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https://www.readbyqxmd.com/read/28266957/complication-rate-in-minimally-invasive-revision-lumbar-discectomy-a-case-series-and-technical-note
#1
Daniel R Felbaum, Jeffrey J Stewart, Casey Distaso, Faheem A Sandhu
Revision lumbar discectomy, given the disruption of anatomic planes, can be a more technically complicated operation. Historically, it may have higher complication rates than first-time microdiscectomy. Recently, minimally invasive tubular discectomy (MITD) has been reported as an equivalent treatment to traditional approaches and may have better utility for revision surgery. A retrospective review of MITDs performed by the senior surgeon (F.A.S.) on 42 patients with single-level, recurrent disk herniation was analyzed...
March 6, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28259825/soft-tissue-neoplasms-causing-apparent-venous-thoracic-outlet-syndrome
#2
Aleem K Mirza, Ian J Barrett, Animesh Rathore, Bassem T Elhassan, Peter S Rose, Thomas Shives, Thomas C Bower
Venous thoracic outlet syndrome (vTOS) usually results from compression of the subclavian vein classically as a result of narrowing of the costoclavicular space. We report two rare cases of soft tissue neoplasms resulting in apparent vTOS. The first case is a 46-year old female with a two-year history intermittent unilateral shoulder pain, who was initially diagnosed with intervertebral disk herniation. Cervical fusion was performed, however her symptoms progressed and she additionally developed paresthesias and venous congestion...
March 1, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28249307/long-term-outcome-of-microendoscopic-diskectomy-for-lumbar-disk-herniation-a-clinical-study-of-consecutive-112-cases-with-more-than-5-year-follow-up
#3
Mitsunori Yoshimoto, Noriyuki Iesato, Yoshinori Terashima, Katsumasa Tanimoto, Tsuneo Takebayashi, Toshihiko Yamashita
Background Clinical results and recurrence rate after microendoscopic diskectomy (MED) with long-term follow-up is still unclear, in spite of its relatively long history. Materials and Methods A total of 112 who underwent MED participated in this study. Operative time, blood loss, serum C-reactive protein (CRP), creatine kinase (CK), and visual analog scale (VAS) were evaluated as indexes of surgical invasiveness. The 36-Item Short Form Survey Instrument (SF-36), Japanese Orthopaedic Association (JOA) score, patient satisfaction, and recurrence were also evaluated with a follow-up of at least 5 years...
March 1, 2017: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/28243368/a-survey-on-low-back-pain-risk-factors-in-steel-industry-workers-in-2015
#4
Ehsan Rafeemanesh, Farzad Omidi Kashani, Reza Parvaneh, Fatemeh Ahmadi
STUDY DESIGN: This was a cross-sectional study. PURPOSE: The aim of this study was to determine the prevalence of low back pain (LBP) and its association with individual factors and current job status among steel industry workers in Mashhad, Iran. OVERVIEW OF LITERATURE: Several studies have been conducted on LBP and its related risk factors, some of which emphasized oc-cupational factors as the main etiology of LBP. Meanwhile, individual risk factors have been emphasized in other studies...
February 2017: Asian Spine Journal
https://www.readbyqxmd.com/read/28241227/surgery-for-herniated-lumbar-disk-in-individuals-65-years-of-age-or-older-a-multicenter-observational-study
#5
Mattis A Madsbu, Tore K Solberg, Øyvind Salvesen, Øystein P Nygaard, Sasha Gulati
No abstract text is available yet for this article.
February 22, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28191383/minimally-invasive-direct-lateral-interbody-fusion-mis-dlif-proof-of-concept-and-perioperative-results
#6
Hamid Abbasi, Ali Abbasi
BACKGROUND: Minimally invasive direct lateral interbody fusion (MIS-DLIF) is a novel approach for fusions of the lumbar spine. In this proof of concept study, we describe the surgical technique and report our experience and the perioperative outcomes of the first nine patients who underwent this procedure. STUDY DESIGN/SETTING: In this study we establish the safety and efficacy of this approach. MIS-DLIF was performed on 15 spinal levels in nine patients who failed to respond to conservative therapy for the treatment of a re-herniated disk, spondylolisthesis, or other severe disk disease of the lumbar spine...
