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Spine, pain, neurosurgery

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https://www.readbyqxmd.com/read/27740396/impact-of-obesity-on-complications-and-outcomes-a-comparison-of-fusion-and-nonfusion-lumbar-spine-surgery
#1
Ikemefuna Onyekwelu, Steven D Glassman, Anthony L Asher, Christopher I Shaffrey, Praveen V Mummaneni, Leah Y Carreon
OBJECTIVE Prior studies have shown obesity to be associated with higher complication rates but equivalent clinical outcomes following lumbar spine surgery. These findings have been reproducible across lumbar spine surgery in general and for lumbar fusion specifically. Nevertheless, surgeons seem inclined to limit the extent of surgery, perhaps opting for decompression alone rather than decompression plus fusion, in obese patients. The purpose of this study was to ascertain any difference in clinical improvement or complication rates between obese and nonobese patients following decompression alone compared with decompression plus fusion for lumbar spinal stenosis (LSS)...
October 14, 2016: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/27500769/-postoperative-applications-of-the-fast-track-technology-in-patients-with-herniated-intervertebral-discs-of-the-lumbosacral-spine
#2
A G Nazarenko, N A Konovalov, A V Krut'ko, T N Zamiro, I B Geroeva, R R Gubaidullin, N E Khoreva, A N Komarov, M A Stepanyan, M V Konstantinova, A M Kazachonok, R A Onoprienko, V A Korolishin, T N Kubynina, M A Martynova
TOPICALITY: The fast track technology means a complex of targeted measures involving rational preoperative preparation, minimally invasive surgery, regional anesthesia and short-acting anesthetics, and early postoperative rehabilitation. Elucidating the possibility of applying the fast track technology in neurosurgery, in particular in spinal surgery, is extremely topical. This is associated with the epidemiological data and the fact that minimally invasive techniques used in neurosurgery are highly expensive...
2016: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
https://www.readbyqxmd.com/read/27491346/patient-perspectives-regarding-ethics-of-spinal-column-stimulators-in-the-surgical-management-of-persistent-postoperative-neuropathic-pain
#3
Nardin Samuel, Mark Bernstein, Naif M Alotaibi, Suneil K Kalia, Mohammed F Shamji
OBJECTIVE: The aim of this study is to better understand perspectives of patients with persistent postoperative neuropathic pain (PPNP) and assess perceptions of the ethical issues surrounding their structural spinal surgeon also performing spinal cord stimulation (SCS). METHODS: Semistructured face-to-face interviews with 20 neurosurgical spine patients were conducted. Patients were recruited from the neurosurgery clinics at Toronto Western Hospital and were seen in consultation for PPNP...
August 5, 2016: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/27399427/148%C3%A2-predictive-model-for-return-to-work-after-elective-surgery-for-lumbar-degenerative-disease-an-analysis-from-national-neurosurgery-quality-outcomes-database-registry
#4
Anthony L Asher, Silky Chotai, Clinton J Devin, Kristen Archer-Swygert, Scott L Parker, Mohamad Bydon, Nian Hui, Frank Harrell, Theodore Speroff, Robert Dittus, Sharon Philips, Christopher I Shaffrey, Kevin T Foley, Matthew J McGirt
INTRODUCTION: The current costs associated with spine care are unsustainable. The productivity loss and time away from work in gainfully employed patients contributes greatly to the financial burden. Therefore, it is vital to identify the factors associated with returning to work after lumbar spine surgery. We present a predictive model of ability to return to work (RTW) after lumbar spine surgery for degenerative spine disease. METHODS: Total 4694 patients undergoing elective spine surgery for degenerative lumbar disease who were employed were entered into a prospective multicenter registry (N2QOD)...
August 2016: Neurosurgery
https://www.readbyqxmd.com/read/27347652/a-new-less-invasive-technique-for-multiple-level-spontaneous-spinal-epidural-hematomas-wash-and-go-technique
#5
Osman Tanriverdi, Abuzer Gungor, Mustafa Kemal Coban, Onder Okay, Umit Kamaci
Aim Spinal epidural hematomas are rare entity in neurosurgery practice. Most of them are spontaneous due to anticoagulant therapy and called spontaneous spinal epidural hematomas (SSEHs). Laminectomy or hemilaminectomy for affected levels is still the first choice in the operative treatment of an SSEH. We describe a new less invasive surgical technique, performing single-level laminectomy and washing with 0.9% sodium chloride through a thin soft catheter for a 12-level thoracic-cervical SSEH in a patient under anticoagulant therapy...
