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https://www.readbyqxmd.com/read/28632565/neuroforaminal-bone-growth-following-minimally-invasive-transforaminal-lumbar-interbody-fusion-with-bmp-a-computed-tomographic-analysis
#1
Junyoung Ahn, Anton Y Jorgensen, Daniel D Bohl, Ehsan Tabaraee, Vincent J Rossi, Khaled Aboushaala, Kern Singh
STUDY DESIGN: Computed tomographic analysis. OBJECTIVE: To identify radiographic patterns of symptomatic neuroforaminal bone growth (NFB) in patients who have undergone a single-level minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) augmented with bone morphogenetic proteins (BMP) utilizing computed tomography (CT). SUMMARY OF BACKGROUND DATA: BMP induces osteoblast differentiation leading to new bone formation. The association of BMP utilization and heterotopic bone formation after an MIS-TLIF has been described...
July 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28632558/the-long-term-clinical-effect-of-minimal-invasive-tlif-technique-in-1-segment-lumbar-disease
#2
Yi-Bing Li, Xiao-Dong Wang, Hong-Wei Yan, Ding-Jun Hao, Zheng-Hua Liu
STUDY DESIGN: A prospective cohort double-center study. OBJECTIVE: To assess the clinical effect of minimally invasive transforaminal lumbar interbody fusion (miTLIF) using the tunnel technique. SUMMARY OF BACKGROUND DATA: A series of short-term studies have indicated that miTLIF could reduce blood loss and improve clinical results. However, long-term clinical study and magnetic resonance imaging research are still scare. METHODS: From January 2008 to January 2009, 187 patients with 1-segment lumbar disease requiring intervertebral fusion were enrolled in this study...
July 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28632545/computer-assisted-minimally-invasive-transforaminal-lumbar-interbody-fusion-may-be-better-than-open-surgery-for-treating-degenerative-lumbar-disease
#3
Wei Tian, Yun-Feng Xu, Bo Liu, Ya-Jun Liu, Da He, Qiang Yuan, Zhao Lang, Xiao-Guang Han
STUDY DESIGN: This study was a retrospective review of prospectively collected clinical data. OBJECTIVE: To evaluate the clinical and radiologic outcomes of computer-assisted minimally invasive spine surgery transforaminal lumbar interbody fusion (CAMISS-TLIF) and open TLIF for the treatment of 1-level degenerative lumbar disease. SUMMARY OF BACKGROUND DATA: Minimally invasive TLIF is becoming increasingly popular; however, the limited space and high rate of hardware complications associated with this method are challenging to surgeons...
July 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28622187/radiographic-and-clinical-outcomes-of-anterior-and-transforaminal-lumbar-interbody-fusions-a-systematic-review-and-meta-analysis-of-comparative-studies
#4
Remi M Ajiboye, Haddy Alas, Gina M Mosich, Akshay Sharma, Sina Pourtaheri
STUDY DESIGN: Systematic review and meta-analysis. OBJECTIVE: Compare the radiographic and clinical outcomes of anterior lumbar interbody fusion (ALIF) to transforaminal lumbar interbody fusion (TLIF). SUMMARY OF BACKGROUND DATA: ALIF and TLIF are 2 methods of achieving spinal arthrodesis. There are conflicting reports with no consensus on the optimal interbody technique to achieve successful radiographic and clinical outcomes. The goal of this systematic review and meta-analysis was to compare the radiographic and clinical outcomes of ALIF to TLIF...
June 15, 2017: Clinical Spine Surgery
https://www.readbyqxmd.com/read/28608178/minimally-invasive-spine-surgery-in-lumbar-spondylodiscitis-a-retrospective-single-center-analysis-of-67-cases
#5
Anja Tschugg, Sebastian Hartmann, Sara Lener, Andreas Rietzler, Neururer Sabrina, Claudius Thomé
BACKGROUND: Minimally invasive surgical techniques have been developed to minimize tissue damage, reduce narcotic requirements, decrease blood loss, and, therefore, potentially avoid prolonged immobilization. Thus, the purpose of the present retrospective study was to assess the safety and efficacy of a minimally invasive posterior approach with transforaminal lumbar interbody debridement and fusion plus pedicle screw fixation in lumbar spondylodiscitis in comparison to an open surgical approach...