January 14, 2017: Curēus
https://www.readbyqxmd.com/read/28176921/increased-local-expressions-of-cx3cl1-and-ccl2-are-related-to-clinical-severity-in-lumbar-disk-herniation-patients-with-sciatic-pain
#7
Zhen-Yu Peng, Rui Chen, Zuo-Zhong Fang, Bin Chen, Zhi-Hua Wang, Xi-Yang Wang
BACKGROUND: Chemokines have been identified to be involved in the modulation of pain through both peripheral and central mechanisms. However, the role of chemokines in lumbar disk herniation (LDH) with sciatic pain remains unknown. OBJECTIVE: The current study was performed to explore the expression of two most commonly studied chemokines CX3CL1 and CCL2 and assess their associations with clinical severity in LDH patients with sciatic pain. METHODS: The soft tissues around nerve root (STANR), annulus fibrosus (AF), and nucleus pulposus (NP) biopsies were obtained from 36 LDH patients with chronic sciatic pain and 10 scoliosis patients (painless controls)...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/28174631/medication-related-osteonecrosis-of-the-jaws-caused-lethal-sepsis-in-an-edentulous-patient-with-multiple-systemic-factors
#8
Keisuke Yamashiro, Aki Sato, Fumihiko Okazaki, Makoto Nakano, Koichi Sawaki, Yasuhisa Hirata, Eiki Yamachika, Seiji Iida, Shogo Takashiba
Medication-related osteonecrosis of the jaw (MRONJ) is developed even in the patients who are edentulous and treated with short-term bisphosphonate therapy and oral administration. It sometimes causes lethal sepsis in patients who have multiple health problems such as diabetes, cirrhosis, steroid use for interstitial pneumonia, sepsis, and spinal disk herniation.
February 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28165305/effect-of-anesthesia-associated-hypotension-on-neurologic-outcome-in-dogs-undergoing-hemilaminectomy-because-of-acute-severe-thoracolumbar-intervertebral-disk-herniation-56-cases-2007-2013
#9
Alexandra Dixon, Amy E Fauber
OBJECTIVE To evaluate the effect of anesthesia-associated hypotension on final motor and urinary function in paraplegic dogs without nociception that underwent hemilaminectomy because of acute, severe thoracolumbar intervertebral disk herniation (IVDH). DESIGN Retrospective case series. ANIMALS 56 paraplegic dogs with acute thoracolumbar IVDH and absent nociception. PROCEDURES Medical records were reviewed, and signalment, history, anesthetic details, and results of serial neurologic assessments performed for at least 4 weeks after surgery were recorded...
February 15, 2017: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/28144987/prevalence-and-risk-factors-for-presumptive-ascending-descending-myelomalacia-in-dogs-after-thoracolumbar-intervertebral-disk-herniation
#10
F Balducci, S Canal, B Contiero, M Bernardini
BACKGROUND: Ascending/descending myelomalacia (ADMM) is a severe complication of thoracolumbar intervertebral disk herniation (TL-IVDH) in dogs. HYPOTHESIS/OBJECTIVES: To investigate the prevalence and risk factors for ADMM in nonambulatory dogs with surgically treated TL-IVDH. ANIMALS: Six-hundred and fifty-two client-owned dogs evaluated for TL-IVDH that underwent decompressive spinal surgery. METHODS: Retrospective medical record review from February 2007 through December 2015...
February 1, 2017: Journal of Veterinary Internal Medicine
https://www.readbyqxmd.com/read/28144773/lumbar-disk-herniation-during-pregnancy-a-review-on-general-management-and-timing-of-surgery
#11
REVIEW
Hugo Ardaillon, Yosef Laviv, Jeffrey E Arle, Ekkehard M Kasper
STUDY DESIGN: Narrative review with case illustration. OBJECTIVE: Provide an overview of existing management strategies to suggest a guideline for surgical management of lumbar disk herniation in pregnant women based on time of presentation. METHODS: We performed a narrative review on the topic using the PubMed database. A total of 63 relevant articles published after 1992 were identified, of which 17 fulfilled selection criteria. RESULTS: A total of 22 published cases of spine surgery for disk herniation during pregnancy were found in 17 studies on the topic...
