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Lumbar spinal stenosis treatment

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https://www.readbyqxmd.com/read/29679727/the-influence-of-hand-grip-strength-on-surgical-outcomes-after-surgery-for-degenerative-lumbar-spinal-stenosis-a-preliminary-result
#1
Feng Shen, Ho-Joong Kim, Na-Kyoung Lee, Heoung-Jae Chun, Bong-Soon Chang, Choon-Ki Lee, Jin S Yeom
BACKGROUND CONTEXT: Although a number of prognostic factors have been demonstrated to be associated with surgical outcome of degenerative lumbar spinal stenosis (DLSS), no study has investigated the relation between hand grip strength (HGS) and treatment outcome of DLSS. PURPOSE: The purpose of this study was to examine the influence of HGS on surgical outcomes after surgery for patients with DLSS. STUDY DESIGN: An observational study PATIENT SAMPLE: Patients who underwent spine surgery for DLSS...
April 18, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29679129/-operative-treatment-of-degenerative-diseases-of-the-lumbar-spine
#2
REVIEW
M Czabanka, C Thomé, F Ringel, B Meyer, S-O Eicker, V Rohde, M Stoffel, P Vajkoczy
BACKGROUND: Degenerative diseases of the lumbar spine and associated lower back pain represent a major epidemiological and health-related economic challenge. A distinction is made between specific and unspecific lower back pain. In specific lower back pain lumbar disc herniation and spinal canal stenosis with or without associated segment instability are among the most frequent pathologies. Diverse conservative and operative strategies for treatment of these diseases are available. OBJECTIVES: The aim of this article is to present an overview of current data and an evidence-based assessment of the possible forms of treatment...
April 20, 2018: Der Nervenarzt
https://www.readbyqxmd.com/read/29663022/-diagnostics-and-conservative-treatment-of-cervical-and-lumbar-spinal-stenosis
#3
REVIEW
A Hug, S Hähnel, N Weidner
BACKGROUND: Degenerative stenotic spondylosis is not an uncommon cause of cervical spondylotic myelopathy (CSM) and cauda equina lesions in the aged population. Limited standardization exists with respect to diagnostic and therapeutic procedures. OBJECTIVE: Literature review with respect to diagnostic and therapeutic procedures for neurologically relevant cervical and lumbar spinals stenosis. MATERIAL AND METHODS: Comprehensive literature review...
April 16, 2018: Der Nervenarzt
https://www.readbyqxmd.com/read/29629597/minimally-invasive-spinal-decompression-for-degenerative-lumbar-spondylolisthesis-and-stenosis-maintains-stability-and-may-avoid-the-need-for-fusion
#4
A Minamide, M Yoshida, A K Simpson, Y Nakagawa, H Iwasaki, S Tsutsui, M Takami, H Hashizume, Y Yukawa, H Yamada
Aims The aim of this study was to investigate the clinical and radiographic outcomes of microendoscopic laminotomy in patients with lumbar stenosis and concurrent degenerative spondylolisthesis (DS), and to determine the effect of this procedure on spinal stability. Patients and Methods A total of 304 consecutive patients with single-level lumbar DS with concomitant stenosis underwent microendoscopic laminotomy without fusion between January 2004 and December 2010. Patients were divided into two groups, those with and without advanced DS based on the degree of spondylolisthesis and dynamic instability...
April 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29602004/shape-of-the-spinal-canal-is-not-associated-with-success-rates-of-microsurgical-unilateral-laminotomy-and-bilateral-decompression-for-lumbar-spinal-canal-stenosis
#5
Bawarjan Schatlo, Monika Horanin, Silvia Hernandez-Durán, Volodymyr Solomiichuk, Veit Rohde
INTRODUCTION: Lumbar spinal stenosis (LSS) is one of the most frequent neurosurgical affections. It has been reported that the anatomical shape of the spinal canal (oval, round, trefoil) predicts outcome of bilateral decompression performed in an undercutting technique via a unilateral laminotomy in monosegmental LSS. The poorest results were observed in a trefoild spinal canal, leading to the proposal of using a bilateral instead of a unilateral laminotomy. We have been routinely performing a unilateral microsurgical approach with undercutting to decompress both sides of the spinal canal for more than a decade...
