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scoliosis with stenosis spinal surgery

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
Yasuaki Imajo, Toshihiko Taguchi, Masashi Neo, Koji Otani, Tadanori Ogata, Hiroshi Ozawa, Naohisa Miyakoshi, Hideki Murakami, Tetsuhiro Iguchi
BACKGROUND: The Japanese Society for Spine Surgery and Related Research (JSSR) performed a third study on complications in spinal surgery in 2011. The purpose was to present information about surgery and complications in a large amount of elderly patients aged 65 years with lumbar spinal stenosis (LSS) without coexisting spondylolisthesis, spondylolysis, or scoliosis, and to compare patients aged ≥80 years to those aged 65-79 years. METHODS: A recordable optical disc for data storage was sent by JSSR in January 2012 to 1105 surgeons certified by the JSSR in order to collect surgical data...
September 16, 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
Christine Hanson, Athena Maria Lolis, Aleksandar Beric
Intraoperative monitoring is performed to provide real-time assessment of the neural structures that can be at risk during spinal surgery. Somatosensory evoked potentials (SEPs) are the most commonly used modality for intraoperative monitoring. SEP stability can be affected by many factors during the surgery. This study is a prospective review of SEP recordings obtained during intraoperative monitoring of instrumented spinal surgeries that were performed for chronic underlying neurologic and neuromuscular conditions, such as scoliosis, myelopathy, and spinal stenosis...
2016: Frontiers in Neurology
Charles H Crawford, Steven D Glassman, Praveen V Mummaneni, John J Knightly, Anthony L Asher
OBJECTIVE The relief of leg symptoms by surgical decompression for lumbar stenosis is well supported by the literature. Less is known about the effect on back pain. Some surgeons believe that the relief of back pain should not be an expected outcome of decompression and that substantial back pain may be a contraindication to decompression only; therefore, stabilization may be recommended for patients with substantial preoperative back pain even in the absence of well-accepted indications for stabilization such as spondylolisthesis, scoliosis, or sagittal malalignment...
June 10, 2016: Journal of Neurosurgery. Spine
Guodong Wang, Xingang Cui, Zhensong Jiang, Tao Li, Xiaoyang Liu, Jianmin Sun
Adult degenerative scoliosis associated with lumbar stenosis has become a common issue in the elderly population. But its surgical management is on debating. The main issue condenses on the management priority of scoliosis or stenosis. This study is to investigate surgical management strategy and outcome of adult degenerative scoliosis associated with lumbar stenosis. Between January 2003 and December 2010, 108 patients were admitted to the authors' institution for adult degenerative scoliosis associated with lumbar stenosis...
April 2016: Medicine (Baltimore)
Karthik Madhavan, Lee Onn Chieng, Lynn McGrath, Christoph P Hofstetter, Michael Y Wang
OBJECTIVE Asymmetrical degeneration of the disc is one of the most common causes of primary degenerative scoliosis in adults. Coronal deformity is usually less symptomatic than a sagittal deformity because there is less expenditure of energy and hence less effort to maintain upright posture. However, nerve root compression at the fractional curve or at the concave side of the main curve can give rise to debilitating radiculopathy. METHODS This study was a retrospective analysis of 16 patients with coronal deformity of between 10° and 20°...
February 2016: Neurosurgical Focus
Mehmet Serhan Er, Oussama Abousamra, Kenneth Rogers, Yakup Akyol, Thomas Palocaren, Masakazu Takemitsu, Jeffrey W Campbell, William G Mackenzie
BACKGROUND: Paraplegia or death secondary to upper cervical spine instability and spinal cord compression are known consequences of spondyloepiphyseal dysplasia congenita (SEDC). Stabilization and occasionally decompression of the upper cervical spine are indicated to treat upper cervical instability and stenosis. The purpose of this study was to report the results of upper cervical spine fusion in children with SEDC who had upper cervical instability. METHODS: Twenty children (17 females and 3 males) with SEDC who underwent upper cervical spine fusion at a mean age of 72 months were retrospectively analyzed...
