients with and without DM. We aimed to investigate whether DM is associated with worse patient-reported outcomes, lower fusion rate, and higher complication rate in subjects undergoing spinal lumbar fusion surgery...
August 2018: International Journal of Spine Surgery
Michael Conti Mica, Leonard I Voronov, Gerard Carandang, Robert M Havey, Bartosz Wojewnik, Avinash G Patwardhan
Background: A novel expandable lumbar interbody fusion cage has been developed which allows for a broad endplate footprint similar to an anterior lumbar interbody fusion; however, it is deployed from a minimally invasive transforaminal unilateral approach. The perceived benefit is a stable circumferential fusion from a single approach that maintains the anterior tension band of the anterior longitudinal ligament. The purpose of this biomechanics laboratory study was to evaluate the biomechanical stability of an expandable lumbar interbody cage inserted using a transforaminal approach and deployed in situ compared to a traditional lumbar interbody cage inserted using an anterior approach (control device)...
August 2018: International Journal of Spine Surgery
Luke Brown, Tristan Weir, Mark Shasti, Omer Yousaf, Imran Yousaf, Oliver Tannous, Eugene Koh, Kelley Banagan, Daniel Gelb, Steven Ludwig
Background: Postoperative pain management in spine surgery holds unique challenges. The purpose of this study is to determine if the local anesthetic liposomal bupivacaine (LB) reduces the total opioid requirement in the first 3 days following posterior lumbar decompression and fusion (PLDF) surgery for degenerative spondylosis. Methods: Fifty patients underwent PLDF surgery in a prospective randomized control pilot trial between August 2015 and October 2016 and were equally allocated to either a treatment (LB) or a control (saline) group...
August 2018: International Journal of Spine Surgery
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