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https://www.readbyqxmd.com/read/29329787/outcomes-of-multisegmental-transforaminal-enlarged-decompression-plus-posterior-pedicle-screw-fixation-for-multilevel-lumbar-spinal-canal-stenosis-associated-with-lumbar-instability
#1
Chao Sun, Wei Ji Tian, Hui Xin Liu, Ping Guo Guan
PURPOSE: The aim of this study was to evaluate the clinical and radiologic results of multisegmental transforaminal enlarged decompression (TED) plus posterior pedicle screw fixation in the treatment of multilevel lumbar spinal canal stenosis (LSCS) with lumbar instability (MLSCSI). METHODS: 113 patients with MLSCSI underwent surgery were recruited in this study. All patients were suffering from symptoms typical of degenerative LSCS and treated with either TED plus fusion (TEDF group) or conventional laminectomy plus fusion (CLF group)...
January 9, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29327302/diffuse-idiopathic-skeletal-hyperostosis-is-associated-with-lumbar-spinal-stenosis-requiring-surgery
#2
Kentaro Yamada, Shigenobu Satoh, Hiroshi Hashizume, Noriko Yoshimura, Ryohei Kagotani, Yuyu Ishimoto, Yuichiro Abe, Hiromitsu Toyoda, Hidetomi Terai, Takeshi Masuda, Shigeyuki Muraki, Hiroaki Nakamura, Munehito Yoshida
Factors related to the onset and progression of lumbar spinal stenosis (LSS) have not yet been identified. Diffuse idiopathic skeletal hyperostosis (DISH) increases mechanical loading on the non-fused lumbar levels and may therefore lead to LSS. This cross-sectional study aimed to identify associations between LSS and DISH. This study included 2363 consecutive patients undergoing surgery for LSS and 787 general inhabitants without symptoms of LSS as participants of the population-based cohort study, Research on Osteoarthritis/Osteoporosis Against Disability...
January 11, 2018: Journal of Bone and Mineral Metabolism
https://www.readbyqxmd.com/read/29323629/three-minutes-sitting-test-for-evaluating-lumbar-foraminal-stenosis-a-preliminary-report
#3
Tetsutaro Mizuno, Toshihiko Sakakibara, Yuichi Kasai
CONTEXT: Lumbar foraminal stenosis is often seen in patients with lumbar spine disease; however, its diagnosis is often difficult, both by physical examination and in terms of imaging. We focused on leg pain in a sitting position and defined a positive result more specifically as, "impossible to sit still and straight on the chair for about 3 minutes due to the appearance of lower limb pain or buttock pain," and we named this the "Three-Minute Sitting Test" (TMST). FINDINGS: Nineteen (7...
January 11, 2018: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/29322309/the-global-spine-care-initiative-a-summary-of-guidelines-on-invasive-interventions-for-the-management-of-persistent-and-disabling-spinal-pain-in-low-and-middle-income-communities
#4
REVIEW
Emre Acaroğlu, Margareta Nordin, Kristi Randhawa, Roger Chou, Pierre Côté, Tiro Mmopelwa, Scott Haldeman
PURPOSE: The purpose of this study was to synthesize recommendations on the use of common elective surgical and interventional procedures for individuals with persistent and disabling non-radicular/axial with or without myelopathy, radicular back pain, cervical myelopathy, symptomatic spinal stenosis, and fractures due to osteoporosis. This review was to inform a clinical care pathway on the patient presentations where surgical interventions could reasonably be considered. METHODS: We synthesized recommendations from six evidence-based clinical practice guidelines and one appropriate use criteria guidance for the surgical and interventional management of persistent and disabling spine pain...
January 10, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29322267/association-of-decision-making-in-spinal-surgery-with-specialty-and-emotional-involvement-the-indications-in-spinal-surgery-indiana-survey
#5
Nico Sollmann, Carmen Morandell, Lucia Albers, Michael Behr, Alexander Preuss, Andreas Dinkel, Bernhard Meyer, Sandro M Krieg
BACKGROUND: Although recent trials provided level I evidence for the most common degenerative lumbar spinal disorders, treatment still varies widely. Thus, the Indications in Spinal Surgery (INDIANA) survey explores whether decision-making is influenced by specialty or personal emotional involvement of the treating specialist. METHOD: Nationwide, neurosurgeons and orthopedic surgeons specialized in spine surgery were asked to answer an Internet-based questionnaire with typical clinical patient cases of lumbar disc herniation (DH), lumbar spinal stenosis (SS), and lumbar degenerative spondylolisthesis (SL)...