January 31, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28140641/preliminary-evaluation-of-the-effects-of-photobiomodulation-therapy-and-physical-rehabilitation-on-early-postoperative-recovery-of-dogs-undergoing-hemilaminectomy-for-treatment-of-thoracolumbar-intervertebral-disk-disease
#12
Michael Bennaim, Mathilde Porato, Astrid Jarleton, Martin Hamon, James D Carroll, Kris Gommeren, Marc Balligand
OBJECTIVE To evaluate the effects of postoperative photobiomodulation therapy and physical rehabilitation on early recovery variables for dogs after hemilaminectomy for treatment of intervertebral disk disease. ANIMALS 32 nonambulatory client-owned dogs. PROCEDURES Dogs received standard postoperative care with photobiomodulation therapy (n = 11), physical rehabilitation with sham photobiomodulation treatment (11), or sham photobiomodulation treatment only (10) after surgery. Neurologic status at admission, diagnostic and surgical variables, duration of postoperative IV analgesic administration, and recovery grades (over 10 days after surgery) were assessed...
February 2017: American Journal of Veterinary Research
https://www.readbyqxmd.com/read/28127375/predictors-of-reoperation-after-microdecompression-in-lumbar-spinal-stenosis
#13
Hee-Jong Hwang, Hyung-Ki Park, Gwang-Soo Lee, June-Young Heo, Jae-Chil Chang
OBJECTIVE: The risk factors of reoperation after microdecompression (MD) for lumbar spinal stenosis (LSS) are unclear. In this study, we presented the outcomes of MD for degenerative LSS and investigated the risk factors associated with reoperation. METHODS: A retrospective review was conducted using the clinical records and radiographs of patients with LSS who underwent MD. For clinical evaluation, we used the Japanese Orthopedic Association (JOA) scoring system for low back pain, body mass index, and Charlson comorbidity index...
December 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/28120054/extraforaminal-disk-herniation-treatment-with-surgical-exploration-by-unilateral-intertransversarii-microsurgical-approach
#14
Aldo Spallone, Massimiliano Visocchi, A Nardella, L Lavorato
BACKGROUND: In this study we evaluated the role of a unilateral intertransversarii microsurgical approach for the treatment of extraforaminal lumbar disk herniations (ELDHs), with short-, medium-, and long-term follow-up. METHODS: We retrospectively evaluated 96 patients who had undergone surgery for ELDH between 2001 and 2012 at our Institution. All the patients had been examined before the intervention, immediately after, and at 6 weeks, 6 months, and 18 months after the intervention...
2017: Acta Neurochirurgica. Supplement
https://www.readbyqxmd.com/read/28115870/analysis-of-the-clinical-effects-of-transforaminal-endoscopic-discectomy-on-lumbar-disk-herniation-combined-with-common-peroneal-nerve-paralysis-a-2-year-follow-up-retrospective-study-on-32-patients
#15
Ya-Peng Wang, Wei Zhang, Jian Zhang, Ya-Peng Sun, Ji-Long An, Wen-Yuan Ding
BACKGROUND: Very few studies have discussed transforaminal endoscopic discectomy (TED) in the treatment of common peroneal nerve paralysis induced by lumbar disk herniation (LDH). This study aimed to evaluate the efficacy of TED in the treatment of LDH combined with common peroneal nerve paralysis. MATERIALS AND METHODS: The clinical and follow-up data of 32 patients with common peroneal nerve paralysis induced by LDH undergoing TED from March 2011 to April 2014 were retrospectively analyzed in this study...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/28099187/a-comparative-study-of-anterior-decompression-with-fusion-and-posterior-decompression-with-laminoplasty-for-the-treatment-of-cervical-spondylotic-myelopathy-patients-with-large-anterior-compression-of-the-spinal-cord
#16
Takashi Hirai, Toshitaka Yoshii, Yoshiyasu Arai, Kenichiro Sakai, Ichiro Torigoe, Hidetsugu Maehara, Masaki Tomori, Takashi Taniyama, Hirokazu Sato, Atsushi Okawa
STUDY DESIGN: This is a retrospective observational single-center study. OBJECTIVES: To compare anterior decompression and fusion (ADF) and laminoplasty (LAMP) for the treatment of cervical spondylotic myelopathy (CSM) patients with large anterior compression in terms of clinical and radiologic outcomes. SUMMARY OF BACKGROUND DATA: We have reported that insufficient posterior decompression could be often seen after laminoplasty for CSM patients with preoperative anterior clearance of the spinal cord, defined as an interval <4 mm between the preoperative the modified K-line and anterior structure of the spinal canal at most compressive segment on sagittal T1-weighted magnetic resonance imaging...
