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https://www.readbyqxmd.com/read/27924416/endoscope-assisted-oblique-lumbar-interbody-fusion-for-the-treatment-of-cauda-equina-syndrome-a-technical-note
#1
Jin-Sung Kim, Ji-Hoon Seong
OBJECTIVE: The goal of this paper was to describe how endoscope-assisted oblique lumbar interbody fusion (OLIF) could remove huge lumbar disc herniation (HLDH) manifested with cauda equina syndrome (CES). METHODS: In this study, the authors made an attempt to treat CES with a direct endoscopic decompression through the OLIF corridor and performed OLIF in two patients with HLDH. RESULTS: Two patients with HLDH were successfully treated using OLIF with spinal endoscopic discectomy...
December 7, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27922167/cost-effectiveness-of-primarily-surgical-versus-primarily-conservative-treatment-of-acute-and-subacute-radiculopathies-due-to-intervertebral-disc-herniation-from-the-swiss-perspective
#2
Zanfina Ademi, Viktoria Gloy, Dominik Glinz, Heike Raatz, Joris Van Stiphout, Heiner C Bucher, Matthias Schwenkglenks
AIMS OF THE STUDY: To assess the cost-effectiveness of primarily surgical treatment (PST) versus primarily conservative treatment (PCT) in adults with intermediate severity, acute or subacute, lumbar radicular syndrome due to intervertebral disc herniation. METHODS: A decision analytic model from healthcare system and societal perspectives was used to compare outcomes and costs of PST with those of PCT (physiotherapy, epidural injection and medication). Treatment pathways and quality of life were obtained from published clinical trials...
2016: Swiss Medical Weekly
https://www.readbyqxmd.com/read/27913961/prediction-of-postoperative-clinical-recovery-of-drop-foot-attributable-to-lumbar-degenerative-diseases-via-a-bayesian-network
#3
Shota Takenaka, Hiroyuki Aono
BACKGROUND: Drop foot resulting from degenerative lumbar diseases can impair activities of daily living. Therefore, predictors of recovery of this symptom have been investigated using univariate or/and multivariate analyses. However, the conclusions have been somewhat controversial. Bayesian network models, which are graphic and intuitive to the clinician, may facilitate understanding of the prognosis of drop foot resulting from degenerative lumbar diseases. QUESTIONS/PURPOSES: (1) To show a layered correlation among predictors of recovery from drop foot resulting from degenerative lumbar diseases; and (2) to develop support tools for clinical decisions to treat drop foot resulting from lumbar degenerative diseases...
December 2, 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/27906945/ganglion-cyst-at-the-proximal-tibiofibular-joint-in-a-patient-with-painless-foot-drop
#4
Abdulmuhsen Alsahhaf, Waleed Renno
Entrapment neuropathies of the fibular nerve and its branches are often underdiagnosed due to the lack of reliable diagnosis using clinical examination and electrophysiologic evaluation. Most fibular nerve compressions may be classified into 2 broad categories: (a) mechanical causes, which occur at fibrous or fibro-osseous tunnels, and (b) dynamic causes related to nerve injury during specific limb positioning. Foot drop resulting from weakness of the dorsiflexor muscles of the foot is a relatively uncommon presentation and closely related to L5 neuropathy caused by a disc herniation...
November 2016: Pain Physician
https://www.readbyqxmd.com/read/27905525/inhibition-of-cystathionine-%C3%AE-synthetase-suppresses-sodium-channel-activities-of-dorsal-root-ganglion-neurons-of-rats-with-lumbar-disc-herniation
#5
Jun Yan, Shufen Hu, Kang Zou, Min Xu, Qianliang Wang, Xiuhua Miao, Shan Ping Yu, Guang-Yin Xu
The pathogenesis of pain in lumbar disc herniation (LDH) remains poorly understood. We have recently demonstrated that voltage-gated sodium channels (VGSCs) in dorsal root ganglion (DRG) neurons were sensitized in a rat model of LDH. However, the detailed molecular mechanism for sensitization of VGSCs remains largely unknown. This study was designed to examine roles of the endogenous hydrogen sulfide synthesizing enzyme cystathionine β-synthetase (CBS) in sensitization of VGSCs in a previously validated rat model of LDH...
December 1, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27891030/the-role-of-transforaminal-percutaneous-endoscopic-discectomy-in-lumbar-disc-herniations
#6
Sarang Gotecha, Deepak Ranade, Sujay Vikhe Patil, Ashish Chugh, Megha Kotecha, Shrikant Sharma, Prashant Punia
OBJECTIVES: To study 1)the efficacy of transforaminal percutaneous endoscopic lumbar discectomy in lumbar disc herniations.2) limitations and advantages of the surgical procedure. 3)morbidity and complications associated with the procedure. MATERIALS AND METHODS: This study was carried out on 120 patients who had single level herniated disc Pre-operative assessment of VAS and MSS scoring systems were documented one day prior to surgery. Post operative results were determined by MacNab criteria and by modified Suezawa and Schreiber clinical scoring system (MSS score)...