June 27, 2016: Journal of Neurological Surgery. Part A, Central European Neurosurgery
https://www.readbyqxmd.com/read/27346094/comparison-of-the-cross-sectional-area-of-longus-colli-muscle-between-patients-with-cervical-radicular-pain-and-healthy-controls
#6
Pardis Noormohammadpour, Azime Dehghani, Mohammad Ali Mansournia, Mohammad Ali Mohseni-Bandpei, Navid Moghaddam, Mojtaba Miri, Ramin Kordi
BACKGROUND: Previous studies have shown atrophy of paravertebral lumbar muscles in patients with lumbar radicular pain, and proposed rehabilitative approaches based on these findings. However, changes of cervical paravertebral muscles in patients with cervical radicular pain are still unknown. OBJECTIVE: The aim of this study was to compare the cross sectional area (CSA) of longus colli muscle (LCM) in patients with cervical radicular pain and healthy controls via ultrasound measurement...
June 23, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/27228529/fluoroscopically-guided-c2-percutaneous-vertebroplasty-a-surgical-technique-note-on-an-anterior-ascending-approach
#7
Kuo-Wei Wang, Hao-Kuang Wang, Kang Lu, Cheng-Loong Liang, Ya-Wen Chen, Po-Chou Liliang
BACKGROUND: C2 vertebroplasty is more challenging than transpedicular percutaneous vertebroplasty in the thoracic and lumbar spine. OBJECTIVE: We report an anterior ascending approach for C2 percutaneous vertebroplasty to avoid potential injury to vital structures surrounding the C2 vertebra. STUDY DESIGN: A technique note with 5 consecutive cases. SETTING: Neurosurgery department of a university hospital. METHODS: Fluoroscopically guided manual compression was applied using 3 fingers at the C5 level between the muscle and trachea...
May 2016: Pain Physician
https://www.readbyqxmd.com/read/27086260/assessment-of-surgical-treatment-strategies-for-moderate-to-severe-cervical-spinal-deformity-reveals-marked-variation-in-approaches-osteotomies-and-fusion-levels
#8
Justin S Smith, Eric Klineberg, Christopher I Shaffrey, Virginie Lafage, Frank J Schwab, Themistocles Protopsaltis, Justin K Scheer, Tamir Ailon, Subaraman Ramachandran, Alan Daniels, Gregory Mundis, Munish Gupta, Richard Hostin, Vedat Deviren, Robert Eastlack, Peter Passias, D Kojo Hamilton, Robert Hart, Douglas C Burton, Shay Bess, Christopher P Ames
OBJECTIVE: Although previous reports suggest that surgery can improve the pain and disability of cervical spinal deformity (CSD), techniques are not standardized. Our objective was to assess for consensus on recommended surgical plans for CSD treatment. METHODS: Eighteen CSD cases were assembled, including a clinical vignette, cervical imaging (radiography, computed tomography/magnetic resonance imaging), and full-length standing radiography. Fourteen deformity surgeons (10 orthopedic, 4 neurosurgery) were queried regarding recommended surgical plans...
July 2016: World Neurosurgery
https://www.readbyqxmd.com/read/26743937/serum-levels-of-the-proinflammatory-cytokine-interleukin-6-vary-based-on-diagnoses-in-individuals-with-lumbar-intervertebral-disc-diseases
#9
Kathryn T Weber, D Olivier Alipui, Cristina P Sison, Ona Bloom, Shaheda Quraishi, M Chris Overby, Mitchell Levine, Nadeen O Chahine
BACKGROUND: Many intervertebral disc diseases cause low back pain (LBP). Proinflammatory cytokines and matrix metalloproteinases (MMPs) participate in disc pathology. In this study, we examined levels of serum cytokines and MMPs in human subjects with diagnoses of disc herniation (DH), spinal stenosis (SS), or degenerative disc disease (DDD) relative to levels in control subjects. Comparison between subjects with DH and those with other diagnoses (Other Dx, grouped from SS and DDD) was performed to elaborate a pathological mechanism based on circulating cytokine levels...