June 12, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28608174/erratum-to-a-randomised-controlled-trial-of-transforaminal-endoscopic-discectomy-vs-microdiscectomy
#6
J N Alastair Gibson, Ashok S Subramanian, Chloe E H Scott
No abstract text is available yet for this article.
June 12, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28595378/an-alternative-to-the-transforaminal-cervical-epidural-a-selective-dorsal-epidural
#7
W Porter McRoberts, Andrea Trescot, Leonardo Kapural, Catalina Apostol, Haleem Abdul
No abstract text is available yet for this article.
June 8, 2017: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/28591074/different-fusion-approaches-for-single-level-lumbar-spondylolysis-have-similar-perioperative-outcomes
#8
Raj J Gala, Patawut Bovonratwet, Matthew L Webb, Arya G Varthi, Michael D Daubs, Jonathan N Grauer
STUDY DESIGN: Retrospective cohort study OBJECTIVE.: To compare perioperative adverse events for patients with lumbar spondylolysis treated with transforaminal lumbar interbody fusion (TLIF), posterior spinal fusion (PSF), combined anterior and posterior fusion (AP fusion), or anterior lumbar interbody fusion (ALIF). SUMMARY OF BACKGROUND DATA: Prior cohort studies have shown similar long-term outcomes for different surgical approaches for this indication, but potential differences in thirty day perioperative adverse events have not been well characterized...
June 6, 2017: Spine
https://www.readbyqxmd.com/read/28587362/effects-of-release-and-decompression-techniques-on-nerve-roots-through-percutaneous-transforaminal-endoscopic-discectomy-on-patients-with-central-lumbar-disc-herniation
#9
Qiangjun Kang, Ximing Li, Zishen Cheng, Chang'An Liu
The clinical effects and safety of release and decompression techniques on nerve roots through percutaneous transforaminal endoscopic discectomy (PTED) while treating patients with central lumbar disc herniation (CLDH) were explored. Patient cases of lumbar and leg pain treated in Bethune International Peace Hospital from July 2013 to October 2015 were collected retrospectively. The patients in these cases received imaging examinations such as computed tomography and magnetic resonance imaging. Among these cases, 37 CLDH patients with no other complications were selected for this study...
June 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/28585675/a-modified-jaslow-transforaminal-lumbar-interbody-fusion-for-the-treatment-of-isthmic-spondylolisthesis
#10
ChaoJiang Yu, Xiao Gao, Kai Huang, BuQing Chang, Hu Feng, Jie Zhao
AIM: To describe a modified Jaslow-transforaminal lumbar interbody fusion (TLIF) technique for the treatment of single-level, isthmic spondylolisthesis (IS). MATERIAL AND METHODS: Between April 2011 and September 2012, 32 patients with IS undergoing a modified Jaslow-TLIF, were retrospectively reviewed. The intervertebral space height (IH), vertebral slippage ratio, lordotic angles of the treated segments (SA) and lumbar lordotic angles (LA) were measured and the scores by Visual Analogue Scale (VAS), Oswestry Disability Index (ODI) and Japanese Orthopaedic Association (JOA) were recorded...
