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JOURNAL ARTICLE
Jonathan H Geere, Paul R Hunter, Girish N Swamy, Andrew J Cook, Amarjit S Rai
PURPOSE: To identify clinical predictors and build prediction models for 1-year patient-reported outcomes measures (PROMs) after lumbar decompressive surgery for disc herniation or spinal stenosis. METHODS: The study included 1835 cases, with or without additional single-level fusion, from a single centre from 2008 through 2020. General linear models imputed with 37 clinical variables identified 18 significant 1-year PROM predictors for retention in development models...
September 22, 2023: European Spine Journal
#22
JOURNAL ARTICLE
Arjun Ganga, Owen P Leary, Aayush Setty, Kevin Xi, Albert E Telfeian, Adetokunbo A Oyelese, Tianyi Niu, Joaquin Q Camara-Quintana, Ziya L Gokaslan, Patricia Zadnik Sullivan, Jared S Fridley
OBJECTIVE: Lumbar facet cysts (LFCs) can cause neurological dysfunction and intractable pain. Surgery is the current standard of care for patients in whom conservative therapy fails, those with neurological deficits, and those with evidence of spinal instability. No study to date has comprehensively examined surgical outcomes comparing the multiple surgical treatment options for LFCs. Therefore, the authors aimed to perform a combined analysis of cases both in the literature and of patients at a single institution to compare the outcomes of various surgical treatment options for LFC...
August 18, 2023: Journal of Neurosurgery. Spine
#23
JOURNAL ARTICLE
Leonidas Trakolis, Georgios Moutsianos, Viktoras Gourvas, Athanasios Petridis
BACKGROUND: Spinal dural arteriovenous fistula is the most common spinal vascular malformation. It usually presents with neurological deficits due to venous congestive myelopathy. Sometimes, however, the symptoms are radicular and can imitate those of a disc hernia or synovial cyst. OBSERVATIONS: In this illustrated case, a 34-year-old male patient presented with radicular pain due to nerve root compression. In the magnetic resonance imaging (MRI) examination of the spine, a synovial cyst was suspected, so the patient underwent no further examination before surgery...
August 21, 2023: J Neurosurg Case Lessons
#24
JOURNAL ARTICLE
Tadatsugu Morimoto, Yusuke Yamamoto, Satoshi Suzuki, Mitsuru Yagi, Takaomi Kobayashi, Masaaki Mawatari, Morio Matsumoto, Kota Watanabe
The sacroiliac joint (SIJ) is the largest axial joint in the human body, and the SIJ vacuum phenomenon (SIJ VP) is a common finding in computed tomography studies of the abdomen, pelvis, and lumbosacral spine in adults, with the incidence increasing with age. Adolescent idiopathic scoliosis (AIS) is an abnormal spinal curvature that appears during adolescence and places abnormal stress on the SIJs. This retrospective observational study aimed to investigate the incidence of the SIJ VP in thoracic AIS (Lenke types 1 and 2)...
August 25, 2023: Medicine (Baltimore)
#25
JOURNAL ARTICLE
Brendan F Judy, Tatiana Abou-Mrad, Ali Bydon
Synovial cysts of the spine are degenerative cystic lesions that can lead to severe symptoms secondary to compression of the spinal cord, individual nerve roots, and/or the cauda equina. Some believe the etiology of this entity is related to increased motion across the facet joint and instability. We report a case of a lumbar synovial cyst located at the same level as a previously inserted spinous process fusion device. This case illustrates that, unlike a transpedicular instrumented fusion where the risk of synovial cyst formation is zero, a spinal process fusion can still lead to synovial cyst formation likely due to persistent micromotion across that segment...
August 17, 2023: World Neurosurgery
#26
Shinji Kotaka, Yasushi Fujiwara, Ryo Ota, Hideki Manabe, Nobuo Adachi
The optimal treatment for aneurysmal bone cysts (ABCs) of the spine remains controversial. No treatment guidelines exist for the use of denosumab in aneurysmal bone cysts. In this report, we describe the results from a representative case and compare our experience with those of previously published reports. A 38-year-old male was referred for pain in the lower back and left leg. Radiographs and a needle biopsy specimen revealed a lumbar aneurysmal bone cyst, which was treated with denosumab chemotherapy. The pain in the lower back and left leg gradually improved, and at 16 weeks, the symptoms had resolved...
June 2023: Curēus
#27
JOURNAL ARTICLE
Darrion Bo-Yun Yang, James Harms, Ravishankar K Iyer, Paul Arnold
BACKGROUND: Spinal synovial cysts are an uncommon pathology, estimated to affect 0.65-2.6% of the population. Cervical spinal synovial cysts are even rarer, accounting for only 2.6% of spinal synovial cysts. They are more commonly found in the lumbar spine. When they occur, they can compress the spinal cord or surrounding nerve roots resulting in neurological symptoms, particularly when they increase in size. Decompression and cyst resection are the most common treatment and typically result in resolution of symptoms...