December 17, 2015: Journal of Pediatric Orthopedics
Peggy Guey-Chi Chen, Michael D Daubs, Sigurd Berven, Laura B Raaen, Ashaunta T Anderson, Steven M Asch, Teryl K Nuckols
STUDY DESIGN: The RAND/UCLA Appropriateness Method is a well-established means of developing criteria for assessing the appropriateness of surgery in specific subpopulations. It involves a systematic review of the literature and ratings by a multidisciplinary panel of national experts. OBJECTIVE: To evaluate the appropriateness of surgical interventions for degenerative lumbar scoliosis (DLS), including identifying clinical characteristics that influence when surgery is inappropriate, appropriate, or necessary, and which procedures are preferable...
May 2016: Spine
Dai Ariyoshi, Shigeo Sano, Naohiro Kawamura
Anterior dislodgement of the transforaminal lumbar interbody fusion (TLIF) cage is one of the severe complications seen in this procedure, which may cause an intraoperative major vessel injury. The objective of this report is to present a rare case of inferior vena cava (IVC) injury during revision surgery for removal of the anteriorly migrated cage. The authors describe a case of 74-year-old woman with lumbar spinal canal stenosis and degenerative scoliosis. During the TLIF surgery, an inserted titanium cage at the L4-5 level dislodged anteriorly to the retroperitoneal space without massive bleeding from the disc space...
March 2016: Journal of Neurosurgery. Spine
Victor Chang, Jason M Schwalb, David R Nerenz, Lisa Pietrantoni, Sharon Jones, Michelle Jankowski, Nancy Oja-Tebbe, Stephen Bartol, Muwaffak Abdulhak
OBJECT Given the scrutiny of spine surgery by policy makers, spine surgeons are motivated to demonstrate and improve outcomes, by determining which patients will and will not benefit from surgery, and to reduce costs, often by reducing complications. Insurers are similarly motivated. In 2013, Blue Cross Blue Shield of Michigan (BCBSM) and Blue Care Network (BCN) established the Michigan Spine Surgery Improvement Collaborative (MSSIC) as a Collaborative Quality Initiative (CQI). MSSIC is one of the newest of 21 other CQIs that have significantly improved-and continue to improve-the quality of patient care throughout the state of Michigan...
December 2015: Neurosurgical Focus
Brian J Neuman, Christine Baldus, Lukas P Zebala, Michael P Kelly, Christopher Shaffrey, Charles Edwards, Tyler Koski, Frank Schwab, Steven Glassman, Stefan Parent, Stephen Lewis, Lawrence G Lenke, Jacob M Buchowski, Justin S Smith, Charles H Crawford, Han Jo Kim, Virginia Lafage, Jon Lurie, Leah Carreon, Keith H Bridwell
STUDY DESIGN: A prospective study with randomized and observational cohorts. OBJECTIVE: The aim of this study was to determine baseline variables affecting adult symptomatic lumbar scoliosis (ASLS) decision making to participate in randomization (RAND), observational nonsurgical (OBS-NS), or observational surgical (OBS-S) cohorts. SUMMARY OF BACKGROUND DATA: Multiple factors play a key role in a patient's decision to be randomized or to choose an OBS-NS or OBS-S course for ASLS...
March 2016: Spine
George M Ghobrial, Kim A Williams, Paul Arnold, Michael Fehlings, James S Harrop
Iatrogenic neurologic deficits after lumbar spine surgery are rare complications, but important to recognize and manage. Complications such as radiculopathy, spinal cord compression, motor deficits (i.e. foot drop with L5 radiculopathy), and new onset radiculitis, while uncommon do occur. Attempts at mitigating these complications with the use of neuromonitoring have been successful. Guidance in the literature as to the true rate of iatrogenic neurologic deficit is limited to several case studies and retrospective designed studies describing the management, prevention and treatment of these deficits...
December 2015: Clinical Neurology and Neurosurgery
Mohammed F Shamji, Christina L Goldstein, Michael Wang, Juan S Uribe, Michael G Fehlings
Lumbar degenerative disease can have varied pathoanatomy, with stenosis, spondylolisthesis, and scoliosis contributing to significant pain and disability. Among appropriately selected patients, surgical intervention can treat both back pain and leg pain and improve quality of life in a cost-effective manner with an acceptable safety profile. The evolution of minimally invasive surgical (MIS) techniques offers the potential to decrease the physiological impact of surgery and to improve the complication profile while achieving the same spine surgical objectives...
October 2015: Neurosurgery
Arvind von Keudell, Marjan Alimi, Harry Gebhard, Roger Härtl
We report the case of a 73-year-old female with severe degenerative scoliosis and back and leg pain that was successfully treated with stand- alone cages via an extreme lateral transpsoas approach. This patient had declined open surgery and instrumentation due to her advanced age concerns about potential side effects.