January 17, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28068752/emergency-lumbar-disk-operation-how-safe-is-it
#17
Shadi Al-Afif, Kerstin Schwabe, Mohamed Jabarin, Zafer Cinibulak, Joachim K Krauss
Background and Study Aims It was suggested that emergency operations could represent a risk factor for complications. The purpose of this study was to evaluate whether complication rates are higher in emergency lumbar disk operations compared with elective lumbar disk surgery. Materials and Methods Patient data sets from 575 microscopic lumbar disk surgeries performed within a 5-year period were evaluated in a retrospective study design. There were 498 patients after excluding those who had surgery for recurrent disk herniation...
January 9, 2017: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/28050750/a-novel-modality-for-functional-imaging-in-acute-intervertebral-disk-herniation-via-tracking-leukocyte-infiltration
#18
Li Xiao, Mengmeng Ding, Yi Zhang, Mahendra Chordia, Dongfeng Pan, Adam Shimer, Francis Shen, David Glover, Li Jin, Xudong Li
PURPOSE: Inflammation plays a key role in the progression of intervertebral disk (IVD) herniation and associated low back pain. However, real-time spatial diagnosis of inflammation associated with acute disk herniation has not been investigated. We sought to detect local neutrophil and macrophage infiltration near disk herniation via the formyl peptide receptor 1 (FPR1)-mediated molecular imaging in a disk puncture mouse model to elucidate pathophysiological process of disk herniation...
January 3, 2017: Molecular Imaging and Biology: MIB: the Official Publication of the Academy of Molecular Imaging
https://www.readbyqxmd.com/read/28050718/national-trends-following-decompression-discectomy-and-fusion-in-octogenarians-and-nonagenarians
#19
Doniel Drazin, Carlito Lagman, Siddharth Bhargava, Miriam Nuño, Terrence T Kim, J Patrick Johnson
BACKGROUND: The National Inpatient Sample (NIS) database is used to evaluate a wide variety of surgical procedures across a range of specialties. The authors of this study assess national trends of the three commonest spine procedures performed (decompression, fusion, and discectomy) in patients between the ages of 80 and 100 years (octogenarians and nonagenarians). METHODS: The NIS database was queried to identify patients between the ages of 80 and 100 with a primary diagnosis of spinal stenosis, disk herniation without myelopathy, or protrusion due to degeneration of spine/disk disorders and who have undergone spinal decompression, fusion, or discectomy between the years 1998 and 2011...
March 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28050537/spinopelvic-balance-evaluation-of-patients-with-degenerative-spondylolisthesis-l4l5-and-l4l5-herniated-disc-who-underwent-surgery
#20
Viviane Regina Hernandez Nunes, Charbel Jacob, Igor Machado Cardoso, José Lucas Batista, Marcus Alexandre Novo Brazolino, Thiago Cardoso Maia
OBJECTIVE: To correlate spinopelvic balance with the development of degenerative spondylolisthesis and disk herniation. METHODS: This was a descriptive retrospective study that evaluated 60 patients in this hospital, 30 patients with degenerative spondylolisthesis at the L4-L5 level and 30 with herniated disk at the L4-L5 level, all of whom underwent Surgical treatment. RESULTS: Patients with lumbar disk herniation at L4-L5 level had a mean tilt of 8...
November 2016: Revista Brasileira de Ortopedia
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