January 7, 2016: Arthritis Research & Therapy
https://www.readbyqxmd.com/read/26523908/preoperative-depression-smoking-and-employment-status-are-significant-factors-in-patient-satisfaction-after-lumbar-spine-surgery
#10
Laura Chapin, Kelly Ward, Timothy Ryken
STUDY DESIGN: Prospective cohort study. OBJECTIVE: To determine whether comorbidities and demographics, identified preoperatively, can impact patient outcomes and satisfaction after lumbar spine surgery. SUMMARY OF BACKGROUND DATA: The surgical treatment of lower back pain does not always eliminate a patient's pain and symptoms. Revision surgeries are costly and expose the patient to additional risk. We aim to identify patient characteristics that may suggest a greater or lesser likelihood of postsurgical success by examining patient-reported measures and outcomes after surgery...
October 29, 2015: Journal of Spinal Disorders & Techniques
https://www.readbyqxmd.com/read/26386456/cervical-fusion-for-absent-pedicle-syndrome-manifesting-with-myelopathy
#11
C Rory Goodwin, Atman Desai, Mohamed H Khattab, Benjamin D Elder, Ali Bydon, Jean-Paul Wolinsky
BACKGROUND: Absent congenital pedicle syndrome is a posterior arch defect characterized by numerous congenital and mechanical abnormalities that result from disconnection of the anterior and posterior columns of the spinal canal. Absent congenital pedicle syndrome is a rare anomaly that is most commonly diagnosed incidentally, after evaluation of minor trauma, or after complaints of chronic neck pain. We report a case of absent congenital pedicle syndrome in a patient who presented with myelopathy and lower extremity weakness and review the literature on the surgical management of this entity...
February 2016: World Neurosurgery
https://www.readbyqxmd.com/read/26378350/lumbar-surgery-in-the-elderly-provides-significant-health-benefit-in-the-us-health-care-system-patient-reported-outcomes-in-4370-patients-from-the-n2qod-registry
#12
Matthew J McGirt, Scott L Parker, Alan Hilibrand, Praveen Mummaneni, Steven D Glassman, Clinton J Devin, Anthony L Asher
BACKGROUND: Lumbar spine degenerative pathologies are prevalent in the United States. The health benefit of spine surgery in the elderly has been questioned. OBJECTIVE: To compare effectiveness, morbidity, and quality of care associated with surgical management of degenerative lumbar spinal disorders in elderly vs nonelderly patients. METHODS: The National Neurosurgery Quality and Outcomes Database registry prospectively collects measures of surgical safety and patient-reported outcomes for 1 year after surgery...
October 2015: Neurosurgery
https://www.readbyqxmd.com/read/26306934/the-accuracy-of-clinical-symptoms-in-detecting-cauda-equina-syndrome-in-patients-undergoing-acute-mri-of-the-spine
#13
Abdul Ahad, Mohammed Elsayed, Hassaan Tohid
A large number of patients do not have cauda equina syndrome (CES) on MRI to account for their clinical findings; consequently, the majority of urgent scans requested are normal. We aimed to determine whether any clinical manifestation of CES, as stated in Royal College of Radiology guidelines, could predict the presence of established CES on MRI. We also aimed to support a larger study to develop a more universal assessment tool for acute lower back pain.A retrospective analysis of consecutive patients who warranted urgent MRI was conducted...
August 2015: Neuroradiology Journal
https://www.readbyqxmd.com/read/26294951/rapid-progressive-seeding-of-a-community-acquired-pathogen-in-an-immune-competent-host-end-organ-damage-from-head-to-bone
#14
Daisy Torres-Miranda, Farah Al-Saffar, Saif Ibrahim, Stephanie Diaz-Font
Methicillin-sensitive Staphylococcus aureus (MSSA) meningitis is a rare disease when not related to neurosurgery: there are only few reported cases in the literature to date. We describe a case that highlights not only meningeal but also diffuse and rapidly progressive systemic involvement with multi-organ failure. A 64-year-old male presented to our hospital with a chief complaint of acute worsening of his usual chronic lower back pain, progressive weakness in lower extremities and subjective fevers at home...
April 15, 2015: Infectious Disease Reports
https://www.readbyqxmd.com/read/26217386/cervical-sagittal-alignment-parameters-of-patients-admitted-to-neurosurgery-and-emergency-clinics-in-a-state-hospital-at-eastern-part-of-turkey
#15
Sümeyye Çoruh Kaplan, Murat Şakir Ekşi
OBJECTIVE: Cervical spine encompasses a bridge role between the head and the lower parts of the spine and therefore has unique properties. Our aim in this study was to evaluate the cervical sagittal alignment parameters in pediatric and adult non-surgical patients and to find any differences in respect of age, sex and admission type. METHODS: All patients who were admitted to emergency and neurosurgery clinics of Diyarbakir Bismil State Hospital due to cervical spine problems (trauma, radiculopathy, paraspinal pain) in 2014 were enrolled retrospectively into the study...