March 27, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29600264/reliability-and-validity-of-the-swiss-spinal-stenosis-questionnaire-for-iranian-patients-with-lumbar-spinal-stenosis
#6
Afshin Ahmadzadeh Heshmati, Moghaddameh Mirzaee
Background: The purpose of this study was validation of the Persian translation of the Swiss Spinal Stenosis Questionnaire in order to be used by Iranian researchers. Methods: A total of 104 patients with spinal stenosis diagnosis, who were candidates for operative treatment were entered into the study. The patients completed the translated questionnaire in the 1st and the 7th days of admission and 6 months after surgery. Visual analogue scale was used to determine the severity of the pain in the1st day and the 6th month...
March 2018: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29581017/transforaminal-endoscopic-decompression-for-lumbar-spinal-stenosis-a-novel-surgical-technique-and-clinical-outcomes
#7
Sang-Ha Shin, Jun-Seok Bae, Sang-Ho Lee, Han-Joong Keum, Ho-Jin Kim, Won-Seok Jang
OBJECTIVE: Transforaminal endoscopic treatment has been reported to be an effective treatment option in patients with lumbar disc herniation. However, it is rarely performed for spinal stenosis because of the limitation of endoscopic working mobility due to the exiting nerve root and foraminous bony structure. The objective of the present study was to describe a novel transforaminal endoscopic decompression technique for spinal stenosis and report the clinical results. METHODS: From October 2015 to October 2016, 30 consecutive cases were diagnosed as lateral recess stenosis in our institution and underwent transforaminal endoscopic decompression...
March 23, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29558952/surgical-outcomes-for-lumbar-spinal-canal-stenosis-with-coexisting-cervical-stenosis-tandem-spinal-stenosis-a-retrospective-analysis-of-565-cases
#8
Tsuyoshi Yamada, Toshitaka Yoshii, Naoki Yamamoto, Takashi Hirai, Hiroyuki Inose, Atsushi Okawa
BACKGROUND: Concurrent cervical and lumbar spinal canal stenosis is known as tandem spinal stenosis (TSS). As research on TSS is limited, there is no consensus on the optimal surgical approach to this problem. We evaluated the prevalence and clinical characteristics of TSS in patients with symptomatic lumbar spinal canal stenosis (LCS). METHODS: The authors performed a retrospective analysis of the outcomes of 565 patients who underwent lumbar surgeries performed for symptomatic LCS...
March 20, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29557925/validation-of-patient-reported-outcomes-measurement-information-system-promis-computer-adaptive-tests-cats-in-the-surgical-treatment-of-lumbar-spinal-stenosis
#9
Alpesh A Patel, Shah-Nawaz M Dodwad, Barrett S Boody, Surabhi Bhatt, Jason W Savage, Wellington K Hsu, Nan E Rothrock
STUDY DESIGN: Prospective, cohort study. OBJECTIVE: Demonstrate validity of PROMIS physical function, pain interference, and pain behavior computer adaptive tests (CATs) in surgically treated lumbar stenosis patients. SUMMARY OF BACKGROUND DATA: There has been increasing attention given to patient reported outcomes associated with spinal interventions. Historical patient outcome measures have inadequate validation, demonstrate floor/ceiling effects, and infrequently used due to time constraints...
March 19, 2018: Spine
https://www.readbyqxmd.com/read/29524712/percutaneous-endoscopic-spine-minimal-invasive-technique-for-the-decompression-therapy-of-thoracic-myelopathy-caused-by-ossification-of-the-ligamentum-flavum
#10
Xinxin Miao, Dingwen He, Tianlong Wu, Xigao Cheng
BACKGROUND: Percutaneous endoscopic technique via interlaminar approach is one of the prevalent minimal invasive procedures in the treatment of lumbar disc herniation even lumbar spinal stenosis. The aim of this report is to perform complete decompressions for the cases with thoracic ossification of the ligamentum flavum using percutaneous endoscopic technique. CASE DESCRIPTION: We experienced surgical decompressions of two patients with thoracic myelopathy caused by OLF using percutaneous endoscopic surgery via interlaminar approach...
