keyword
https://read.qxmd.com/read/38537237/effects-of-different-surgical-treatments-on-pain-disability-anxiety-and-quality-of-life-in-lumbar-disc-herniation
#1
JOURNAL ARTICLE
Aydin S Apaydin, Bülent Bozyiğit, Zuhal Koç-Apaydin, Musa Güneş, Metehan Yana
OBJECTIVE: This study aims to compare the effects of microscopic microdiscectomy and microendoscopic discectomy on pain, disability, fear of falling, kinesiophobia, anxiety, quality of life in patients with lumbar disc herniation (LDH). METHODS: A total of 90 patients who underwent microscopic microdiscectomy (n = 40) and microendoscopic discectomy (n = 50) for LDH were included in this study. The patients' pain, disability, fear of falling, kinesiophobia, anxiety, and quality of life were evaluated before the surgery, in the early postoperative period and three months after...
2024: Cirugia y Cirujanos
https://read.qxmd.com/read/38536628/evaluation-of-the-histologic-and-immunohistochemical-cd34-glutamine-synthetase-findings-in-idiopathic-non-cirrhotic-portal-hypertension-incph
#2
JOURNAL ARTICLE
Melek Büyük, Neslihan Berker, Doğu Vurallı Bakkaloğlu, İbrahim Volkan Şenkal, Zerrin Önal, Mine Güllüoğlu
AIM: Idiopathic non-cirrhotic portal hypertension (INCPH) is a vascular disorder of uncertain origin. Diagnosis can be challenging on liver biopsy. Despite diverse histomorphologic findings documented in literature, studies on the frequency of these findings are lacking. This study aims to assess both the histomorphologic features and the immunoexpression patterns of CD34 and glutamine synthetase (GS) in liver biopsies and searched for their contribution to the pathologic diagnosis of INCPH...
March 27, 2024: Hepatology International
https://read.qxmd.com/read/38533138/successful-laparoscopic-treatment-of-morgagni-s-hernia-in-an-elderly-female-presenting-as-a-hypoxemic-hypercapnic-respiratory-distress
#3
Farah Assi, Ali Mecheik, Hassan Zghaib, Houssein Haidar Ahmad
Morgagni's hernia (MH) occurs when the abdominal viscera herniates into the thoracic cavity through a congenital anatomical defect in the diaphragm, termed the foramen of Morgagni. Although it is more frequently detected in childhood, its delayed presentation in adults and the elderly could be easily overlooked due to the non-specificity of its symptoms. Here, we report the case of an elderly female who presented purely with dyspnea and desaturation, necessitating admission to the intensive care unit. Her computed tomography (CT) scan revealed the presence of MH with complete lobar collapse...
February 2024: Curēus
https://read.qxmd.com/read/38531809/comparison-of-the-medium-term-outcomes-of-anterior-lumbar-discectomy-and-fusion-with-minimally-invasive-transforaminal-lumbar-interbody-fusion-a-retrospective-cohort-study
#4
JOURNAL ARTICLE
Chao Song, Zhibo Deng, Hanhao Dai, Wu Zheng, Guoyu Yu, Yijing Wu, Jun Luo, Jie Xu
OBJECTIVE: Lumbar degenerative diseases (LDDs) with huge herniation in the left lateral recess or central canal present challenges for oblique lateral lumbar interbody fusion (OLIF) or endoscope-assisted OLIF procedures. Currently, minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is the primary approach for this issue. This study aims to provide a standardized technical description of the anterior lumbar discectomy and fusion (ALDF) and evaluate the medium-term clinical effectiveness of both ALDF and MIS-TLIF techniques...
March 26, 2024: Orthopaedic Surgery
https://read.qxmd.com/read/38531475/-transforaminal-endoscopic-ventral-stenosis-decompression-in-calcified-lumbar-disc-herniation-a-long-term-outcome-in-79-patients
#5
JOURNAL ARTICLE
Ajay Krishnan, Chandhan Murugan, Mikeson Panthackel, Abhijith Anil, Devanand Degulmadi, Shivanand Mayi, Ravi Ranjan Rai, Mirant Dave, Mrugank Narvekar, Rohan Killekar, Preety Ajay Krishnan, Bharat Dave
BACKGROUND: Calcified lumbar disc herniations(CLDH) causing calcified ventral stenosis CVS) pose a therapeutic challenge to the treating surgeon due to their neural adhesions, location, and hardness. METHODS: This retrospective study analyzed all the cases of CLDH/CVS managed by transforaminal endoscopic lumbar discectomy(TELD) with a minimum follow-up of 24 months. The pre-operative images were analyzed for the level, migration; and grade(Lee's migration zones), and location(MSU classification)...