2023: Surgical Neurology International
#28
Sathish Muthu, Srinivasacholan Chandrasekaran
INTRODUCTION: Tarlov cysts are rare perineural cysts noted as an incidental finding in approximately 1% of lumbar magnetic resonance imaging (MRI) arising from extradural components near the dorsal root ganglion. Due to its localization, it may cause sensory symptoms in some cases. However, most of these cysts are asymptomatic. CASE REPORT: We present the case of a 55-year-old woman with complaints of severe pain localized to the inner aspect of the thigh and gluteal region for the past 6 months, which has not been relieved by conservative management...
June 2023: Journal of Orthopaedic Case Reports
#29
JOURNAL ARTICLE
Filip Samal, Albert Sterba, Pavel Haninec, Radovan Zubcek, Petr Waldauf, Johana Klasova, Petr Linzer
BACKGROUND: Facet joint cysts (FJCs) are a cause of radiculopathy, back pain, cauda equina syndrome, or claudication. They mostly affect the lumbar spine in the elderly, prevailing in women, and are connected to spinal degeneration and instability. We aimed to evaluate the safety and efficacy of open surgical decompression and cyst excision without a subsequent fusion. METHODS: We evaluated neurologic symptoms and potential signs of spinal instability on preoperative vs postoperative radiological examination...
June 30, 2023: World Neurosurgery
#30
JOURNAL ARTICLE
Yu Tian, Yong Chen, Long Chen, Xianghong Meng, Mengmeng Fu, Xin Shi, Yuanxiang Lin
BACKGROUND: In clinical practice, spinal extradural arachnoid cysts (SEAC) are relatively rare. The key to the treatment of SEAC is recognize and close the dural defects (fistula orifice), but there is currently no convenient method to locate and identify the fistula. We propose a method for predicting the location of lumbar/thoracolumbar SEAC fistula based on surgical experience, subsequently closing the fistula through posterior unilateral interlaminar fenestration. Evaluating its surgical efficacy and investigated its effect on patient prognosis...
June 29, 2023: BMC Surgery
#31
JOURNAL ARTICLE
Niklas Lützen, Enrique Barvulsky Aleman, Amir El Rahal, Florian Volz, Christian Fung, Jürgen Beck, Horst Urbach
PURPOSE: Dural tears at the level of the cervical, thoracic, and lumbar spine cause spontaneous intracranial hypotension (SIH) in patients with a spinal longitudinal extradural CSF collection (SLEC); however, sacral dural tears have rarely been reported so far. This study focuses on sacral dural tears as a cause of SIH. METHODS: Retrospective data from SIH patients with confirmed sacral dural tears studied between October 2020 and November 2022 were analyzed with respect to demographic, clinical and imaging features...
June 1, 2023: Clinical Neuroradiology
#32
JOURNAL ARTICLE
Shigeyoshi Shimura, Ryu Saito, Takashi Yagi, Hideyuki Yoshioka, Hiroyuki Kinouchi
BACKGROUND: Intraspinal juxta-facet cysts of the spine are known to predominate at the lumbar level and is relatively rare at the cervical level. Most cervical spinal lesions are found incidentally, but they sometimes cause myelopathy or radiculopathy in a chronic course. OBSERVATIONS: The authors present a rare case of hemorrhagic cervical juxta-facet cyst presenting with Brown-Séquard syndrome. An 86-year-old woman presented with acute-onset right hemiparesis following neck pain and was admitted to the local hospital...
May 29, 2023: J Neurosurg Case Lessons
#33
JOURNAL ARTICLE
Kai-Uwe Lewandrowski, Anthony Yeung, Morgan P Lorio, Huilin Yang, Jorge Felipe Ramírez León, José Antonio Soriano Sánchez, Rossano Kepler Alvim Fiorelli, Kang Taek Lim, Jaime Moyano, Álvaro Dowling, Juan Marcelo Sea Aramayo, Jeong-Yoon Park, Hyeun-Sung Kim, Jiancheng Zeng, Bin Meng, Fernando Alvarado Gómez, Carolina Ramirez, Paulo Sérgio Teixeira De Carvalho, Manuel Rodriguez Garcia, Alfonso Garcia, Eulalio Elizalde Martínez, Iliana Margarita Gómez Silva, José Edgardo Valerio Pascua, Luis Miguel Duchén Rodríguez, Robert Meves, Cristiano M Menezes, Luis Eduardo Carelli, Alexandre Fogaça Cristante, Rodrigo Amaral, Geraldo de Sa Carneiro, Helton Defino, Vicky Yamamoto, Babak Kateb, On Behalf Of Teams/Organizations/Institutions
Pain generator-based lumbar spinal decompression surgery is the backbone of modern spine care. In contrast to traditional image-based medical necessity criteria for spinal surgery, assessing the severity of neural element encroachment, instability, and deformity, staged management of common painful degenerative lumbar spine conditions is likely to be more durable and cost-effective. Targeting validated pain generators can be accomplished with simplified decompression procedures associated with lower perioperative complications and long-term revision rates...