April 30, 2017: Turkish Neurosurgery
https://www.readbyqxmd.com/read/28576710/evaluation-of-screw-placement-accuracy-in-circumferential-lumbar-arthrodesis-utilizing-robotic-assistance-and-intra-operative-flat-panel-ct
#11
Louis Chenin, Cyrille Capel, Anthony Fichten, Johann Peltier, Michel Lefranc
BACKGROUND: Neuronavigation has become a common means of placing pedicle screws in vertebral arthrodesis, since it reduces the incidence of complications related to poor screw positioning. OBJECTIVE: The objective of the present study was to evaluate the accuracy of pedicle screw placement during lumbar arthrodesis performed with the new ROSA® Spine robot and intraoperative flat-panel CT (fpCT) guidance. METHODS: We performed a descriptive, observational, retrospective, single-center study of patients having undergone transforaminal lumbar interbody fusion (TLIF) for degenerative pathologies using the ROSA® Spine robot and intraoperative fpCT guidance...
May 30, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28565778/value-of-a-new-pathological-classification-of-lumbar-intervertebral-disc-herniation-based-on-transforaminal-endoscopic-observations
#12
Lin Yang, Hong-Hui Lu
Removal of herniated disc materials based on an imaging only method may not relieve symptoms in many patients. Therefore, the aim of the present study was to develop a transforaminal endoscopic method of classifying the pathological type of lumber intervertebral disc herniation and to compare the outcomes of surgery based on the pathological type with those of conventional endoscopic disc removal. The records of patients who received endoscopic transforaminal nucleotomy with foraminoplasty for symptomatic lumbar disc herniation between 2009 and 2013 were retrospectively reviewed...
May 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/28559068/vitom-%C3%A2-3d-for-exoscopic-neurosurgery-initial-experience-in-cranial-and-spinal-procedures
#13
Joachim M Oertel, Benedikt W Burkhardt
BACKGROUND: In this manuscript the authors describe the application of a new exoscope which offers three-dimensional (3D) visualization in cranial and spinal neurosurgery in detail. METHODS: Five cranial and eleven spinal procedures were performed using a 3D-exoscope. Instrument handling, repositioning of the exoscope, handling of the image control unit, the adjustment of magnification and focal length, the depth perception, the image quality, the illumination, and the comfort level of the posture during the procedure were assessed via a questionnaire...
May 27, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28553170/new-optimal-needle-entry-angle-for-cervical-transforaminal-epidural-steroid-injections-a-retrospective-study
#14
Myong-Hwan Karm, Jun Young Park, Doo Hwan Kim, Hyun-Seok Cho, Jae-Young Lee, Koo Kwon, Jeong Hun Suh
Objective: A cervical epidural steroid injection is one of the most commonly performed interventions to manage chronic neck pain and cervical radiculopathy. Despite its many severe complications, cervical transforaminal epidural steroid injection (CTFESI) is a clinically necessary modality for managing neck pain and cervical radiculopathy. We aimed in this study to find a safer optimal needle entry angle to decrease the chance of an accidental vertebral artery (VA) puncture even with a proper needle entry angle and to visualize the target of the needle tip...
2017: International Journal of Medical Sciences
https://www.readbyqxmd.com/read/28547573/results-of-lumbar-spondylodeses-using-different-bone-grafting-materials-after-transforaminal-lumbar-interbody-fusion-tlif
#15
Nicolas Heinz vonderHoeh, Anna Voelker, Christoph-Eckhard Heyde
PURPOSE: Can a mixture of hydroxyapatite (HA) and autologous bone from decompression sites produce similar results when used for transforaminal lumbar interbody fusion (TLIF)? In the current literature, autologous iliac crest bone grafts (ICBGs) have been reported the gold standard for this procedure. Indeed, to date, no clinical data have confirmed that a mixture of equal volumes of HA and local autologous bone produce similar results in term of fusion as the same volume of autologous ICBG alone...