March 24, 2024: World Neurosurgery
https://read.qxmd.com/read/38530414/bone-flap-binding-and-transposition-a-method-for-bone-reconstruction-in-cranial-burst-fractures-and-early-stage-growing-skull-fractures
#6
JOURNAL ARTICLE
Hongbin Cao, Genrui Guo
PURPOSE: To introduce a method of cranial bone reconstruction for cranial burst fractures and early-stage growing skull fractures, named bone flap binding and transposition. METHODS: Cranial burst fractures, severe head injuries predominantly observed in infants, are characterized by widely diastatic skull fractures coupled with acute extracranial cerebral herniation beneath an intact scalp through ruptured dura mater. These injuries can develop into growing skull fractures...
March 26, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/38528160/diagnostic-and-prognostic-significance-of-mir-486-5p-in-patients-who-underwent-minimally-invasive-surgery-for-lumbar-spinal-stenosis
#7
JOURNAL ARTICLE
Heqing Zhang, Dong Liu, Xiaoguang Fan
BACKGROUND: This study aimed to investigate the expression and clinical value of microRNA miR-486-5p in diagnosing lumbar spinal stenosis (LSS) patients and predicting the clinical outcomes after minimally invasive spinal surgery (MISS) in LSS patients, and the correlation of miR-486-5p with inflammatory responses in LSS patients. METHODS: This study included 52 LSS patients, 46 patients with lumbar intervertebral disk herniation (LDH) and 42 healthy controls. Reverse transcription quantitative PCR was used to detect miR-486-5p expression...
March 25, 2024: European Spine Journal
https://read.qxmd.com/read/38526927/definition-frequency-and-risk-factors-for-intra-operative-spinal-cord-injury-a-knowledge-synthesis
#8
JOURNAL ARTICLE
Michael G Fehlings, Ayesha Quddusi, Andrea C Skelly, Erika D Brodt, Ali Moghaddamjou, Anahita Malvea, Nader Hejrati, Nisaharan Srikandarajah, Mohammed Ali Alvi, Shay Stabler-Morris, Joseph R Dettori, Lindsay A Tetreault, Nathan Evaniew, Brian K Kwon
STUDY DESIGN: Mixed-methods approach. OBJECTIVES: Intra-operative spinal cord injury (ISCI) is a devastating complication of spinal surgery. Presently, a uniform definition for ISCI does not exist. Consequently, the reported frequency of ISCI and important risk factors vary in the existing literature. To address these gaps in knowledge, a mixed-methods knowledge synthesis was undertaken. METHODS: A scoping review was conducted to review the definitions used for ISCI and to ascertain the frequency of ISCI...
March 2024: Global Spine Journal
https://read.qxmd.com/read/38521225/comparing-quality-of-life-discectomy-surgery-vs-epidural-corticosteroid-injection-for-lumbar-disc-herniation
#9
JOURNAL ARTICLE
Fateme Pazhouhande, Sina Bazmi, Reza Taheri, Reza Tabrizi
BACKGROUND: Selecting an efficient treatment for patients with radiculopathy caused by lumbar disc herniation (LDH) unresponsive to conservative management remains a challenging task under investigation, yielding varying results. This study aims to compare the outcomes of the two most prevalent invasive treatments. METHODS: In this retrospective longitudinal study, we enrolled patients with confirmed refractory symptomatic LDH who sought treatment at Valiasr Hospital and underwent either discectomy surgery or epidural steroid injection (ESI) between 2019 and 2022...
March 21, 2024: World Neurosurgery
https://read.qxmd.com/read/38518295/incidence-and-risk-factors-of-heterotopic-ossification-after-cervical-baguera-c-disc-arthroplasty
#10
JOURNAL ARTICLE
Kai-Chen Chung, Chih-Wei Huang, Wen-Hsien Chen, Hsi-Kai Tsou, Chung-Yuh Tzeng, Ting-Hsien Kao, Ruei-Hong Lin, Tse-Yu Chen
OBJECTIVE: This retrospective study was designed to evaluate the incidence and predisposing factors of heterotopic ossification (HO) after cervical disc arthroplasty (CDA) with a specific implant at 1 and 2 levels, and to investigate the biomechanical effects related to HO. The study goal was to identify ways to reduce the likelihood of HO formation after surgery. METHODS: The study included patients who underwent only 1- or 2-level CDA with the Baguera C disc between November 2014 and December 2021 at a single medical center...
