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scoliosis with stenosis spinal surgery

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https://www.readbyqxmd.com/read/28392347/predictors-of-improvement-in-low-back-pain-after-lumbar-decompression-surgery-prospective-study-of-140-patients
#1
Hiroki Oba, Jun Takahashi, Takahiro Tsutsumimoto, Shota Ikegami, Hiroshi Ohta, Mutsuki Yui, Hidemi Kosaku, Takayuki Kamanaka, Hiromichi Misawa, Hiroyuki Kato
BACKGROUND: Lumbar decompression surgery is often used to treat neurological symptoms of the lower extremity as a result of lumbar disease. However, this method also leads to the improvement of the accompanying low back pain (LBP). We studied the extent of LBP improvement after lumbar decompression surgery without fusion and the associated preoperative factors. METHODS: Patients (n = 140) with lumbar spinal stenosis (n = 90) or lumbar disc herniation (n = 50) were included...
April 6, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28377974/an-arthrogrypotic-medical-doctor-with-cervical-kyphosis-and-thoracic-lordoscoliosis
#2
Manouchehr Safdarian, Mahdi Safdarian
Management of spinal deformities in a patient with arthrogryposis can be challenging for spine surgeons. The literature about the accompaniment of scoliosis; the most common spine deformity reported in arthrogryposis, is still poor. Moreover, the development of cervical kyphosis and thoracic lordoscoliosis in a patient with arthrogryposis is much rare. This paper reports a 26-year-old medical doctor with arthrogryposis who had underwent thoracic lordoscoliosis surgery about ten years ago with T6-L1 internal rods and is now presented with cervical kyphosis and C3-C4 cord stenosis, which made him a candidate for cervical cord decompression surgery...
June 2017: Bone Reports
https://www.readbyqxmd.com/read/28228325/prognostic-factors-associated-with-the-surgical-indication-for-lumbar-spinal-stenosis-patients-less-responsive-to-conservative-treatments-an-investigator-initiated-observational-cohort-study
#3
Masayoshi Fukushima, Hiroyuki Oka, Nobuhiro Hara, Yasushi Oshima, Hirotaka Chikuda, Sakae Tanaka, Katsushi Takeshita, Ko Matsudaira
BACKGROUND: A few cohort studies have determined which patients with lumbar spinal stenosis are likely to need surgery because of the deterioration of symptoms. However, there are still insufficient data regarding the management of lumbar spinal stenosis due to lack of prognostic factors associated with the need for surgery. The purpose of this study was to identify the prognostic factors associated with the need for surgical treatment in patients with lumbar spinal stenosis. METHODS: Patients with lumbar spinal stenosis from our hospital and related facilities were enrolled...
February 19, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28161236/minimally-invasive-decompression-surgery-for-lumbar-spinal-stenosis-with-degenerative-scoliosis-predictive-factors-of-radiographic-and-clinical-outcomes
#4
Akihito Minamide, Munehito Yoshida, Hiroki Iwahashi, Andrew K Simpson, Hiroshi Yamada, Hiroshi Hashizume, Yukihiro Nakagawa, Hiroshi Iwasaki, Shunji Tsutsui, Ryohei Kagotani, Mayumi Sonekatsu, Takahide Sasaki, Kazunori Shinto, Tsuyoshi Deguchi
There is ongoing controversy regarding the most appropriate surgical treatment for lumbar spinal stenosis (LSS) with concurrent degenerative lumbar scoliosis (DLS): decompression alone, decompression with limited spinal fusion, or long spinal fusion for deformity correction. The coexistence of degenerative stenosis and deformity is a common scenario; Nonetheless, selecting the appropriate surgical intervention requires thorough understanding of the patients clinical symptomatology as well as radiographic parameters...
February 1, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28120055/restoration-of-thoracolumbar-spine-stability-and-alignment-in-elderly-patients-using-minimally-invasive-spine-surgery-miss-a-safe-and-feasible-option-in-degenerative-and-traumatic-spine-diseases
#5
Giuseppe M V Barbagallo, Giuseppe Raudino, Massimiliano Visocchi, A Abdulrazzaq Alobaid, A Abdulaziz Al-Mutair, Thomas Naveen, Francesco Certo
Minimally invasive spine surgery (MISS), including percutaneous pedicle-screw fixation (PPSF), mini-open transforaminal lumbar interbody fusion (m-open TLIF), vertebroplasty, and stentoplasty, allows the preservation of neurological function and the restoration of spine stability, while reducing associated risks and complications. This study aimed to analyze the safety and efficacy of MISS in elderly patients suffering from degenerative or traumatic thoracolumbar diseases. Forty-five patients (28 females), with a mean age of 73 years (range 65-89), suffering from osteoporotic vertebral fractures (24), degenerative spondylolisthesis (15), and lumbar canal stenosis with instability and/or de novo scoliosis (6) were included...