October 2016: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/27886874/treatment-of-facet-injuries-in-the-cervical-spine
#7
REVIEW
Navid Khezri, Tamir Ailon, Brian K Kwon
Facet injuries are common in the cervical spine. Many classification systems over the years have characterized the heterogeneity of these injuries. For unilateral facet fractures with minimal displacement and no neurological deficit, there is mounting evidence that better radiographic and clinical outcomes may be achieved with surgical treatment. Anterior and posterior approaches can both be utilized successfully for the surgical management of facet injuries. The anterior approach is well tolerated, allows one to address a disc herniation, and provides a high union rate with good sagittal alignment...
January 2017: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/27879566/the-effect-of-an-acid-sensing-ion-channels-asics-inhibitor-on-pain-related-behavior-by-nucleus-pulposus-applied-on-the-nerve-root-in-rats
#8
Yoshihiro Kobayashi, Miho Sekiguchi, Shin-Ichi Konno
STUDY DESIGN: Controlled, interventional, animal study. OBJECTIVE: To examine the effect of an inhibitor of acid-sensing ion channel 3 (ASIC3) on pain-related behavior induced by application of the nucleus pulposus (NP) onto the dorsal root ganglion (DRG) in rats. SUMMARY OF BACKGROUND DATA: ASIC3 is associated with acidosis pain in inflamed or ischemic tissues and is expressed in sensory neurons and NP cells. The ASIC3 inhibitor, APETx2, increases the mechanical threshold of pain in models of knee osteoarthritis or postoperative pain...
November 22, 2016: Spine
https://www.readbyqxmd.com/read/27858699/adolescent-lumbar-disc-herniation-impact-diagnosis-and-treatment
#9
Mustafa Karademir, Olcay Eser, Ergün Karavelioglu
BACKGROUND: Symptomatic lumbar intervertebral disc herniation (LDH) is rare in children and adolescents. To date, the treatments available for child and adolescent LDH, and the effect of each treatment, have not been fully reviewed. OBJECTIVE: The purpose of this retrospective study is to report the etiology, familial history, presenting symptoms, level of herniation, duration of symptoms, radiological findings, as well as treatment methods and outcome. METHODS: We retrospectively reviewed medical records of all patients with inclusion criteria of being younger than 20 years...
November 11, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27858682/the-effectiveness-of-transforaminal-epidural-steroid-injections-on-radicular-pain-functionality-psychological-status-and-sleep-quality-in-patients-with-lumbar-disc-herniation
#10
Mustafa Akif Sariyildiz, İbrahim Batmaz, Levent Yazmalar, Mehmet Güneş, Yahya Turan
BACKGROUND: The significance of fluoroscopy-guided transforaminal epidural steroid injections (TFESI) in the treatment of lumbar disc herniation (LDH) is well known. The aim of our study is to investigate the effectiveness of TFESI on radicular pain, functionality, psychological status, and sleep quality in patients with LDH. METHODS: Seventy-five LDH patients (36 males, 39 females) were enrolled in the study. All patients received a fluoroscopically guided TFESI (betamethasone 40 mg, lidocaine 2%)...
November 8, 2016: Journal of Back and Musculoskeletal Rehabilitation
https://www.readbyqxmd.com/read/27858672/guide-wire-breakage-during-posterolateral-endoscopic-lumbar-discectomy-procedure-a-case-report
#11
Xiaofei Guan, Shan Zhao, Xin Gu, Hailong Zhang, Shisheng He
OBJECTIVE: To present a unique case of guide wire breakage as a rare complication during posterolateral endoscopic lumbar discectomy. BACKGROUND: Posterolateral endoscopic lumbar discectomy (PELD) has become a routinely performed minimally invasive spinal procedure. However, several complications of PELD have attracted our concerns, including the intraoperative injury to neural and vascular structures and failure of the surgery. We have countered a rare intraoperative complication of guidewire breakage during a PELD procedure, as far as we know, this has not been reported previously, and we wish to draw attention to this hazard...
November 4, 2016: Journal of Back and Musculoskeletal Rehabilitation
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/27858221/-preoperative-neuropathic-component-in-patients-with-back-pain
#13
Y-J Lee, E M W Koch, J B Breidebach, R Bornemann, D C Wirtz, R Pflugmacher
BACKGROUND: The objectification of pain is essential for evaluation, treatment plan and follow-up; therefore, it is necessary to find reliable clinical parameters. OBJECTIVE: The goal of the study was the preoperative screening of a neuropathic component in patients with vertebral compression fracture (WKF), herniated disc (NPP) or spinal cord compression (SKS). MATERIAL AND METHODS: Depending on the preoperative condition on admittance, patients were classified into three groups: group 1 WKF, group 2 NPP and group 3 SKS...