April 23, 2023: Journal of Personalized Medicine
#34
Alexander M Satei, Farzad Razi, Huijuan Wang, Serguei Medvedev, Paul J Arpasi
Fast-paced trauma imaging can result in misses relating to the nonosseous structures included in the field of view. We report a case of a Bosniak type III renal cyst, later found to be clear cell renal cell carcinoma, incidentally noted on post-traumatic CT of the thoracic and lumbar spine. This case includes a discussion of the circumstances which could result in a radiologist missing this finding, the idea of satisfaction of search, the importance of maintaining a thorough search pattern, and the management and communication of incidental findings...
July 2023: Radiology Case Reports
#35
JOURNAL ARTICLE
Naoki Segi, Hiroaki Nakashima, Ryuichi Shinjo, Yujiro Kagami, Masaaki Machino, Sadayuki Ito, Jun Ouchida, Kazuaki Morishita, Ryotaro Oishi, Ippei Yamauchi, Shiro Imagama
STUDY DESIGN: Retrospective cohort study. OBJECTIVES: The criteria for determining completion of intervertebral stability after posterior lumbar interbody fusion (PLIF) remain controversial. Several new radiological indicators of bone growth and osteointegration have been established. We compared computed tomography (CT) findings related to osteointegration after PLIF with interbody cages of two different materials and designs. METHODS: We retrospectively analyzed data from 103 patients who underwent PLIF with three-dimensional porous tantalum (Tn) cages or titanium-coated polyetheretherketone (TiP) cages...
April 15, 2023: Global Spine Journal
#36
JOURNAL ARTICLE
Sumedha Singh, Pratyush Shahi, Tomoyuki Asada, Austin Kaidi, Tejas Subramanian, Eric Zhao, Ashley Yeo Eun Kim, Omri Maayan, Kasra Araghi, Nishtha Singh, Olivia Tuma, Maximilian Korsun, Robert Kamil, Evan Sheha, James Dowdell, Sheeraz Qureshi, Sravisht Iyer
BACKGROUND CONTEXT: Although some previous studies have analyzed predictors of nonimprovement, most of these have focused on demographic and clinical variables and have not accounted for radiological predictors. In addition, while several studies have examined the degree of improvement after decompression, there is less data on the rate of improvement. PURPOSE: To identify the risk factors and predictors (both radiological and nonradiological) for slower as well as nonachievement of minimal clinically important difference (MCID) after minimally invasive decompression...
August 2023: Spine Journal: Official Journal of the North American Spine Society
#37
Abhishek Mehan, Fnu Ruchika, Jitender Chaturvedi, Mohit Gupta, Tejas Venkataram, Nishant Goyal, Anil Kumar Sharma
BACKGROUND: Tarlov cysts are sacral perineural cysts arising between the peri and endoneurium of the posterior spinal nerve root at the Dorsal Root Ganglion and have a global prevalence rate of 4.27%. These are primarily asymptomatic (only 1% with symptoms) and typically arise in females between the ages of 50-60. Patients' symptoms include radicular pain, sensory dysesthesias, urinary and/or bowel symptoms, and sexual dysfunction. Non-surgical management with lumbar cerebrospinal fluid drainage and computerized tomography-guided cyst aspiration typically provide only months of improvement before recurring...
2023: Surgical Neurology International
#38
JOURNAL ARTICLE
Abdulmohsen M Alkhalaf, Khaled W Altowayan, Abdullah H AlHindi, Ahmed Alhumidi, Yahya M Al Aseri
BACKGROUND We report a case of a sporadic lumbar epidermoid cyst in a patient with no apparent risk factors for the condition. The lesion is considered an uncommon lesion that has a potentially debilitating effect on the spinal cord. CASE REPORT Our patient was a 17-year-old boy who presented to the neurosurgery clinic with lower back pain, accompanied by an electrical sensation radiating bilaterally to the buttocks, thighs, and knees. He has been increasingly reliant on a walking cane over the past few months...
April 5, 2023: American Journal of Case Reports
#39
JOURNAL ARTICLE
Zhenlu Cao, Yanan Cong, Chuqiang Yin, Yuelei Wang, Zhichao Wang, XiaoWei Liu, Ting Wang
OBJECTIVE: Postoperative discal pseudocyst (PDP) is a rare complication after discectomy. This study aimed to summarize the characteristics, pathological mechanisms and management of PDPs. METHODS: Nine patients with PDP who received surgical treatment at our institution from January 2014 to December 2021 were retrospectively reviewed. A systematic review of the literature on PDP was performed. The demographic data, clinical and imaging features, surgical options and patient prognosis were analyzed...
March 31, 2023: Orthopaedic Surgery
#40
JOURNAL ARTICLE
Gillian Shasby
No abstract text is available yet for this article.
March 24, 2023: Journal of Neurosurgery. Spine
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