Read by QxMD icon Read

Lumbar drainage

Theodoros Kratimenos, Constantine N Antonopoulos, Dimitrios Tomais, Panagiotis Dedeilias, Vasileios Patris, Ilias Samiotis, John Kokotsakis, Dimosthenis Farsaris, Michalis Argiriou
OBJECTIVE: The aim of the study was to present the results for patients with atherosclerotic aneurysm of the descending thoracic aorta (DTA) treated with a novel thoracic stent graft. METHODS: A single-center retrospective review of prospectively collected data was performed. We extracted demographic variables as well as atherosclerotic comorbidities and operation-related and imaging-related data from patients' medical records. We estimated technical success rate, in-hospital and 30-day mortality, and mortality at the end of follow-up as well as complication and reintervention rate in our study cohort...
October 24, 2018: Journal of Vascular Surgery
Gianluca Scalia, Francesco Certo, Massimiliano Maione, Giuseppe Mv Barbagallo
BACKGROUND: Arachnoiditis ossificans (AO) is a rare condition often associated with previous spine surgery. Here we describe a unique case of a patient affected by ankylosing spondylitis (AS), presenting with progressive neurological deterioration due to AO. We also review the literature on evaluation and management of patients suffering from AO. CASE DESCRIPTION: The 65-year-old patient had a history of previous spinal trauma and related thoraco-lumbar surgery...
December 3, 2018: World Neurosurgery
Xiao-Zhang Ying, Shi-Yuan Shi, Qi Zheng, Bo Zhu, Yang-Hui Jin, Ming-Feng Zheng
OBJECTIVE: To explore the clinical effect of cortical bone trajectory screw technology combined with anterior mini-open debridement and prop graft for lumbar tuberculosis in elderly. METHODS: The clinical data of 22 patients with lumbar tuberculosis treated by cortical bone trajectory screw technology combined with anterior mini-open debridement and prop graft from February 2015 to December 2016 were retrospectively analyzed. There were 13 males and 9 females with an average age of (73...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Zhen Lai, Shi-Yuan Shi, Jun Fei, Gui-He Han, Sheng-Ping Hu
OBJECTIVE: To investigate the effect of preoperative percutaneous drainage in lumbar tuberculosis with psoas abscess, through compare the clinical efficacy of two different methods. METHODS: Thirty-six patients with lumbar tuberculosis complicated with psoas abscess in corresponding with the inclusion criteria were admitted in Zhejiang Province Traditional Chinese Medicine Hospital from January 2015 to January 2017. The patients were divided into group A and group B according to the different therapeutic methods...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Jian Shen, Qi Zheng, Yi-Fan Wang, Xiao-Zhang Ying
OBJECTIVE: To explore the clinical effects and advantages of percataneous endoscopic focal cleaning and drainage combined with posterior internal fixation in the treatment of tuberculosis of lumbar spine in elderly. METHODS: The clinical data of 32 patients with tuberculosis of lumbar spine received percataneous endoscopic focal cleaning and drainage combined with posterior internal fixation from May 2013 to May 2016 were retrospectively analyzed. There were 13 males and 19 females, aged from 62 to 85 years old with an average of 75 years...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Ali Hazama, Mohamed Abouelleil, Satya Marawar, Lawrence S Chin
Anterior lumbar interbody fusion (ALIF) is commonly utilized for surgical management of degenerative lumbar pathology. Although it is a reasonably safe procedure, it can potentially lead to major complications in case of neurovascular injuries. Occurrence of lymphocele after an ALIF is however rare. We present a case of a rare abdominal lymphocele in a 56-year-old man who underwent L3-S1 ALIF and subsequently developed an abdominal lymphocele. A lymphocele can manifest in numerous ways which can affect and possibly delay diagnoses...
September 25, 2018: Curēus
Xuepeng Wang, Shaobo Zhou, Zhenyu Bian, Maoqiang Li, Wu Jiang, Changju Hou, Liulong Zhu
BACKGROUND: The treatment of lumbar infectious spondylitis is controversial. In this study, we attempted to demonstrate that unilateral percutaneous endoscopic debridement with physiologic saline and negative pressure drainage postoperatively may achieve a satisfactory result in lumbar infectious spondylitis. METHODS: We retrospectively analyzed 17 patients with lumbar infectious spondylitis who underwent percutaneous endoscopic debridement and drainage (PEDD) through a posterolateral transforaminal approach...
