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Lumbar And Stenosis

Nils H Ulrich, Jakob M Burgstaller, Johann Steurer, Mazda Farshad
No abstract text is available yet for this article.
September 2018: Journal of Spine Surgery (Hong Kong)
Kodeeswaran Marappan, Ranganathan Jothi, Sherina Paul Raj
Background: To compare the results of a series of microendoscopic discectomies done at a government medical college in South India, with other published series and to analyze the learning curve for the procedure. Methods: Microendoscopic discectomy (MED) was performed in 40 patients. The cases were in the age group between 20-50 years (mean age, 32.3 years). The period of study was 3 years. The most common level operated was L5-S1 (27 cases) followed by L4-L5 (12 cases)...
September 2018: Journal of Spine Surgery (Hong Kong)
Katsuhiko Ishibashi, Yasushi Oshima, Hirokazu Inoue, Yuichi Takano, Hiroki Iwai, Hirohiko Inanami, Hisashi Koga
Background: Percutaneous endoscopic lumbar discectomy (PELD) is a relatively less invasive treatment for lumbar disc herniation (LDH). This study investigated the usefulness of a full-endoscopic system for PELD to treat L5 nerve root compression caused by lumbar foraminal stenosis (L5-LFS). Methods: Between November 2016 and December 2017, a total of 10 patients with unilateral leg pain due to L5-LFS underwent surgery using a full-endoscopic system for PELD. Patients with bilateral L5-LFS or L5-LFS with coexisting LDH and/or spondylolysis were excluded from this study...
September 2018: Journal of Spine Surgery (Hong Kong)
Patrick Strube, Michael Putzier, Jan Siewe, Sven Oliver Eicker, Marc Dreimann, Timo Zippelius
INTRODUCTION: Surgical treatment methods for degenerative spondylolisthesis (decompression versus decompression and fusion) have been critically debated. The medical care situation is almost unknown for either treatment. Therefore, the aim of the present study was to provide information regarding the use of parameters for decision-making and the employment of surgical techniques. MATERIALS AND METHODS: A web-based survey was performed among members of the German-Spine-Society (DWG)...
December 12, 2018: Archives of Orthopaedic and Trauma Surgery
Pierce D Nunley, Timothy R Deer, Ramsin M Benyamin, Peter S Staats, Jon E Block
Background: Lumbar spinal stenosis (LSS) causes significant pain and functional impairment, and medical management has increasingly included the prescription of opioid-based analgesics. Interspinous process decompression (IPD) provides a minimally-invasive treatment option for LSS. Methods: This study estimated the type, dosage, and duration of opioid medications through 5 years of follow-up after IPD with the Superion Indirect Decompression System (Vertiflex Inc...
2018: Journal of Pain Research
S Ruetten, M Komp
BACKGROUND: The most frequent causes of degenerative constrictions of the spinal canal are disk herniations and spinal stenoses. The lumbar and cervical spine is the most affected. SURGICAL PROCEDURES: After conservative treatments have been exhausted, surgical intervention may be necessary. Today, microsurgical decompression is regarded as the standard procedure in the lumbar region, while in the cervical spine, microsurgical anterior decompression and fusion are standard...
December 7, 2018: Der Orthopäde
Janan Abbas, Kamal Hamoud, Natan Peled, Israel Hershkovitz
The aim of this study was to reveal whether demographic aspect, vertebral morphometry, and spine degeneration are associated with lumbar Schmorl's nodes (SNs). A retrospective cross-sectional study was performed using data from the Department of Radiology (Carmel, Medical Center, Israel) for 180 individuals: age range between 40 and 99 years; 90 males and 90 females. All participants had undergone high-resolution CT scans for abdominal diagnostic purposes in the same supine position prior to our study, which enabled the processing of the scans in all planes and allowed a 3D reconstruction of the lower lumbar region...
2018: BioMed Research International
Shakti A Goel, Hitesh N Modi
In the current clinical scenario, restenosis following the primary surgical procedure for lumbar canal stenosis is being frequently noticed. A number of studies have evaluated the reoperation rates following different surgical procedures for lumbar canal stenosis. However, a dilemma still exists about the surgical procedures, associated comorbidities and reoperation rates. In this study, we have reviewed the existing literature for lumbar canal stenosis surgery and their reoperation rates. A PubMed search for all papers stating "reoperation after spinal stenosis," "revision surgery after spinal stenosis," and "reoperations and lumbar canal stenosis" were explored...