January 10, 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29301602/progress-in-intraoperative-neurophysiological-monitoring-for-the-surgical-treatment-of-thoracic-spinal-stenosis
#6
Yong-Sheng Liu, Yu Zhao
Thoracic spinal stenosis (TSS) is a group of clinical syndromes caused by thoracic spinal cord compression, which always results in severe clinical complications. The incidence of TSS is relatively low compared with lumbar spinal stenosis, while the incidence of spinal cord injury during thoracic decompression is relatively high. The reported incidence of neurological deficits after thoracic decompression reached 13.9%. Intraoperative neurophysiological monitoring (IONM) can timely provide information regarding the function status of the spinal cord, and help surgeons with appropriate performance during operation...
December 30, 2017: Chinese Medical Sciences Journal, Chung-kuo i Hsüeh K'o Hsüeh Tsa Chih
https://www.readbyqxmd.com/read/29301172/myelography-in-the-assessment-of-degenerative-lumbar-scoliosis-and-its-influence-on-surgical-management
#7
George McKay, Peter Alexander Torrie, Wendy Bertram, Priyan Landham, Stephen Morris, John Hutchinson, Roland Watura, Ian Harding
OBJECTIVE: Myelography has been shown to highlight foraminal and lateral recess stenosis more readily than computed tomography (CT) or magnetic resonance imaging (MRI). It also has the advantage of providing dynamic assessment of stenosis in the loaded spine. The advent of weight-bearing MRI may go some way towards improving assessment of the loaded spine and is less invasive, however availability remains limited. This study evaluates the potential role of myelography and its impact upon surgical decision making...
December 2017: Korean Journal of Spine
https://www.readbyqxmd.com/read/29300251/do-preoperative-corticosteroid-injections-increase-the-risk-for-infections-or-wound-healing-problems-after-spine-surgery-a-swiss-prospective-multicenter-cohort-study
#8
Mazda Farshad, Jakob M Burgstaller, Ulrike Held, Johann Steurer, Cyrill Dennler
STUDY DESIGN: Prospective multi-center cohort study. OBJECTIVES: This study evaluates the risk for surgical site infections (SSI) or wound healing problems (WHP) in patients who underwent corticosteroid injection prior to lumbar decompression surgery. SUMMARY OF BACKGROUND DATA: Corticosteroid injections are often used for the treatment of the degenerated spine. However, their well-known immunosuppressive effects could increase the risk for local infections, particularly if a surgical intervention follows the injection rapidly...
January 3, 2018: Spine
https://www.readbyqxmd.com/read/29298257/telephone-based-intervention-to-improve-rehabilitation-engagement-after-spinal-stenosis-surgery-a-prospective-lagged-controlled-trial
#9
Richard L Skolasky, Anica M Maggard, Stephen T Wegener, Lee H Riley
BACKGROUND: Spine surgery outcomes are variable. Patients who participate in and take responsibility for their recovery have improved health outcomes. Interventions to increase patient involvement in their care may improve health outcomes after a surgical procedure. We conducted a prospective interventional trial to compare the effectiveness of health behavior change counseling with usual care to improve health outcomes after lumbar spine surgical procedures. METHODS: In this study, 122 patients with lumbar spinal stenosis undergoing a decompression surgical procedure from December 2009 through August 2012 were enrolled...