December 3, 2018: Journal of Orthopaedic Surgery and Research
Jianzhong Jiang, Fengping Gan, Haitao Tan, Zhaolin Xie, Xiang Luo, Guoxiu Huang, Yin Li, Shengbin Huang
The benefits of navigation-assisted technologies are not entirely understood. Therefore, this study aimed to examine the outcomes of patients with lumbar tuberculosis who received computer navigation-assisted minimally invasive direct lateral interbody fusion (DLIF).This was a retrospective study of 33 patients with lumbar tuberculosis who underwent minimally invasive DLIF at the Department of Spine and Orthopedics of Guigang People's Hospital (Guangxi, China) between January 2015 and December 2016. The patients were pathologically diagnosed as lumbar tuberculosis and grouped into the navigation-assisted fluoroscopy (NAV; n = 18) and non-navigation-assisted fluoroscopy (non-NAV; n = 15) groups...
November 2018: Medicine (Baltimore)
Jinqiu Zhao, Shujun Zhang, Xiaosong Li, Bin He, Yunsheng Ou, Dianming Jiang
BACKGROUND This cohort study compared the efficacy and safety of minimally invasive versus open transforaminal lumbar interbody fusion (Mis-TLIF versus Open-TLIF) for lumbar disc herniation with radiculopathy. MATERIAL AND METHODS From July 2016 to September 2017, we recruited 37 patients suffering from lumbar disc herniation with radiculopathy. Seventeen patients underwent Mis-TLIF (Mis group) and 20 patients underwent Open-TLIF (Open group). Baseline characteristics were similar between the 2 groups before surgery...
December 1, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
(no author information available yet)
OBJECTIVEThree to five days of external lumbar drainage (ELD) of CSF is a test for ventriculoperitoneal shunt (VPS) selection in idiopathic normal pressure hydrocephalus (iNPH). The accuracy and complication rates of a shorter (1-day) ELD procedure were analyzed.METHODSData of patients with iNPH who underwent 1-day ELD to be selected to undergo VPS placement with a programmable valve in the period from 2005 to 2015 were reviewed. Patients experiencing VPS complications, valve malfunctioning, or with less than 1 year of follow-up were excluded...
November 1, 2018: Journal of Neurosurgery
(no author information available yet)
OBJECTIVEIntrinsic third ventricular craniopharyngiomas (IVCs) have been reported by some authors to "pose the greatest surgical challenge" of all craniopharyngiomas (CPAs). A variety of open microsurgical approaches have historically been used for resection of these tumors. Despite increased utilization of the endoscopic endonasal approach (EEA) for resection of CPAs in recent years, many authors continue to recommend against use of the EEA for resection of IVCs. In this paper, the authors present the largest series to date utilizing the EEA to remove IVCs...
November 1, 2018: Journal of Neurosurgery
Edward Compton, Patrick Heindel, Blake Formanek, Kyle Schoell, Zorica Buser, Jeffrey C Wang
STUDY DESIGN: This is a retrospective cohort study. OBJECTIVE: This study's objective was to determine whether perioperative invasive vascular catheter placement, independent of comorbid conditions, modified the risk of postoperative infection in lumbar spine surgery. SUMMARY OF BACKGROUND DATA: Infection is a risk inherent to lumbar spine surgery, with overall postoperative infection rates of 0.86%-8.5%. Patients experiencing postoperative infection have higher rates of mortality, revision surgeries, pseudarthrosis, and worsening pain and disability...
November 26, 2018: Clinical Spine Surgery
(no author information available yet)
OBJECTIVEBased on a null hypothesis that the use of short-term lumbar drainage (LD) after endoscopic endonasal surgery (EES) for intradural pathology does not prevent postoperative CSF leaks, a trial was conducted to assess the effect of postoperative LD on postoperative CSF leak following standard reconstruction.METHODSA prospective, randomized controlled trial of lumbar drain placement after endoscopic endonasal skull base surgery was performed from February 2011 to March 2015. All patients had 3-month follow-up data...
October 1, 2018: Journal of Neurosurgery
(no author information available yet)
OBJECTIVETranssphenoidal surgery (TSS) is commonly used for anterior skull base surgery, especially in the sella turcica (sellar) region. However, because of its anatomical position, CSF leakage is a major complication of this approach. The authors introduced a new grading reconstruction strategy for anterior skull base surgery with continuous dural suturing in 2013. In this paper the authors report on their methods and results.METHODSAll patients with sellar or anterior skull base lesions that were removed with TSS or extended TSS by a single neurosurgeon between April 2013 and March 2017 at Nagoya University Hospital and several cooperating hospitals were retrospectively identified...