2017: Acta Neurochirurgica. Supplement
https://www.readbyqxmd.com/read/27994785/baastrup-s-disease-is-associated-with-recurrent-of-sciatica-after-posterior-lumbar-spinal-decompressions-utilizing-floating-spinous-process-procedures
#6
Masao Koda, Chikato Mannoji, Masazumi Murakami, Tomoaki Kinoshita, Jiro Hirayama, Tomohiro Miyashita, Yawara Eguchi, Masashi Yamazaki, Takane Suzuki, Masaaki Aramomi, Mitsutoshi Ota, Satoshi Maki, Kazuhisa Takahashi, Takeo Furuya
STUDY DESIGN: Retrospective case-control study. PURPOSE: To determine whether kissing spine is a risk factor for recurrence of sciatica after lumbar posterior decompression using a spinous process floating approach. OVERVIEW OF LITERATURE: Kissing spine is defined by apposition and sclerotic change of the facing spinous processes as shown in X-ray images, and is often accompanied by marked disc degeneration and decrement of disc height. If kissing spine significantly contributes to weight bearing and the stability of the lumbar spine, trauma to the spinous process might induce a breakdown of lumbar spine stability after posterior decompression surgery in cases of kissing spine...
December 2016: Asian Spine Journal
https://www.readbyqxmd.com/read/27847581/foreign-body-reaction-after-implantation-of-a-device-for-intervertebral-assisted-motion
#7
Jun-Yeong Seo, Kee-Yong Ha, Young-Hoon Kim, Joo-Hyun Ahn
The device for intervertebral assisted motion (DIAM) is a dynamic implant that consists of a silicone bumper enveloped by a polyethylene terephthalate (PET) fiber sack. Silicone and PET were used because of their biological inertness, but repetitive motion of the spine can cause wear on the implant nonetheless. The purpose of this study is to report a case of foreign body reaction (FBR) against a DIAM. A 72-year-old female patient presented with lower back pain and both legs radiating pain. She had undergone DIAM implantation at L4-5 for spinal stenosis 5 years previously...
November 2016: Journal of Korean Neurosurgical Society
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
#8
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...
January 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/27646205/complications-of-spinal-surgery-for-elderly-patients-with-lumbar-spinal-stenosis-in-a-super-aging-country-an-analysis-of-8033-patients
#9
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
https://www.readbyqxmd.com/read/27445969/sep-montage-variability-comparison-during-intraoperative-neurophysiologic-monitoring
#10
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
https://www.readbyqxmd.com/read/27285666/back-pain-improvement-after-decompression-without-fusion-or-stabilization-in-patients-with-lumbar-spinal-stenosis-and-clinically-significant-preoperative-back-pain
#11
MULTICENTER STUDY
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...
November 2016: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/27082612/evaluation-and-surgical-management-of-adult-degenerative-scoliosis-associated-with-lumbar-stenosis
#12
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)
https://www.readbyqxmd.com/read/26828887/early-experience-with-endoscopic-foraminotomy-in-patients-with-moderate-degenerative-deformity
#13
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
https://www.readbyqxmd.com/read/26683502/upper-cervical-fusion-in-children-with-spondyloepiphyseal-dysplasia-congenita
#14
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
https://www.readbyqxmd.com/read/26679874/surgery-for-degenerative-lumbar-scoliosis-the-development-of-appropriateness-criteria
#15
REVIEW
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
https://www.readbyqxmd.com/read/26637062/inferior-vena-cava-injury-caused-by-an-anteriorly-migrated-cage-resulting-in-ligation-case-report
#16
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
https://www.readbyqxmd.com/read/26621421/the-michigan-spine-surgery-improvement-collaborative-a-statewide-collaborative-quality-initiative
#17
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
https://www.readbyqxmd.com/read/26571162/patient-factors-that-influence-decision-making-randomization-versus-observational-nonoperative-versus-observational-operative-treatment-for-adult-symptomatic-lumbar-scoliosis
#18
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
https://www.readbyqxmd.com/read/26386902/iatrogenic-neurologic-deficit-after-lumbar-spine-surgery-a-review
#19
REVIEW
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
https://www.readbyqxmd.com/read/26378348/minimally-invasive-spinal-surgery-in-the-elderly-does-it-make-sense
#20
REVIEW
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
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