November 17, 2016: Der Schmerz
https://www.readbyqxmd.com/read/27857482/bilateral-transformational-thoracolumbar-interbody-fusion-for-the-treatment-of-giant-central-thoracolumbar-junction-disc-herniation-a-prospective-clinical-and-radiological-study
#14
Wang Wentao, Duan Kun, Liu Tuanjiang, Ma Minjie, Jiang Yong, He Baorong, Wu Qining, Liu Jijun, Hao Dingjun
STUDY DESIGN: Clinical and radiological assessment of prospective single-center data. BACKGROUND: The optimal treatment strategy for giant central thoracolumbar junction disc herniation (TLDH) remains controversial. OBJECTIVE: This study aimed to report the clinical and radiological results of bilateral transformational thoracolumbar interbody fusion (bilateral TTIF) to treat giant central TLDH. METHODS: Seventeen consecutive patients with giant central TLDH underwent bilateral TTIF from January 2014 to June 2014 and were followed for 9-15 months...
December 2016: Journal of Orthopaedics
https://www.readbyqxmd.com/read/27843689/transition-of-a-herniated-lumbar-disc-to-lumbar-discal-cyst-a-case-report
#15
Rohit Bansil, Yoshitaka Hirano, Hideo Sakuma, Kazuo Watanabe
BACKGROUND: Another rare cause of lower back pain with radiculopathy is the discal cyst. It is believed to arise from degeneration of a herniated disc, although many other theories of its origin have been proposed. Here, we report a patient with lower back pain/radiculopathy attributed originally to a herniated lumbar disc, which transformed within 6 months into a discal cyst. CASE DESCRIPTION: A 42-year-old male had a magnetic resonance (MR) documented herniated lumbar disc at the L4-5 level...
2016: Surgical Neurology International
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
#16
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/27831993/postoperative-symptomatic-anterior-spinal-epidural-hematoma-complete-drainage-using-corpectomy-and-a-bladder-catheter
#17
Rafael González-Diaz, Ismael Auñon-Martin, Francisco Javier Ortega-Garcia, Rui Miguel Reis da Rocha
STUDY DESIGN: A case report. OBJECTIVE: We describe a technique to drain a thoracic and cervical postoperative epidural hematoma causing paraplegia after anterior cervical discectomy and fusion. SUMMARY OF BACKGROUND DATA: Postoperative compressive spinal epidural hematoma (SEH) is a devastating complication and early diagnosis and treatment is essential. The most commonly accepted treatment is decompression and drainage of hematoma. METHODS: A 65-year-old male with a degenerative disc disease located at C4-C5, C5-C6, and C6-C7 levels with disc herniation underwent a standard anterior cervical decompression and fusion at C4-C5-C6-C7...
November 15, 2016: Spine
https://www.readbyqxmd.com/read/27831991/outcomes-of-surgical-treatment-for-thoracic-myelopathy-a-single-institutional-study-of-73-patients
#18
Eijiro Onishi, Tadashi Yasuda, Hiroshi Yamamoto, Koichi Iwaki, Satoshi Ota
STUDY DESIGN: Retrospective study. OBJECTIVE: The aim was to investigate the clinical outcomes in patients with thoracic myelopathy in a single institution and to identify prognostic factors for poor outcomes. SUMMARY OF BACKGROUND DATA: Because of the rarity of thoracic myelopathy, a few studies have analyzed a large number of clinical results for patients with thoracic myelopathy treated in a single institution. METHODS: Seventy-one patients who underwent surgical treatment for thoracic myelopathy between 2000 and 2011 in a single institution were included in this analysis...
November 15, 2016: Spine
https://www.readbyqxmd.com/read/27826538/clinical-evaluation-of-percutaneous-caudal-epidural-adhesiolysis-with-the-racz-technique-for-low-back-pain-due-to-contained-disc-herniation
#19
Arman Taheri, Ali Reza Khajenasiri, Nader Ali Nazemian Yazdi, Saeid Safari, Javad Sadeghi, Maryam Hatami
OBJECTIVES: The authors evaluated the effectiveness of percutaneous epidural adhesiolysis (PEA) in patients with low back pain due to contained disc herniation. PATIENTS AND METHODS: Twenty patients with low back pain due to contained disc herniation underwent PEA treatment with the Racz technique. The patients were evaluated for pain score, medication intake, significant pain relief, and complications. RESULTS: At three days, one month, three months, and six months after PEA compared to pre-PEA evaluations, the pain scores and medication intake were significantly decreased...
June 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27811052/comparison-of-posterior-lumbar-interbody-fusion-with-transforaminal-lumbar-interbody-fusion-for-treatment-of-recurrent-lumbar-disc-herniation-a-retrospective-study
#20
Liqiang Li, Yueju Liu, Peng Zhang, Tao Lei, Jie Li, Yong Shen
OBJECTIVE: To compare posterior lumbar interbody fusion (PLIF) with transforaminal lumbar interbody fusion (TLIF) for spinal fusion in patients previously treated by discectomy. METHODS: This retrospective study evaluated pre- and postoperative neurological status via Japan Orthopaedic Association (JOA) score. Surgical outcome was based on recovery rate percentage (RR%). Adverse event data were reviewed. RESULTS: Both PLIF (n = 26) and TLIF (n = 25) significantly improved neurological status...
November 3, 2016: Journal of International Medical Research
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