October 1, 2018: Journal of Neurosurgery
A M Blitz, J Shin, O Balédent, G Pagé, L W Bonham, D A Herzka, A R Moghekar, D Rigamonti
BACKGROUND AND PURPOSE: Radiologic imaging plays a key role in diagnosing chronic adult hydrocephalus, but its role in predicting prognosis is still controversial. We sought to evaluate the effectiveness of cardiac-gated phase-contrast MR imaging through the cerebral aqueduct in predicting the clinical response to diagnostic lumbar puncture/lumbar drainage and shunt surgery in suspected adult hydrocephalus. MATERIALS AND METHODS: In this retrospective study, the phase-contrast MR imaging of 185 patients with suspected chronic adult hydrocephalus was evaluated using the CSF Flow software package...
November 22, 2018: AJNR. American Journal of Neuroradiology
Carlota Fernandez Prendes, Mariel Riedemann Wistuba, Ahmad Amer Zanabili Al-Sibbai, Jose Antonio Del Castro Madrazo, Lino Antonio Camblor Santervas, Manuel Alonso Perez
PURPOSE: Endograft infection is an infrequent but one of the most serious and challenging complications after endovascular aortic repair. The aim of this study was to assess the management of this complication in a tertiary center. CASE SERIES: A retrospective analysis of a prospective database was performed including all patients who underwent elective endovascular abdominal aortic repair (EVAR) from 2003 to 2016 in a tertiary center. Seven cases of endograft infection were identified during the follow-up period from a total of 473 (1...
November 22, 2018: Vascular and Endovascular Surgery
Zhen Lai, Shiyuan Shi, Jun Fei, Guihe Han, Shengping Hu
BACKGROUND: Spinal tuberculosis is a frequent cause of psoas abscess (PA), and PA largely negates the efficacy of antituberculosis therapy. This study aimed to investigate the clinical outcome of preoperative percutaneous catheter drainage (PCD) in patients with lumbar spinal tuberculosis and PA. METHODS: Between January 2015 and January 2017, 72 patients with lumbar spinal tuberculosis with PA were assigned to group A (preoperative PCD) and group B (n = 36 per group)...
November 19, 2018: Journal of Orthopaedic Surgery and Research
Mario D'Oria, Stefano Chiarandini, Marco Pipitone, Cristiano Calvagna, Barbara Ziani
OBJECTIVES: Our goal was to identify anatomical and physiological factors that could predict the amount of cerebrospinal fluid (CSF) drainage in patients undergoing elective endovascular repair of descending thoracic and thoracoabdominal aortic disease. METHODS: All consecutive elective endovascular procedures performed for descending thoracic or thoracoabdominal aortic disease between January 2015 and December 2017 were included in the study. Routine use of CSF drainage was established in all patients...
November 13, 2018: European Journal of Cardio-thoracic Surgery
Liehua Liu, Nan Li, Qian Wang, Haoming Wang, Yuexiang Wu, Weidong Jin, Qiang Zhou, Zili Wang
OBJECTIVE: To review the literature related to iatrogenic lumbar artery injury (ILAI) in spine surgery with a focus on which iatrogenic operation may cause lumbar artery (LA) injury. METHODS: We conducted a comprehensive search in the Web of Science, PubMed, EMBASE and Chinese biomedical databases in July 2018. RESULTS: A total of 20 articles on ILAI were selected in this study, most of which were published as case reports involving a total of 26 cases...
November 9, 2018: World Neurosurgery
Yasunori Aoki, Hiroaki Kazui, Roberto D Pascual-Marqui, Ryouhei Ishii, Kenji Yoshiyama, Hideki Kanemoto, Yukiko Suzuki, Shunsuke Sato, Shingo Azuma, Takashi Suehiro, Takuya Matsumoto, Masahiro Hata, Leonides Canuet, Masao Iwase, Manabu Ikeda
Idiopathic normal pressure hydrocephalus (iNPH) is a neuropsychiatric disease characterized by gait disturbance, cognitive dysfunction, and urinary incontinence that affects a large population of elderly people. These symptoms, especially gait disturbance, can potentially be improved by cerebrospinal fluid (CSF) drainage, which is more effective if performed at an early stage of the disease. However, the neurophysiological mechanisms of these symptoms and their recovery by CSF drainage are poorly understood...
November 11, 2018: Clinical EEG and Neuroscience: Official Journal of the EEG and Clinical Neuroscience Society (ENCS)
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"