March 7, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29517667/aggravation-and-subsequent-disappearance-of-cervical-disc-herniation-after-cervical-open-door-laminoplasty-a-case-report
#11
Yang Meng, Xiaofei Wang, Beiyu Wang, Tingkui Wu, Hao Liu
RATIONALE: Cervical open-door laminoplasty can enlarge the volume of the cervical vertebral canal and thus has become an effective and safe treatment for multilevel cervical disc herniation and cervical stenosis. Some post-surgery complications exist, such as reduction of cervical alignment and local kyphosis. However, aggravation of cervical disc herniation at the surgical level during short-term follow-up has not been discussed. Additionally, spontaneous disappearance of herniated disc pulposus is a common phenomenon in the lumbar region but is relatively rare in the cervical region...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29499734/comparison-of-two-fda-approved-interspinous-spacers-for-treatment-of-lumbar-spinal-stenosis-superion-versus-x-stop-a-meta-analysis-from-five-randomized-controlled-trial-studies
#12
He Zhao, Li-Jun Duan, Yu-Shan Gao, Yong-Dong Yang, Ding-Yan Zhao, Xiang-Sheng Tang, Zhen-Guo Hu, Chuan-Hong Li, Si-Xue Chen, Tao Liu, Xing Yu
BACKGROUND: Decompressive laminectomy (DI) is a standard operation for lumbar spinal stenosis (LSS) patient with severe claudication symptoms for many years. However, patients whose symptom severity does not meet undergoing invasive surgery make therapeutic options into dilemma. Interspinous spacers (ISP) bridge the gap between surgical interventions and CC in management of LSS. In our study, we aim to systematically assess the two FDA-approved interspinous spacers for treatment of lumbar spinal stenosis: Superion versus X-STOP...
March 2, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29499383/barriers-and-facilitators-to-a-home-based-cycling-program-tailored-to-older-patient-preferences-in-lumbar-spinal-stenosis-a-retrospective-mixed-method-study
#13
Charlotte Pauwels, Alexandra Roren, Adrien Gautier, Jonathan Linières, François Rannou, Serge Poiraudeau, Christelle Nguyen
BACKGROUND: Lumbar-flexion-based endurance training, namely cycling, could be effective in reducing pain and improving function and health-related quality of life in older people with chronic low back pain. OBJECTIVES: To assess barriers and facilitators to home-based cycling in older patients with lumbar spinal stenosis (LSS). METHODS: We conducted a retrospective mixed-method study. Patients ≥ 50 years old followed up for LSS from November 2015 to June 2016 in a French tertiary care center were screened...
February 27, 2018: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29496622/variation-in-costs-among-surgeons-for-lumbar-spinal-stenosis
#14
Paul T Ogink, Teun Teunis, Olivier van Wulffte Palthe, Karen Sepucha, Christopher M Bono, Joseph H Schwab, Thomas D Cha
BACKGROUND CONTEXT: Lumbar spinal stenosis is a common condition in the elderly for which costs vary substantially by region. Comparing differences between surgeons from a single institution, thereby omitting regional variation, could aid in identifying factors associated with higher costs and individual drivers of costs. The use of decision aids (DAs) has been suggested as one of the possible tools for diminishing costs and cost variation. PURPOSE: (1) To determine factors associated with higher costs for treatment of spinal stenosis in the first year after diagnosis in a single institution; (2) to find individual drivers of costs for providers with higher costs; (3) to determine if the use of DAs can decrease costs and cost variability...
February 26, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29481382/impact-of-frailty-and-comorbidities-on-surgical-outcomes-and-complications-in-adult-spinal-disorders
#15
Mitsuru Yagi, Nobuyuki Fujita, Eijiro Okada, Osahiko Tsuji, Narihito Nagoshi, Takashi Tsuji, Takashi Asazuma, Masaya Nakamura, Morio Matsumoto, Kota Watanabe
STUDY DESIGN: Retrospective review of surgically treated 481 adult patients with spinal disorders OBJECTIVE.: To elucidate the effect of frailty and comorbidities on postoperative health-related quality of life (HRQoL) and complication rates. SUMMARY OF BACKGROUND DATA: Elective surgeries for spinal disorders improve clinical outcomes but also have high complication rates. METHODS: We retrospectively reviewed the results of consecutive elective spine surgeries for 156 adult spinal deformity (ASDs:65±9yrs), 152 degenerative spondylolisthesis (DSs:64 ± 10yrs), or 173 lumbar spinal canal stenosis (LSCSs:71 ± 9yrs) with followed at least 2 years...