May 25, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28545491/treatment-of-acute-sciatica-with-transforaminal-epidural-corticosteroids-and-local-anesthetic-design-of-a-randomized-controlled-trial
#16
Bastiaan C Ter Meulen, Esther T Maas, Amrita Vyas, Marinus van der Vegt, Koo de Priester, Michiel R de Boer, Maurits W van Tulder, Henry C Weinstein, Raymond W J G Ostelo
BACKGROUND: Transforaminal epidural injections with steroids (TESI) are used increasingly for patients with sciatica. However there is much debate about their safety and effectiveness. It is important to identify patients that benefit most from TESI and only few trials have yet evaluated the effects in patients with acute sciatica. METHODS: We describe a prospective, randomized controlled trial (RCT), with the aim to evaluate the hypothesis that TESI plus Levobupivacaine (TESI-plus) added to oral pain medication is more effective compared to pain medication alone or compared to transforaminal injection with a local anesthetic of short duration among patients with acute sciatica...
May 25, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28540127/learning-curves-for-minimally-invasive-spine-surgeries-are-they-worth-it
#17
EDITORIAL
Nancy E Epstein
BACKGROUND: Minimally invasive surgery (MIS) spine procedures were developed to limit operative time, the extent of dissection, and reduce perioperative morbidity. Here, we asked what are the "learning curves" for these MIS spine procedures? METHODS: We reviewed studies in the literature that discussed the "learning curves" attributed to performing different MIS spine surgical procedures. Of interest, the majority were single-surgeon series. RESULTS: Very few articles assessed the learning curves for different MIS spine procedures...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28540126/neurological-complications-of-lumbar-and-cervical-dural-punctures-with-a-focus-on-epidural-injections
#18
Nancy E Epstein
BACKGROUND: Various types of lumbar dural punctures may contribute to neurological injury. The etiologies of dural injury include; inadvertent dural punctures due to epidurals placed for labor anesthesia, epidural steroid injections (ESI/transforaminal TESI; approximately 9 million ESI performed in the US per year), deliberate placement of intradural pain devices, and spontaneous cerebrospinal fluid (CSF) fistulas. Resulting neurological complications may include; spinal headaches/intracranial hypotension, subdural hematomas, and 6(th) nerve cranial palsies...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/28538595/after-posterior-fusions-for-adult-spinal-deformity-operative-time-is-more-predictive-of-perioperative-morbidity-rather-than-surgical-invasiveness-a-need-for-speed
#19
Andre M Samuel, Michael C Fu, Nidharshan S Anandasivam, Matthew L Webb, Adam M Lukasiewicz, Han Jo Kim, Jonathan N Grauer
STUDY DESIGN: Retrospective cohort study OBJECTIVE.: To determine the independent effects of operative time and surgical invasiveness on perioperative outcomes after posterior spinal fusions for adult spinal deformity. SUMMARY OF BACKGROUND DATA: Morbidity is high after posterior fusions for adult spinal deformity. While previous reports have demonstrated an association between perioperative outcomes and the extent of correction and fusion (number of posterior levels fused, pelvic fixation, combined anterior-posterior fusion), no study has looked at the independent effects of the surgical invasiveness after controlling for operative time...
May 22, 2017: Spine
https://www.readbyqxmd.com/read/28538369/significant-reduction-of-fluoroscopy-repetition-with-lumbar-localization-system-in-minimally-invasive-spine-surgery-a-prospective-study
#20
Guoxin Fan, Hailong Zhang, Xin Gu, Chuanfeng Wang, Xiaofei Guan, Yunshan Fan, Shisheng He
The conventional location methods for minimally invasive spinal surgery (MISS) were mainly based on repeated fluoroscopy in a trial-and-error manner preoperatively and intraoperatively. Localization system mainly consisted of preoperative applied radiopaque frame and intraoperative guiding device, which has the potential to minimize fluoroscopy repetition in MISS. The study aimed to evaluate the efficacy of a novel lumbar localization system in reducing radiation exposure to patients.Included patients underwent minimally invasive transforaminal lumbar interbody fusion (MISTLIF) or percutaneous transforaminal endoscopic discectomy (PTED)...
May 2017: Medicine (Baltimore)
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