June 2015: Korean Journal of Spine
https://www.readbyqxmd.com/read/26187548/effects-of-therapy-in-patients-suffering-from-chronic-back-pain-treated-with-spinal-cord-stimulation
#16
Anna Mosiewicz, Elżbieta Rutkowska, Monika Matacz, Barbara Mosiewicz, Robert Kaczmarczyk, Tomasz Trojanowski
Pain in the lumbosacral part of the spine in the course of degenerative disease is the most common cause of physical activity limitation in adults. Treatment includes pharmacotherapy, physiotherapy, psychotherapy, health promotion, and sometimes surgery. Surgical treatment is not always successful, and the various clinical and psychosomatic symptoms that result from surgical treatment failure are known as failed back surgery syndrome. For some patients with this condition, spinal cord stimulation can provide relief...
October 2015: Pain Management Nursing: Official Journal of the American Society of Pain Management Nurses
https://www.readbyqxmd.com/read/25983767/the-effect-of-age-on-result-of-straight-leg-raising-test-in-patients-suffering-lumbar-disc-herniation-and-sciatica
#17
Homayoun Tabesh, Ariyan Tabesh, Esmaeil Fakharian, Mohammadreza Fazel, Saeid Abrishamkar
BACKGROUND: Ninety percent of all people sometimes during their lives experience low back pain, and 30-40% develops radicular leg pain with the sciatica characteristics. Although for clinical diagnosis of lumbar disc herniation (LDH) straight leg raising (SLR) test in 85-90% of cases indicates LDH, but in our practice with LDH patients this test is frequently negative despite radicular leg pain due to LDH. Hence, we decided to evaluate this test in LDH in different age groups. MATERIALS AND METHODS: All patients with leg pain referring to neurosurgery clinic were enrolled...
February 2015: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
https://www.readbyqxmd.com/read/25869337/agreement-in-the-assessment-of-metastatic-spine-disease-using-scoring-systems
#18
Estanislao Arana, Francisco M Kovacs, Ana Royuela, Beatriz Asenjo, Ursula Pérez-Ramírez, Javier Zamora
PURPOSE: To assess variability in the use of Tomita and modified Bauer scores in spine metastases. MATERIALS AND METHODS: Clinical data and imaging from 90 patients with biopsy-proven spinal metastases, were provided to 83 specialists from 44 hospitals. Spinal levels involved and the Tomita and modified Bauer scores for each case were determined twice by each clinician, with a minimum of 6-week interval. Clinicians were blinded to every evaluation. Kappa statistic was used to assess intra and inter-observer agreement...
April 2015: Radiotherapy and Oncology: Journal of the European Society for Therapeutic Radiology and Oncology
https://www.readbyqxmd.com/read/25732916/lung-cancer-in-pregnancy
#19
Kornelia Holzmann, Roland Kropfmüller, Herwig Schinko, Stephan Bogner, Franz Fellner, Wolfgang Arzt, Bernd Lamprecht
In the 26th week of gestation, a 29-year-old pregnant office employee was referred to the pulmonary department of Linz General Hospital (AKH) under the suspicion of tuberculosis. She complained of a cough with intermittent hemoptysis and pain in the thoracic spine from which she had been suffering the past 9 weeks. A plain chest X-ray showed a dense infiltrate on the right side and multiple smaller shadows in both lungs. Laboratory testing revealed anemia, leukocytosis, and an increase of C-reactive protein...
August 2015: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/25723120/patient-misconceptions-concerning-lumbar-spondylosis-diagnosis-and-treatment
#20
Eric W Franz, J Nicole Bentley, Patricia P S Yee, Kate W C Chang, Jennifer Kendall-Thomas, Paul Park, Lynda J S Yang
OBJECT Patient outcome measures are becoming increasingly important in the evaluation of health care quality and physician performance. Of the many novel measures currently being explored, patient satisfaction and other subjective measures of patient experience are among the most heavily weighted. However, these subjective measures are strongly influenced by a number of factors, including patient demographics, level of understanding of the disorder and its treatment, and patient expectations. In the present study, patients referred to a neurosurgery clinic for degenerative spinal disorders were surveyed to determine their understanding of lumbar spondylosis diagnosis and treatment...
May 2015: Journal of Neurosurgery. Spine
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