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https://www.readbyqxmd.com/read/27907060/amplitude-of-low-frequency-fluctuation-alff-in-the-cervical-spinal-cord-with-stenosis-a-resting-state-fmri-study
#1
Xiaojia Liu, Wenshu Qian, Richu Jin, Xiang Li, Keith Dk Luk, Ed X Wu, Yong Hu
Cervical spondylotic myelopathy (CSM) is a common spinal cord dysfunction disease with complex symptoms in clinical presentation. Resting state fMRI (rsfMRI) has been introduced to study the mechanism of neural development of CSM. However, most of those studies focused on intrinsic functional connectivity rather than intrinsic regional neural activity level which is also frequently analyzed in rsfMRI studies. Thus, this study aims to explore whether the level of neural activity changes on the myelopathic cervical cord and evaluate the possible relationship between this change and clinical symptoms through amplitude of low frequency fluctuation (ALFF)...
2016: PloS One
https://www.readbyqxmd.com/read/27906934/can-unilateral-kyphoplasty-replace-bilateral-kyphoplasty-in-treatment-of-osteoporotic-vertebral-compression-fractures-a-systematic-review-and-meta-analysis
#2
Han Sun, Pei-Pei Lu, Yi-Jie Liu, Xu Yang, Ping-Hui Zhou, Xiao-Feng Shen, Si-Wei Sun, Huilin Yang
BACKGROUND: Kyphoplasty has been proven to be an efficient method to relieve patient suffering from osteoporotic vertebral compression fractures (OVCFs). Because of its technological superiority, unilateral kyphoplasty consumes less operative time and bone cement than traditional bilateral kyphoplasty. However, there is controversy about which method is most efficient in the treatment of OVCFs. Thus, an overall analysis should be performed to shed light on the facts corroborating both procedures...
November 2016: Pain Physician
https://www.readbyqxmd.com/read/27904964/only-walking-matters-assessment-following-lumbar-stenosis-decompression
#3
S Budithi, Rohit Dhawan, Andrew Cattell, Birender Balain, David Jaffray
PURPOSE: Multiple outcome measures exist to evaluate the outcomes of spinal decompression surgery; however, these tend to be complex and are difficult to express to the patient pre-operatively to accurately guide their expectations. We present outcomes, in terms of walking distance measurement, of a prospective single surgeon series of 76 consecutive patients with spinal stenosis. METHODS: 76 patients (mean age 68.8 years; 48-91 years) had decompression surgery using spinous process osteotomy...
November 30, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27890911/suprapedicular-foraminal-endoscopic-approach-to-lumbar-lateral-recess-decompression-surgery-to-treat-degenerative-lumbar-spinal-stenosis
#4
Ya-Peng Wang, Wei Zhang, Bao-Li Li, Ya-Peng Sun, Wen-Yuan Ding, Yong Shen
BACKGROUND To discuss the strategy of suprapedicular foraminal endoscopic approach to lumbar lateral recess decompression and evaluate the safety and effectiveness of this strategy. MATERIAL AND METHODS Complete clinical information of 52 cases of lumbar lateral recess decompression with therapy of suprapedicular foraminal endoscopic approach were analyzed during the period from February 2010 to April 2014 in the Third Hospital of Hebei. All patients were followed up for 24 months, and VAS, JOA, ODI, and LRD were compared between preoperative and postoperative therapy and changes of FA...
November 28, 2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27889106/expression-of-the-jak-stat-signaling-pathway-in-the-ligamentum-flavum-of-patients-with-lumbar-spinal-canal-stenosis
#5
Hitoshi Yamahata, Koji Osuka, Tatsuro Aoyama, Muneyoshi Yasuda, Hiroshi Tokimura, Kazunori Arita, Masakazu Takayasu
BACKGROUND: Ligamentum flavum (LF) hypertrophy is an important cause of lumbar spinal canal stenosis (LSS), one of the most common spinal disorders in the elderly. Although many cytokines are reported to be associated with LF hypertrophy, the intracellular signaling system is rarely discussed. The purpose of this study was to identify the JAK/STAT signaling pathway and to examine the role of the JAK/STAT systems in the hypertrophied LF. METHODS: The LF of 10 LSS patients was analyzed and the expression of JAK1, STAT3, phosphorylated (p)-STAT3, and actin was examined by Western blot analysis...
November 23, 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/27886952/complex-inferior-vena-cava-filter-retrieval-complicated-by-migration-of-filter-fragment-into-the-aorta-and-subsequent-distal-embolization
#6
Erica M Knavel, Michael A Woods, Mark G Kleedehn, Orhan S Ozkan, Paul F Laeseke
In 2005, a 48-year-old man with a spinal cord injury had an inferior vena cava filter placed for recurrent deep vein thrombosis and pulmonary embolism. He was referred for filter retrieval after a computed tomography scan demonstrated caval stenosis and 2 fractured filter arms, 1 in a pulmonary artery and 1 penetrating into the retroperitoneum and impinging on the aorta. During retrieval, 1 arm was inadvertently advanced into the aorta, and embolization of the arm occurred to the left profunda femoris artery...