November 2018: Indian Journal of Orthopaedics
Yoshiharu Kawaguchi, Masato Nakano, Taketoshi Yasuda, Shoji Seki, Kayo Suzuki, Yasuhito Yahara, Hiroto Makino, Kenji Kobayashi, Masahiko Kanamori, Tomoatsu Kimura
PURPOSE: Ossification of the posterior longitudinal ligament of the cervical spine (cervical OPLL) is associated with the lesions at the thoracic and/or lumbar spine. Multiple spinal lesions cause additional neurological deficit, affecting the outcomes of cervical laminoplasty. This study aimed to clarify the effect of multiple lesions on the outcomes of cervical laminoplasty and to compare the results with data from patients without them. METHODS: From April 1981 to October 2015, 201 patients underwent laminoplasty for cervical OPLL; however, 167 patients were followed for >2 years...
December 8, 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
J C Yang, Y Hai, Y Ding, P Yin, Y S Zhang, C Liu, L M Zhang
Objective: To evaluate the clinical effects of percutaneous endoscopic transforaminal lumbar interbody fusion (PE-TLIF) for L(4/5) single-segment lumbar spinal stenosis. Methods: From September 2016 to March 2018, 7 patients with L(4/5) single-segment lumbar spinal stenosis were treated by PE-TLIF in the Department of Orthopedics, Beijing Chaoyang Hospital. There were 1 male and 6 females, with a mean age of (57±13) years(43-77 years). The operation time, intraoperative blood lose, blood transfusion and complications were recorded, and the pain relief effects were evaluated by visual analog scale (VAS) score and Oswestry dability index (ODI)...
December 4, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Wei Wang, Zhangfu Wang, Zhenghua Hong, Haixiao Chen
Introduction: Transforaminal lumbar interbody fusion (TLIF) has been widely used to treat degenerative lumbar diseases. The PIPELINE Access minimally invasive system allows reduction of the trauma to the patient during TLIF. Aim: To present our preliminary experience with the minimally invasive TLIF (mTLIF) technique performed on the first 7 patients with dual-segment lower lumbar degenerative disease (DS-LLDD). Material and methods: A retrospective analysis was performed on the first 7 patients with spondylolisthesis and foraminal stenosis operated upon between January 2011 and June 2013...
December 2018: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
Ekta A Patel, Michael D Perloff
Back pain is a top primary and urgent care complaint; radicular pain can be caused by herniation of the nucleus pulposus (intervertebral disc), spinal stenosis, or degenerative changes to the vertebrae. The focus of this clinical review will be the clinical approach and treatment of lumbar radicular pain, cervical radicular pain, and spinal stenosis. Usually localized through neurological history, exam, and imaging, specific signs and symptoms for lumbar radicular, spinal stenosis, and cervical radicular pain can help determine etiology...
December 2018: Seminars in Neurology
Matthias Florian Geiger, Nicola Bongartz, Christian Blume, Hans Clusmann, Christian Andreas Müller
BACKGROUND:  To evaluate whether decompression in lumbar spinal stenosis without fusion leads to sufficient improvement of back pain and leg pain and whether re-decompression alone is sufficient for recurrent lumbar spinal stenosis for patients without signs of instability. MATERIAL AND METHODS:  A successive series of 102 patients with lumbar spinal stenosis (with and without previous lumbar surgery) were treated with decompression alone during a 3-year period...
December 5, 2018: Journal of Neurological Surgery. Part A, Central European Neurosurgery
Lisbeth Storm, Rikke Rousing, Mikkel O Andersen, Leah Y Carreon
INTRODUCTION: The Subgroups for Targeted Treatment (STarT) Back Screening Tool is used in general practice to stratify patients with acute back pain into either a low, medium or a high risk of developing complex pain. This study determines if the STarT Back Screening Tool can identify patients who are at a high risk of developing complex pain after spine surgery. METHODS: The STarT Back Screening Tool was administered pre-operatively to a consecutive series of patients who had lumbar spine surgery between 29 October 2012 and 1 February 2013...