March 22, 2024: Journal of Neurosurgery. Spine
https://read.qxmd.com/read/38518042/unmasking-a-hidden-culprit-late-presenting-congenital-diaphragmatic-hernia-beyond-infancy-a-case-report-and-literature-review
#11
JOURNAL ARTICLE
Wen-Harn Koh, Po-Jui Ko, Yu-Tsun Su, Yu-Cheng Tsai, Ho-Poh Kek, Ching-Chung Tsai
BACKGROUND: Congenital diaphragmatic hernia (CDH) is a rare congenital anomaly with abnormal diaphragm development, typically diagnosed prenatally or soon after birth. Late-presenting CDH presents diagnostic challenges due to nonspecific symptoms that can lead to misdiagnoses. METHODS: This report discusses a 35-month-old female initially presenting with predominant gastrointestinal symptoms and minimal respiratory distress. Initial radiographic findings suggested a left tension pneumothorax, prompting further investigation...
March 22, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38516315/research-on-the-multidimensional-brain-remodeling-mechanisms-at-the-level-of-brain-regions-circuits-and-networks-in-patients-with-chronic-lower-back-pain-caused-by-lumbar-disk-herniation
#12
JOURNAL ARTICLE
Yuan-Dong Mei, Hang Gao, Wei-Fei Chen, Wei Zhu, Chen Gu, Jun-Peng Zhang, Ji-Ming Tao, Xu-Yun Hua
INTRODUCTION: Chronic lower back pain (cLBP), frequently attributed to lumbar disk herniation (LDH), imposes substantial limitations on daily activities. Despite its prevalence, the neural mechanisms underlying lower back pain remain incompletely elucidated. Functional magnetic resonance imaging (fMRI) emerges as a non-invasive modality extensively employed for investigating neuroplastic changes in neuroscience. In this study, task-based and resting-state fMRI methodologies are employed to probe the central mechanisms of lower back pain...
2024: Frontiers in Neuroscience
https://read.qxmd.com/read/38515409/-clinical-study-on-the-treatment-of-postoperative-recurrence-of-lumbar-disc-herniation-with-intervertebral-fusion
#13
JOURNAL ARTICLE
Lian-Sheng Zheng, Xue-Min Li, Yu-Long Li
OBJECTIVE: To explore clinical effect of different intervertebral fusion devices (cage) in treating postoperative recurrent lumbar disc herniation (LDH). METHODS: One hundred and forty-two LDH patients with recurrence after simple intervertebral disc nucleus pulpoideectomy from January 2019 to January 2021 were retrospectively analyzed. All patients were treated with combined underchannel fixation and interbody fusion and divided into a single anatomical group,two-anatomical group and a single banana group according to types and numbers of implanted cage...
March 25, 2024: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/38515408/-effect-and-complication-among-different-kinds-of-spinal-endoscopic-surgery-for-lumbar-disc-herniation
#14
JOURNAL ARTICLE
Kang Chen, Fu-Guo Yang, Yuan-Chao Luo, Ren-Jian He
OBJECTIVE: To compare clinical efficacy and complication rate of percutaneous endoscopic transforaminal discectomy(PETD),percutaneous endoscopic interlaminar discectomy (PEID) and unilateral biportal endoscopic (UBE) in treating single-segment lumbar disc herniation(LDH). METHODS: From October 2019 to August 2021,121 LDH patients with single-segment treated by spinal endoscopy were retrospectively analyzed and divided into three groups. In PETD group,there were 48 patients,including 19 males and 29 females,aged from 18 to 72 years old with an average of (44...
March 25, 2024: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/38515407/-clinical-outcomes-and-bone-resection-analysis-of-unilateral-double-channel-endoscopic-technique-in-treating-lumbar-disc-herniation
#15
JOURNAL ARTICLE
Qing-Yun Xin, Wen-Zheng Li, Jun-Jian Han, Qi-Tao Liu, Chao Feng, Xiu-Sheng Guo, Jie Wei, Jie-Fu Song, De-An Qin, Deng-Jun Zhang
OBJECTIVE: To explore clinical outcomes and bone resection of interlaminar fenestration decompression and unilateral biportal endoscopic (UBE) technique in treating lumbar disc herniation(LDH). METHODS: A retrospective study was performed on 105 patients with single-level LDH treated from December 2019 to December 2021. Fifty-four patients in UBE group,including 32 males and 22 females,aged from 18 to 50 years old with an average of(38.7±9.3) years old,were treated with UBE,29 patients with L4,5 and 25 patients with L5 S1 ...