December 2016: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/27885472/a-prospective-randomized-trial-comparing-anterior-cervical-discectomy-and-fusion-versus-plate-only-open-door-laminoplasty-for-the-treatment-of-spinal-stenosis-in-degenerative-diseases
#7
Yun-Qi Jiang, Xi-Lei Li, Xiao-Gang Zhou, Chong Bian, Han-Ming Wang, Jian-Ming Huang, Jian Dong
OBJECTIVE: For three or more involved cervical levels, there is a debate over which approach yields the best outcomes for the treatment of multilevel cervical degenerative disease. Our objective is to compare the radiological and clinical outcomes of two treatments for multilevel cervical degenerative disease: anterior cervical discectomy and fusion (ACDF) versus plate-only open-door laminoplasty (laminoplasty). METHODS: Patients were randomized on a 1:1 randomization schedule with 17 patients in the ACDF group and 17 patients in the laminoplasty group...
November 24, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27875418/nonclassic-features-of-pseudohypoparathyroidism-type-1a
#8
Ashley H Shoemaker, Harald Jüppner
PURPOSE OF REVIEW: To provide readers with a review of contemporary literature describing the evolving understanding of the pseudohypoparathyroidism type 1A (PHP1A) phenotype. RECENT FINDINGS: The classic features of PHP1A include multihormone resistance and the Albright Hereditary Osteodystrophy phenotype (round facies, short stature, subcutaneous ossifications, brachydactyly, and early-onset obesity. Obesity may be because of a decrease in resting energy expenditure because most patients do not report significant hyperphagia...
November 21, 2016: Current Opinion in Endocrinology, Diabetes, and Obesity
https://www.readbyqxmd.com/read/27875411/comparing-the-effectiveness-of-sagittal-balance-foraminal-stenosis-and-preoperative-cord-rotation-in-predicting-postoperative-c5-palsy
#9
Arunit J S Chugh, Douglas S Weinberg, Fernando Alonso, Jason D Eubanks
STUDY DESIGN: Retrospective cohort review. OBJECTIVE: To determine whether preoperative cord rotation is independently correlated with C5 palsy when analyzed alongside measures of sagittal balance and foraminal stenosis. SUMMARY OF BACKGROUND DATA: Postoperative C5 palsy is a well-documented complication of cervical procedures with a prevalence of 4%-8%. Recent studies have shown a correlation with preoperative spinal cord rotation. There have been few studies, however, that have examined the role of sagittal balance and foraminal stenosis in the development of C5 palsy...
November 21, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27871519/intrapleural-placement-of-a-thoracic-epidural-catheter-in-a-patient-with-spinal-stenosis
#10
Kiran Belani, Mario Montealegre-Gallegos, Brian Ferla, Robina Matyal
Due to the close proximity of the thoracic epidural space and parietal pleura, pleural puncture with intrapleural catheter placement is a potential complication of thoracic epidural anesthesia. The authors present a case of an obese patient with a history of spinal stenosis that underwent thoracotomy. Repeated failed attempts at epidural anesthesia were complicated by intrapleural placement of the catheter. The patient subsequently developed clinical signs of pneumothorax and required urgent thoracostomy.
December 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27862599/effects-of-image-plane-patient-positioning-and-foraminal-zone-on-magnetic-resonance-imaging-measurements-of-canine-lumbosacral-intervertebral-foramina
#11
Claudia Zindl, Russell L Tucker, Jelena Jovanovik, Constanza Gomez Alvarez, David Price, Noel Fitzpatrick
Degenerative lumbosacral stenosis has been suspected to have a dynamic component, especially regarding encroachment of the L7 nerve roots exiting the lumbosacral foramina. Angled cross-sectional imaging of the neuroforamina has been found improve the accuracy of the diagnosis of stenosis in humans. In this anatomic study, foraminal apertures were evaluated by MRI at the entry, middle, and exit zones of the nerve roots in 30 dogs that were clinically affected by lumbosacral disease. Standard vs. oblique planar orientation and neutral vs...
November 16, 2016: Veterinary Radiology & Ultrasound
https://www.readbyqxmd.com/read/27858395/low-back-pain-and-internet-infopollution
#12
Yavuz Samanci, Suat Erol Çelik
AIM: Increasing number of patients engages in health information seeking via the Internet. We aimed to determine the quality of information on Internet for treatment of three common neurosurgical conditions associated with lower back pain using the DISCERN® instrument. MATERIAL AND METHODS: The search phrases "lumbar disc herniation treatment", "lumbar spinal stenosis treatment" and "lumbar spondylolisthesis treatment" were searched in the Google® search engine using simple searching method...
