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degenerative lumbar stenosis

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https://www.readbyqxmd.com/read/27890911/suprapedicular-foraminal-endoscopic-approach-to-lumbar-lateral-recess-decompression-surgery-to-treat-degenerative-lumbar-spinal-stenosis
#1
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/27852717/efficacy-of-acupuncture-for-degenerative-lumbar-spinal-stenosis-protocol-for-a-randomised-sham-acupuncture-controlled-trial
#2
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/27846739/degenerative-lumbar-spinal-stenosis-and-physical-functioning-an-exploration-of-associations-between-self-reported-measures-and-physical-performance-tests
#3
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
https://www.readbyqxmd.com/read/27843678/commentary-on-the-role-of-surgery-for-treatment-of-low-back-pain-insights-from-the-randomized-controlled-sport-trials
#4
Nancy E Epstein
BACKGROUND: The SPORT trial database offered much useful information regarding the efficacy of surgical treatment for lumbar disc herniations, lumbar spinal stenosis, and degenerative spondylolisthesis. Data were obtained from 13 sites and included 2500 patients. METHODS: The randomized trial for lumbar disc herniations was contaminated by the immense crossover of patients from surgical (50%) to non-surgical (30%) groups. Weinstein et al. concluded that they could not claim superiority of one treatment modality over the other...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/27843677/commentary-on-laminectomy-plus-fusion-versus-laminectomy-alone-for-lumbar-spondylolisthesis-by-ghogawala-z-dziura-j-butler-we-dai-f-terrin-n-magge-sn-et-al-nejm-2016-374-15-1424-34
#5
Nancy E Epstein
BACKGROUND: How does an article involving only 66 patients randomized into two spinal surgical groups get into the New England Journal of Medicine? Nevertheless, this one did. The article by Ghogawala et al. entitled Laminectomy plus fusion versus laminectomy alone for lumbar spondylolisthesis, compared the efficacy/outcomes of pedicle/screw/rod instrumented posterolateral lumbar fusions vs. decompressions alone for treating lumbar stenosis with grade I degenerative spondylolisthesis (DS)...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/27843676/commentary-on-a-randomized-controlled-trial-of-fusion-surgery-for-lumbar-spinal-stenosis-forsth-p-%C3%A3-lafsson-g-carlsson-t-frost-a-borgstr%C3%A3-m-f-fritzell-p-et-al-n-eng-j-med-2016-374-1414-23
#6
Nancy E Epstein
BACKGROUND: This article by Forsth et al. published in the New England Journal of Medicine entitled A randomized controlled trial of fusion surgery for lumbar spinal stenosis determined that decompressions alone vs. decompressions/fusions were equally effective in treating 1-2 level spinal stensois with/without degenerative spondylolisthesis (DS). Additionally, decompression alone reduced the perioperative morbidity, while reducuing the length of hospital stay (LOS), operative time, and surgical costs...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/27842523/does-walking-after-lumbar-spinal-surgery-predict-recovery-of-function-at-six-months-protocol-for-a-prospective-cohort-study
#7
Sarah Gilmore, Jodie A McClelland, Megan Davidson
BACKGROUND: Physiotherapists are commonly involved in the management of patients immediately following lumbar spinal surgery. There is however, very little research to guide physiotherapy intervention in the acute post-operative period, and the advice provided to patients regarding post-operative walking and physical activity has been shown to be highly variable. The primary aim of this research is to establish whether the amount of walking patients perform in the week following lumbar spinal surgery predicts improvement in function at 6 months...
November 14, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27831969/decompression-vs-decompression-and-fusion-for-degenerative-lumbar-stenosis-dls-in-a-workers-compensation-setting
#8
Erik Y Tye, Joshua Anderson, Arnold Haas, Rick Percy, Stephen T Woods, Nicholas Ahn
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: To compare outcomes in Workers' compensation (WC) subjects receiving decompression alone versus decompression and fusion for the indication of degenerative spinal stenosis (DLS) without deformity or instability. SUMMARY OF BACKGROUND DATA: The use of a fusion procedure during lumbar decompression for DLS alone remains controversial. We hypothesize that WC subjects receiving fusion and decompression will return to work less and incur greater medical costs compared to subjects receiving decompression alone...
November 9, 2016: Spine
https://www.readbyqxmd.com/read/27829938/midline-lumbar-fusion-using-cortical-bone-trajectory-screws-preliminary-report
#9
Mateusz Bielecki, Przemysław Kunert, Marek Prokopienko, Arkadiusz Nowak, Tomasz Czernicki, Andrzej Marchel
INTRODUCTION: Midline lumbar fusion (MIDLF) using cortical bone trajectory is an alternative method of transpedicular spinal fusion for degenerative disease. The new entry points' location and screwdriving direction allow the approach-related morbidity to be reduced. AIM: To present our preliminary experience with the MIDLF technique on the first 5 patients with lumbar degenerative disease and with follow-up of at least 6 months. MATERIAL AND METHODS: Retrospective analysis was performed on the first 5 patients with foraminal (4) or central (1) stenosis operated on between December 2014 and February 2015...