March 25, 2024: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/38515406/-progress-on-treatment-and-prevention-of-complications-of-lumbar-disc-herniation
#16
JOURNAL ARTICLE
Xiao-Dong Wu, Wen Yuan
No abstract text is available yet for this article.
March 25, 2024: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://read.qxmd.com/read/38514395/comparative-effectiveness-study-evaluating-outcomes-for-transforaminal-epidural-steroid-injections-performed-with-3-hypertonic-saline-or-normal-saline-in-lumbosacral-radicular-pain
#17
JOURNAL ARTICLE
Sithapan Munjupong, Wanwipha Malaithong, Ekasak Chantrapannik, Poomin Ratchano, Nuj Tontisirin, Steven P Cohen
BACKGROUND: Transforaminal epidural steroid injection (TFESI) are commonly employed to treat lumbosacral radiculopathy. Despite anti-inflammatory properties, the addition of 3% hypertonic saline has not been studied. OBJECTIVE: Compare the effectiveness of adding 0.9% NaCl (N-group) vs. 3% NaCl (H-group) in TFESI performed for lumbosacral radiculopathy. METHODS: This retrospective study compared TFESI performed with lidocaine, triamcinolone and 0...
March 21, 2024: Pain Medicine
https://read.qxmd.com/read/38514174/evaluating-acidic-gastroesophageal-reflux-with-wireless-ph-monitoring-in-french-bulldogs-with-sliding-hiatal-herniation
#18
JOURNAL ARTICLE
Tarini V Ullal, Stanley L Marks, Nuen Tsang Yang, Sandra L Taylor
BACKGROUND: Sliding hiatal herniation (SHH) and gastroesophageal reflux (GER) commonly occur in French bulldogs. Wireless pH monitoring can quantitatively assess acidic GER in dogs affected by SHH. HYPOTHESIS/OBJECTIVES: Measure acidic GER in French bulldogs with SHH, pre- and post-brachycephalic obstructive airway syndrome (BOAS) surgery, utilizing a wireless pH capsule (Bravo Calibration-free, Medtronic, Minnesota), and correlate with owners' observations of regurgitation...
March 21, 2024: Journal of Veterinary Internal Medicine
https://read.qxmd.com/read/38514111/-adult-onset-covid-19-associated-fulminant-acute-encephalopathy-with-elevated-cerebrospinal-fluid-interleukin-8-a-case-report
#19
JOURNAL ARTICLE
Kazuhiro Higashida, Akio Kimura, Nobuyuki Tetsuka, Takayoshi Shimohata
A 26-year-old woman receiving immunosuppressive therapy for polymyositis was infected with COVID-19 (an omicron mutant strain) and presented with fever. On the second day after the onset, she was admitted to our hospital and developed status epilepticus. Brain magnetic resonance imaging on admission revealed abnormal symmetric hyperintensities in the bilateral putamen and around the dorsal horns of the lateral ventricle. Three days after admission, brain computed tomography revealed marked cerebral edema and herniation...
March 2024: Brain and Nerve, Shinkei Kenkyū No Shinpo
https://read.qxmd.com/read/38511158/lumbar-sacralization-and-l-4-l-5-microdiscectomy-a-prospective-cohort-study-on-radiologic-and-clinical-outcomes
#20
JOURNAL ARTICLE
Pouya Omidi, Saeid Abrishamkar, Mehdi Mahmoodkhani, Arman Sourani, Amin Dehghan, Mina Foroughi, Sadegh Baradaran Mahdavi, Donya Sheibani Tehrani, Roham Nik Khah, Shaahin Veisi
AIM: To evaluate the role of lumbar sacralization (LS) on the surgical outcomes of L4-L5 microdiscectomy. METHODS: This prospective cohort study was conducted in a university referral hospital. The patients with L4-L5 disc herniation and eligible for microdiscectomy were enrolled and allocated in G1 (with LS) and G2 (no LS). After the L4-L5 microdiscectomy patients were followed, clinical and radiological parameters were collected to investigate the influence on the outcomes...
July 2024: World neurosurgery: X
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