October 14, 2016: Turkish Neurosurgery
https://www.readbyqxmd.com/read/27858389/clinical-outcomes-of-patients-over-75-years-of-age-with-degenerative-spondylolisthesis-following-bilateral-decompression-via-a-unilateral-approach
#13
Mustafa Ilik, Mustafa Golen, Faik Ilik, Ilker Çöven, Yıldıray Dal
AIM: The purpose of this study was to investigate the clinical outcomes of bilateral decompression via a unilateral approach (BDUA) on degenerative spondylolisthesis with spinal stenosis in patients over 75 years of age. MATERIAL AND METHODS: Elderly patients (n = 41; average age 79.3 ± 2.5 years) who received BDUA under spinal anaesthesia between April 2011 and May 2014 were enrolled. Visual Analogue Scale (VAS) scores and Oswestry Disability Index (ODI) values were evaluated preoperatively and at the last visit postoperatively (median follow-up period, 22 month; mean follow-up period, 27 month)...
October 14, 2016: Turkish Neurosurgery
https://www.readbyqxmd.com/read/27853664/return-to-play-after-cervical-spine-injuries-a-consensus-of-opinion
#14
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/27852913/in-patients-with-lumbar-spinal-stenosis-adding-fusion-surgery-to-decompression-surgery-did-not-improve-outcomes-at-2-years
#15
Serena S Hu
No abstract text is available yet for this article.
November 16, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27852717/efficacy-of-acupuncture-for-degenerative-lumbar-spinal-stenosis-protocol-for-a-randomised-sham-acupuncture-controlled-trial
#16
Zongshi Qin, Yulong Ding, Jiani Wu, Jing Zhou, Likun Yang, Xiaoxu Liu, Zhishun Liu
INTRODUCTION: Degenerative lumbar spinal stenosis (DLSS) is a major public health problem and the primary reason why older adults seek lumbar spine surgery. Acupuncture may be effective for DLSS, but the evidence supporting this possibility is still limited. METHODS AND ANALYSIS: A total of 80 participants with DLSS will be randomly allocated to either an acupuncture group or a sham acupuncture (SA) group at a ratio of 1:1. 24 treatments will be provided over 8 weeks...
November 16, 2016: BMJ Open
https://www.readbyqxmd.com/read/27849674/lumbar-spinal-stenosis-how-is-it-classified
#17
Gregory D Schroeder, Mark F Kurd, Alexander R Vaccaro
The prevalence of lumbar spinal stenosis is approximately 9.3%, with people most commonly affected in the sixth or seventh decade of life. Patients often have pain, cramping, and weakness in their legs that is worsened with standing and walking. Although the Spine Patient Outcomes Research Trial clearly demonstrated that surgery improves health-related quality of life, treatment for lumbar spinal stenosis varies widely from the type of decompression performed to the need for fusion. This variability can be attributed largely to the lack of an accepted classification system...
December 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27848083/surgical-management-of-lumbar-spinal-stenosis-a-survey-among-norwegian-spine-surgeons
#18
Clemens Weber, Greger Lønne, Vidar Rao, Asgeir S Jakola, Ole Solheim, Ulf Nerland, Ivar Rossvoll, Øystein P Nygaard, Wilco C Peul, Sasha Gulati
BACKGROUND: Symptomatic lumbar spinal stenosis (LSS) is the most common reason for lumbar surgery in the elderly. There is growing evidence that decompressive surgery offers an advantage over non-surgical management for selected patients with persistent severe symptoms. Based on treatment traditions, open laminectomy has been the gold standard surgical treatment, but various other surgical and non-surgical treatments for LSS are widely used in clinical practice. Therefore, we conducted a survey study to capture potential diversities in surgeons' management of LSS in Norway...
November 15, 2016: Acta Neurochirurgica
https://www.readbyqxmd.com/read/27847581/foreign-body-reaction-after-implantation-of-a-device-for-intervertebral-assisted-motion
#19
Jun-Yeong Seo, Kee-Yong Ha, Young-Hoon Kim, Joo-Hyun Ahn
The device for intervertebral assisted motion (DIAM) is a dynamic implant that consists of a silicone bumper enveloped by a polyethylene terephthalate (PET) fiber sack. Silicone and PET were used because of their biological inertness, but repetitive motion of the spine can cause wear on the implant nonetheless. The purpose of this study is to report a case of foreign body reaction (FBR) against a DIAM. A 72-year-old female patient presented with lower back pain and both legs radiating pain. She had undergone DIAM implantation at L4-5 for spinal stenosis 5 years previously...
November 2016: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/27846739/degenerative-lumbar-spinal-stenosis-and-physical-functioning-an-exploration-of-associations-between-self-reported-measures-and-physical-performance-tests
#20
Elisabeth Thornes, Hilde Stendal Robinson, Nina Køpke Vøllestad
BACKGROUND: Degenerative spinal stenosis is a common lumbar condition in the elderly population. Clinical decision-making in the physiotherapy settings is based on assessments of the patients physical status. The purpose of this study was to examine how self-reported measures on symptoms and physical function relate to responses on physical performance tests. METHODS: A total of 103 patients with LSS completed a comprehensive questionnaire and physical performance tests (functional leg-strength and dynamic balance)...
November 16, 2016: Disability and Rehabilitation
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