December 2018: Danish Medical Journal
Hanna Iderberg, Carl Willers, Fredrik Borgström, Rune Hedlund, Olle Hägg, Hans Möller, Ewald Ornstein, Bengt Sandén, Holger Stalberg, Hans Torevall-Larsson, Tycho Tullberg, Peter Fritzell
PURPOSE: Lumbar spinal stenosis (LSS) can be surgically treated, with variable outcome. Studies have linked socioeconomic factors to outcome, but no nation-wide studies have been performed. This register-based study, including all patients surgically treated for LSS during 2008-2012 in Sweden, aimed to determine predictive factors for the outcome of surgery. METHODS: Clinical and socioeconomic factors with impact on outcome in LSS surgery were identified in several high-coverage registers, e...
December 3, 2018: European Spine Journal
Myong-Hwan Karm, Seong-Soo Choi, Doo-Hwan Kim, Jun-Young Park, Sukyung Lee, Jin Kyu Park, Young Joong Suh, Jeong-Gil Leem, Jin Woo Shin
BACKGROUND: When conventional interventional procedures fail, percutaneous epidural adhesiolysis (PEA), which has moderate evidence for successful treatment of lumbar spinal stenosis (LSS), has been recommended over surgical treatments. In a previous study, we demonstrated the efficacy of a newly developed inflatable balloon catheter for overcoming the access limitations of pre-existing catheters for patients with severe stenosis or adhesions. OBJECTIVES: This study compared the treatment response of combined PEA with balloon decompression and PEA only in patients with central LSS over 6 months of follow-up...
November 2018: Pain Physician
Standiford Helm, Nebojsa Nick Knezevic
Degeneration, whether from age or postsurgical, in the ventral and lateral epidural space can lead to irritation of both the nerve roots and of the nerves present in the epidural space, the peridural membrane and the posterior longitudinal ligament. This irritation is often accompanied by mild scarring. Neuroplasty is a specific procedure designed to relieve this irritation. The effectiveness of neuroplasty is not affected by the extent of spinal stenosis. Neuroplasty can be performed in the lumbar, thoracic and cervical spine, and using caudal, transforaminal and interlaminar approaches...
December 3, 2018: Pain Management
Ju-Eun Kim, Dae-Jung Choi
Foraminal decompression using a minimally invasive technique to preserve facet joint stability and function without fusion reportedly improves the radicular symptoms in approximately 80% of patients and is considered one of the good surgical treatment choices for lumbar foraminal or extraforaminal stenosis. However, proper decompression was not possible because of the inability to access the foramen at the L5-S1 level due to prominence of the iliac crest. To overcome this challenge, endoscopy-based minimally invasive spine surgery has recently gained attention...
December 2018: Clinics in Orthopedic Surgery
Ju-Eun Kim, Dae-Jung Choi, Eugene J Park
Background: Since open Wiltse approach allows limited visualization for foraminal stenosis leading to an incomplete decompression, we report the short-term clinical and radiological results of unilateral biportal endoscopic foraminal decompression using 0° or 30° endoscopy with better visualization. Methods: We examined 31 patients that underwent surgery for neurological symptoms due to lumbar foraminal stenosis which was refractory to 6 weeks of conservative treatment...
December 2018: Clinics in Orthopedic Surgery
Pasqualino Sirignano, Laura Capoccia, Wassim Mansour, Sonia Ronchey, Federico Accrocca, Andrea Siani, Nicola Mangialardi, Francesco Speziale
OBJECTIVES: Aim of this work is describing incidence and fate of type 2 endoleaks (T2EL) in a multi-centric cohort of patients treated by EVAR with Ovation device (Endologix), and compering them with a group treated by Excluder (W.L. Gore & Associates). METHODS: retrospective study conducted on 261 patients treated by Ovation, and 203 by Excluder. Outcomes were intraprocedural, 30-day, 12-month, and mean time follow-up T2EL incidence and related reinterventions...
November 28, 2018: Annals of Vascular Surgery
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