April 2015: Archives of Bone and Joint Surgery
P Kehr, A Graftiaux, N Richard, C Mazel
After a short introduction of the meeting by the President 2015, Wilco Peul, the opening lecture was delivered by Bart Koes, who dealt with Health Technology Assessment and Guidelines. Then, it was the turn of Carmen Vleggert to show whether there was any Evidence for the Use of Implants in Spinal Stenosis. The final presentation of this session was delivered by Björn Strömqvist who dealt with Surgery for Lumbar Disc Herniation, patients' selection and outcomes. Developing the subject of "Do Not's", Jeremy Fairbank described the UK experience for Low Back Pain...
July 2015: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Nima Toosizadeh, Tzu Chuan Yen, Carol Howe, Michael Dohm, Jane Mohler, Bijan Najafi
BACKGROUND: Objective motor performance measures, especially gait assessment, could improve evaluation of low back disorder surgeries. However, no study has compared the relative effectiveness of gait parameters for assessing motor performance in low back disorders after surgery. The purpose of the current review was to determine the sensitive gait parameters that address physical improvements in each specific spinal disorder after surgical intervention. METHODS: Articles were searched with the following inclusion criteria: 1) population studied consisted of individuals with low back disorders requiring surgery; 2) low back disorder was measured objectively using gait assessment tests pre- and post-surgery...
July 2015: Clinical Biomechanics
Ming-Kai Hsieh, Lih-Huei Chen, Chi-Chien Niu, Tsai-Sheng Fu, Po-Liang Lai, Wen-Jer Chen
BACKGROUND: Traditional approaches to deformity correction of degenerative lumbar scoliosis include anterior-posterior approaches and posterior-only approaches. Most patients are treated with posterior-only approaches because the high complication rate of anterior approach. Our purpose is to compare and assess outcomes of combined anterior lumbar interbody fusion and instrumented posterolateral fusion with posterior alone approach for degenerative lumbar scoliosis with spinal stenosis...
2015: BMC Surgery
Masahiro Kanayama, Fumihiro Oha, Tomoyuki Hashimoto
PURPOSE: Peri-radicular injection is a widely used procedure for treating lumbar radicular pain, but it remains unclear what types of lumbar pathologies respond well to this treatment. We aimed to investigate the efficacy of peri-radicular injection for degenerative lumbar disorders and to determine what types of pathologies respond well to this treatment. METHODS: We reviewed the records of 641 consecutive patients who underwent peri-radicular injection for degenerative lumbar pathologies with mean follow-up of 23...
July 2015: International Orthopaedics
Greg A J Robertson, Seng Juong Wong, Richard R Brady, Ashok S Subramanian
PURPOSE: The increased utilization of smartphones together with their downloadable applications (apps) provides opportunity for doctors, including spinal surgeons, to integrate such technology into clinical practice. However, the clinical reliability of the medical app sector remains questionable. We reviewed available apps themed specifically towards spinal surgery and related conditions and assessed the level of medical professional involvement in their design and content. METHOD: The most popular smartphone app stores (Android, Apple, Blackberry, Windows, Samsung, Nokia) were searched for spinal surgery-themed apps, using the disease terms Spinal Surgery, Back Surgery, Spine, Disc Prolapse, Sciatica, Radiculopathy, Spinal Stenosis, Scoliosis, Spinal Fracture and Spondylolisthesis...
May 2016: European Spine Journal
Dong-Gune Chang, Se-Il Suk, Jin-Hyok Kim, Kee-Yong Ha, Ki-Ho Na, Jung-Hee Lee
BACKGROUND CONTEXT: There is little information regarding the surgical outcomes with regard to the timing of surgery in children under age 10 years for congenital scoliosis with a long-term follow-up. PURPOSE: The purpose of this study was to compare the surgical outcomes for congenital scoliosis in children 6 years or older but less than 10 years of age. STUDY DESIGN: This is a retrospective study. PATIENT SAMPLE: Eighteen congenital scoliosis patients under age 10 years at the time of surgery were treated by posterior hemivertebra resection and bilateral pedicle screw fixation...
August 1, 2015: Spine Journal: Official Journal of the North American Spine Society
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