2016: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/27820861/diagnosing-discogenic-low-back-pain-associated-with-degenerative-disc-disease-using-a-medical-interview
#10
Juichi Tonosu, Hirohiko Inanami, Hiroyuki Oka, Junji Katsuhira, Yuichi Takano, Hisashi Koga, Yohei Yuzawa, Ryutaro Shiboi, Yasushi Oshima, Satoshi Baba, Sakae Tanaka, Ko Matsudaira
PURPOSES: To evaluate the usefulness of our original five questions in a medical interview for diagnosing discogenic low back pain (LBP), and to establish a support tool for diagnosing discogenic LBP. MATERIALS AND METHODS: The degenerative disc disease (DDD) group (n = 42) comprised patients diagnosed with discogenic LBP associated with DDD, on the basis of magnetic resonance imaging findings and response to analgesic discography (discoblock). The control group (n = 30) comprised patients with LBP due to a reason other than DDD...
2016: PloS One
https://www.readbyqxmd.com/read/27819001/interspinous-process-decompression-expanding-treatment-options-for-lumbar-spinal-stenosis
#11
Pierce D Nunley, A Nick Shamie, Scott L Blumenthal, Douglas Orndorff, Jon E Block, Fred H Geisler
Interspinous process decompression is a minimally invasive implantation procedure employing a stand-alone interspinous spacer that functions as an extension blocker to prevent compression of neural elements without direct surgical removal of tissue adjacent to the nerves. The Superion® spacer is the only FDA approved stand-alone device available in the US. It is also the only spacer approved by the CMS to be implanted in an ambulatory surgery center. We computed the within-group effect sizes from the Superion IDE trial and compared them to results extrapolated from two randomized trials of decompressive laminectomy...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27775931/sublaminar-decompression-a-new-technique-for-spinal-canal-decompression-in-the-treatment-of-stenosis-in-degenerative-spinal-conditions
#12
Khaled M Kebaish, Benjamin D Elder, Sheng-Fu L Lo, Timothy F Witham
STUDY DESIGN: Technical report and case illustration. OBJECTIVE: To review the rationale and steps for a sublaminar decompression in the setting of adult deformity surgery and in degenerative spondylosis. SUMMARY OF BACKGROUND DATA: Several variations of lumbar laminotomy and posterior decompressions have been reported, although these are primarily in the setting of isolated lumbar stenosis, and often focus on treatment of central stenosis...
October 21, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27747244/clinical-outcomes-of-posterior-lumbar-interbody-fusion-versus-minimally-invasive-transforaminal-lumbar-interbody-fusion-in-three-level-degenerative-lumbar-spinal-stenosis
#13
Guoxin Fan, Xinbo Wu, Shunzhi Yu, Qi Sun, Xiaofei Guan, Hailong Zhang, Xin Gu, Shisheng He
The aim of this study was to directly compare the clinical outcomes of posterior lumbar interbody fusion (PLIF) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) in three-level lumbar spinal stenosis. This retrospective study involved a total of 60 patients with three-level degenerative lumbar spinal stenosis who underwent MIS-TLIF or PLIF from January 2010 to February 2012. Back and leg visual analog scale (VAS), Oswestry Disability Index (ODI), and Short Form-36 (SF-36) scale were used to assess the pain, disability, and health status before surgery and postoperatively...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27724897/paraspinal-muscles-density-a-marker-for-degenerative-lumbar-spinal-stenosis
#14
Janan Abbas, Viviane Slon, Hila May, Nathan Peled, Israel Hershkovitz, Kamal Hamoud
BACKGROUND: The condition of paraspinal muscles is known to be associated with some variables such as age, gender, and low back pain. It is generally agreed that these muscles play an important role in the stability and functional movements of the lumbar vertebral column. Although spinal instability has been shown to play an essential role in degenerative lumbar spinal stenosis (DLSS), the role of paraspinal muscles remains elusive. The main purpose of this study was to shed light on the relationship between the condition of paraspinal muscles and symptomatic DLSS...
October 10, 2016: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/27713854/contralateral-interlaminar-approach-for-intraforaminal-lumbar-degenerative-disease-with-special-emphasis-on-l5-s1-level-a-technical-note
#15
Edvin Zekaj, Claudia Menghetti, Christian Saleh, Alessandra Isidori, Alberto R Bona, Enrico Aimar, Domenico Servello
BACKGROUND: Intraforaminal disc herniations at the L5-S1 level are extremely surgically challenging lesions. Intracanal approaches frequently require partial or total facetectomy, which may lead to instability. Solely extraforaminal approaches may offer limited visualization of the more medial superiorly exiting and inferiorly exiting nerve roots; this approach is also more complicated at L5-S1 due to the often large L5 transverse process and the iliac wing. METHODS: Nine patients with intraforaminal L5-S1 disc herniations, foraminal stenosis, or synovial cysts underwent contralateral interlaminar approaches for lesion resection...