February 22, 2018: Spine
https://www.readbyqxmd.com/read/29473790/extraforaminal-approach-of-biportal-endoscopic-spinal-surgery-a-new-endoscopic-technique-for-transforaminal-decompression-and-discectomy
#16
Jae-Sung Ahn, Ho-Jin Lee, Dae-Jung Choi, Ki-Young Lee, Sung-Jin Hwang
This study was performed to describe the extraforaminal approach of biportal endoscopic spinal surgery (BESS) as a new endoscopic technique for transforaminal decompression and discectomy and to demonstrate the clinical outcomes of this new procedure for the first time. Twenty-one patients (27 segments) who underwent the extraforaminal approach of BESS between March 2015 and April 2016 were enrolled according to the inclusion and exclusion criteria. The operative time (minutes/level) and complications after the procedure were recorded...
February 23, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29447854/risk-factors-associated-complications-for-postoperative-urinary-retention-after-lumbar-surgery-for-lumbar-spinal-stenosis
#17
Joshua L Golubovsky, Haariss Ilyas, Jinxiao Chen, Joseph E Tanenbaum, Thomas E Mroz, Michael P Steinmetz
BACKGROUND CONTEXT: Postoperative Urinary Retention (POUR) is a very common post-operative complication of all surgeries (5 - 70%) that may lead to complications such as urinary tract infection (UTI), bladder over-distention, autonomic dysregulation, and increased postoperative length of stay (LOS). Within the field of spine surgery, the reported incidence of POUR is highly variable (5.6 - 38%). Lack of clear stratification of surgical level, spinal pathology, and inadequate sample size is a major limitation of available studies concerning POUR following spine surgery that may lead to inconsistency in the incidence of POUR and the ability to model its occurrence and consequences...
February 12, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29425979/percutaneous-endoscopic-laminotomy-with-flavectomy-by-uniportal-unilateral-approach-for-the-lumbar-canal-or-lateral-recess-stenosis
#18
Chul-Woo Lee, Kang-Jun Yoon, Ji-Ho Jun
OBJECTIVE: The objective of this retrospective study was to evaluate the clinical feasibility and safety of percutaneous endoscopic decompression by uniportal, unilateral approach for the lumbar canal or lateral recess stenosis. METHODS: The procedure was performed with endoscopic instruments in the same way as with conventional microscopic laminotomy and flavectomy. Clinical outcomes (VAS, ODI, modified MacNab criteria) were evaluated. Surgical outcomes including operative time, hospital stay and complications were also investigated...
February 6, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29417785/-therapeutic-progress-in-lumbar-spinal-stenosis
#19
REVIEW
Shao-Yan Shi, Yan-Sheng Huang, Ding-Jun Hao
Along with the population aging in China, patients with lumbar spinal stenosis(LSS) caused by recessive change incessantly increase. At present, there is no adequate evidence to recommend any specific nonoperative treatment for LSS, and surgery is still an effective method. The cilincal symptoms of the patients without conservative treatment got improvement after surgery, which is the strongest evidence base. Spinal instability after simple decompression promotes the development of fusion technique, and the accelerated adjacent segment degeneration and no relief in symptoms after fusion lead to dynamic fixation technology emerge as the times require...
May 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29417772/-case-control-study-on-two-different-surgical-approaches-combined-fixation-with-lumbar-interbody-fusion-for-the-treatment-of-single-segmental-lumbar-vertebra-diseases
#20
Zhong-You Zeng, Wei-Feng Yan, Yong-Xing Song, Ke-Ya Mao, Jian-Fei Ji, Jian-Qiao Zhang, Peng Wu, Fei Pei, Guo-Hao Song, Jian-Fu Han, Wei Yu
OBJECTIVE: To discuss the advantages and disadvantages of two different surgical approaches combined fixation with lumbar interbody fusion in treating single segmental lumbar vertebra diseases. METHODS: The clinical data of 86 patients with single segmental lumbar vertebra diseases treated from June 2011 to June 2013 was retrospectively analyzed. There were 33 males and 53 females, aged from 28 to 76 years old with an average of 53.0 years. Among them, there were 39 cases of lumbar disc degeneration, 22 cases of lumbar disc herniation complicated with spinal canal stenosis, 9 cases of huge lumbar disc herniation and 16 cases of lumbar degenerative spondylolisthesis (Meyerding degree I )...
May 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
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