January 3, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29284247/large-prospective-validation-and-cultural-adaptation-of-the-polish-version-of-the-swiss-spinal-stenosis-questionnaire-for-patients-with-lumbar-spinal-stenosis
#10
Krzysztof Andrzej Tomaszewski, Michał Kłosiński, Brandon Michael Henry, Bendik Skinningsrud, Ewa Kucharska, Zbigniew Dudkiewicz, Robert Chrzanowski, Marcin Mikos, Roman Głowacki, Maria Pąchalska
OBJECTIVE: The aim of this prospective cohort study was to translate, validate and perform a cultural adaptation of the Polish version of the Swiss Spinal Stenosis Questionnaire (P-SSSQ), a disease-specific questionnaire for assessing symptom severity, physical function and satisfaction with treatment in patients with lumbar spinal stenosis (LSS). MATERIAL AND METHODS: Patients were prospectively recruited at two orthopedic centres in Krakow, Poland, between January 2011 - October 2016...
December 23, 2017: Annals of Agricultural and Environmental Medicine: AAEM
https://www.readbyqxmd.com/read/29280930/diagnostic-benefits-of-axial-loaded-mri-over-recumbent-mri-in-obese-lbp-patients
#11
Tomasz Lorenc, Piotr Palczewski, Damian Wójcik, Wojciech Glinkowski, Marek Gołębiowski
STUDY DESIGN: Single center before-after case series study. OBJECTIVES: To determine when and in which kind of lower back pathologies, axial-loaded MRI provides additional benefit over recumbent MRI SUMMARY AND BACKGROUND DATA.: Systems simulating physiological axial loading of the spine in patients examined in the supine position have recently been introduced in clinical practice. However, indications for examinations with axial loading have yet to be clearly specified...
December 26, 2017: Spine
https://www.readbyqxmd.com/read/29279756/prevalence-of-chronic-nonspecific-low-back-pain-and-its-associated-factors-among-middle-aged-and-elderly-people-an-analysis-based-on-data-from-a-musculoskeletal-examination-in-japan
#12
Yoichi Iizuka, Haku Iizuka, Tokue Mieda, Daisuke Tsunoda, Tsuyoshi Sasaki, Tsuyoshi Tajika, Atsushi Yamamoto, Kenji Takagishi
Study Design: A cross-sectional study. Purpose: To clarify the prevalence of chronic nonspecific low back pain (CNSLBP) and its associated factors among middle-aged and elderly Japanese individuals using data from a musculoskeletal examination conducted in general Japanese populations. Overview of Literature: Most studies evaluating low back pain-associated factors have been conducted in Western countries, but they have not always evaluated CNSLBP...
December 2017: Asian Spine Journal
https://www.readbyqxmd.com/read/29276786/endovascular-treatment-for-a-ruptured-lumbar-artery-aneurysm-in-a-patient-with-von-recklinghausen-disease
#13
T Ishigaki, R Kawasaki, H Matsuda, N Mukohara
Introduction: Vasculopathy, such as an aneurysm, stenosis, rupture, or arteriovenous fistula, in patients with neurofibromatosis type I (NF-1; von Recklinghausen disease) is well recognised. However, there has been no report regarding treatment for a ruptured lumbar artery aneurysm associated with NF-1. We present the first report of successful endovascular treatment by coil embolisation for a ruptured lumbar artery aneurysm in a patient with NF-I. Report: A 52 year old man with a history of NF-1 was referred with back pain and anaemia...
2018: EJVES Short Reports
https://www.readbyqxmd.com/read/29276041/cost-effectiveness-of-posterior-lumbar-interbody-fusion-in-the-japanese-universal-health-insurance-system
#14
Takahito Fujimori, Toshitada Miwa, Motoki Iwasaki, Takenori Oda
BACKGROUND: Globally, the cost-effectiveness of spinal surgery is becoming increasingly important. However, these data are limited to a few countries. The purpose of our study was to examine the cost/quality adjusted life year (cost/QALY) gained for posterior lumbar interbody fusion (PLIF) in the Japanese universal health insurance system. METHODS: Fifty five patients underwent PLIF for lumbar degenerative spinal canal stenosis between July 2013 and September 2015 was included...