2016: Surgical Neurology International
https://www.readbyqxmd.com/read/27707614/extreme-lateral-interbody-fusion-relieves-symptoms-of-spinal-stenosis-and-low-grade-spondylolisthesis-by-indirect-decompression-in-complex-patients
#16
Erlick A C Pereira, Mohammad Farwana, Khai S Lam
Spinal stenosis and low-grade spondylolisthesis produce symptoms of neural compression that can be treated with extreme lateral lumbar interbody fusion (XLIF) via indirect decompression. This study aimed to investigate whether the restoration of disc dimensions would relieve symptoms of radiculopathy, claudication and back pain. In this retrospective study, patients undergoing XLIF surgery for relief of radicular symptoms or degenerative disc disease were included. Radiologically proven changes were used to assess the modes of degeneration...
October 1, 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/27683696/decompression-versus-decompression-and-fusion-for-degenerative-lumbar-stenosis-analysis-of-the-factors-influencing-the-outcome-of-back-pain-and-disability
#17
Pasquale Donnarumma, Roberto Tarantino, Lorenzo Nigro, Marika Rullo, Domenico Messina, Daniele Diacinti, Roberto Delfini
BACKGROUND: The objective of this study is to evaluate the factors influencing the outcome of back pain and disability in patients operated for lumbar stenosis without instability and deformity using two classical surgical techniques: decompression alone and decompression plus fusion. METHODS: This is a retrospective cohort study of patients who underwent lumbar surgery with standard posterior decompression or standard posterior decompression plus pedicle screw fixation for degenerative lumbar stenosis without deformity, spondylolisthesis or instability at our department from June 2010 to January 2014...
March 2016: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/27683674/lumbar-interbody-fusion-techniques-indications-and-comparison-of-interbody-fusion-options-including-plif-tlif-mi-tlif-olif-atp-llif-and-alif
#18
REVIEW
Ralph J Mobbs, Kevin Phan, Greg Malham, Kevin Seex, Prashanth J Rao
Degenerative disc and facet joint disease of the lumbar spine is common in the ageing population, and is one of the most frequent causes of disability. Lumbar spondylosis may result in mechanical back pain, radicular and claudicant symptoms, reduced mobility and poor quality of life. Surgical interbody fusion of degenerative levels is an effective treatment option to stabilize the painful motion segment, and may provide indirect decompression of the neural elements, restore lordosis and correct deformity. The surgical options for interbody fusion of the lumbar spine include: posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF), minimally invasive transforaminal lumbar interbody fusion (MI-TLIF), oblique lumbar interbody fusion/anterior to psoas (OLIF/ATP), lateral lumbar interbody fusion (LLIF) and anterior lumbar interbody fusion (ALIF)...
December 2015: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/27664416/cerebrospinal-fluid-dynamics-at-the-lumbosacral-level-in-patients-with-spinal-stenosis-a-pilot-study
#19
Se-Woong Chun, Hack-Jin Lee, Koong-Ho Nam, Chul-Ho Sohn, Kwang Dong Kim, Eun-Jin Jeong, Sun-Gun Chung, Keewon Kim, Dong-Joo Kim
Spinal stenosis is a common degenerative condition. However, how neurogenic claudication develops has not been clearly elucidated. Moreover, cerebrospinal fluid physiology at the lumbosacral level has not received adequate attention. This study was conducted to compare cerebrospinal fluid hydrodynamics at the lumbosacral spinal level between patients with spinal stenosis and healthy controls. Twelve subjects (4 patients and 8 healthy controls; 25-77 years old; 7 males) underwent phase-contrast magnetic resonance imaging to quantify cerebrospinal fluid dynamics...
September 24, 2016: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/27663702/radiographic-assessment-of-degenerative-lumbar-spinal-stenosis-is-mri-superior-to-ct
#20
Khalid Alsaleh, Derek Ho, M Patricia Rosas-Arellano, Tanya Charyk Stewart, Kevin Roger Gurr, Christopher Stewart Bailey
OBJECTIVE: To determine the reliability and dependability of magnetic resonance imaging (MRI) and computerized tomography (CT) in the assessment of lumbar spinal stenosis and correlate the qualitative assessment to both a quantitative assessment and functional outcome measures. Multiple studies have addressed the issue of CT and MRI imaging in lumbar spinal stenosis. None showed superiority of one modality. METHODS: We performed a standardized qualitative and quantitative review of CT and MRI scans of 54 patients...
September 23, 2016: European Spine Journal
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