December 21, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29274450/does-obesity-affect-peri-and-postoperative-morbidity-and-complication-rates-after-minimal-access-spinal-technologies-mast-in-surgery-for-lumbar-degenerative-disc-disease
#15
Wolfgang Senker, Harald Stefanits, Matthias Gmeiner, Wolfgang Trutschnig, Ingo Weinfurter, Andreas Gruber
OBJECTIVE: The impact of obesity on spine surgery has been studied extensively, but just a few investigations have been focused on minimally invasive spinal fusion techniques and complication rates in normal-weight, preobese, or obese patients. Obesity was found to be a risk factor for intraoperative complications. Published data tend to favor minimal access surgery techniques (MAST) for obese patients. In a prospective study, we assessed the perioperative and postoperative complications of MAST in a large population of 187 patients...
December 20, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29258933/comparison-of-single-and-multilevel-decompressive-laminectomy-for-multilevel-lumbar-spinal-stenosis
#16
Utku Adilay
No abstract text is available yet for this article.
December 16, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29248305/state-of-the-art-transforaminal-percutaneous-endoscopic-lumbar-surgery-under-local-anesthesia-discectomy-foraminoplasty-and-ventral-facetectomy
#17
REVIEW
Koichi Sairyo, Takashi Chikawa, Akihiro Nagamachi
Transforaminal (TF) percutaneous endoscopic surgery for the lumbar spine under the local anesthesia was initiated in 2003 in Japan. Since it requires only an 8-mm skin incision and damage of the paravertebral muscles would be minimum, it would be the least invasive spinal surgery at present. At the beginning, the technique was used for discectomy; thus, the procedure was called PELD (percutaneous endoscopic lumbar discectomy). TF approach can be done under the local anesthesia, there are great benefits. During the surgery patients would be in awake and aware condition; thus, severe nerve root damage can be avoided...
December 13, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29246850/the-association-between-tobacco-smoking-and-surgical-intervention-for-lumbar-spinal-stenosis-cohort-study-of-331-941-workers
#18
Björn Knutsson, Sebastian Mukka, Jens Wahlström, Bengt Järvholm, Arkan S Sayed-Noor
BACKGROUND CONTEXT: Tobacco smoking is an injurious habit associated with a number of chronic disorders. Its influence on disc metabolism and degeneration including LSS has been investigated in the literature. PURPOSE: We aimed to investigate whether tobacco smoking is an independent risk factor of undergoing surgical intervention for lumbar spinal stenosis (LSS). STUDY DESIGN/SETTING: A prospective cohort study. PATIENT SAMPLE: 331,941 workers derived from a Swedish nationwide occupational surveillance program for construction workers...
December 12, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29246847/individuals-with-lumbar-spinal-stenosis-seek-education-and-care-focused-on-self-management-results-of-focus-groups-among-participants-enrolled-in-a-randomized-controlled-trial
#19
Andrew D Lynch, Allyn M Bove, Carlo Ammendolia, Michael Schneider
BACKGROUND CONTEXT: The effectiveness of treatments for chronic, degenerative conditions of the lumbar spine can be influenced by patient perceptions and expectations regarding treatment. PURPOSE: The primary purpose of this study was to understand the factors that are important to individuals with lumbar spinal stenosis (LSS) regarding different non-surgical treatments. These factors were considered within the context of each treatment received as a part of the parent randomized controlled trial (RCT)...
December 12, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29246564/clinical-and-psychological-outcome-after-surgery-for-lumbar-spinal-stenosis-a-prospective-observational-study-with-analysis-of-prognostic-factors
#20
Mauro Dobran, Davide Nasi, Maurizio Gladi, Mattia Marinelli, Fabrizio Mancini, Maurizio Iacoangeli, Massimo Scerrati
BACKGROUND: The identification of psychological risk factors is important for the selection of patients before spinal surgery. Moreover, the effect of surgical decompression in lumbar spinal stenosis (LSS) on psychological outcome is not previously well analyzed. AIM OF PAPER: to investigate clinical and psychological outcome after surgery for LSS and the effect of depressive symptoms and anxiety on the clinical outcome. MATERIALS AND METHODS: A total of 25 patients with symptomatic LSS underwent decompressive surgery with or without spinal stabilization were prospectively enrolled in this observational surgery...
December 8, 2017: Neurologia i Neurochirurgia Polska
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