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MILD lumbar decompression

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https://www.readbyqxmd.com/read/27799991/the-factors-that-affect-improvement-of-neurogenic-bladder-by-severe-lumbar-disc-herniation-in-operation
#1
Joon Bok Jeon, Seung Hwan Yoon, Do Keun Kim, Ji-Yong Kim
OBJECTIVE: This study analyzed retrospectively the bladder function of patients after early surgery for cauda equina syndrome (CES) performed within 24 or 48 hours, or after 48 hours of the onset of autonomic symptoms. METHODS: We retrospectively reviewed the clinical data of 31 patients after decompression surgery for lumbar disc herniation (LDH) who had been diagnosed with CES between January 2001 and December 2014 at Inha University Hospital. The following factors were assessed to evaluate the influence of time to surgery: bladder function, rectal incontinence, sexual dysfunction, LDH level, and degree of spinal canal compression...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27751507/-spinal-extradural-arachnoid-cyst-a-case-report-and-review-of-literature
#2
Javier Quillo-Olvera, Javier Quillo-Reséndiz, Carlos-Francisco Gutiérrez-Partida, Manuel Rodríguez-García
BACKGROUND: Arachnoid cysts of spine are a very rare occurrence. The aetiology still remains unclear, but the most accepted explanation is the existence of areas of weakness in the spinal dura. Symptoms depend on the location in the spine. Magnetic resonance imaging is used for its diagnosis. Management depends of clinical presentation, and the surgery is reserved for patients with neurological impairment. CLINICAL CASE: A case is described of 67 year-old male with myelopathy and radiculopathy symptoms, both diagnosed simultaneously...
October 14, 2016: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/27742516/massive-lumbar-disc-herniation-following-therapeutic-water-boiling-of-the-lower-extremities-a-case-report-and-literature-review
#3
A Spallone, M Çelniku
A 49 years-old man came to our attention with severe flaccid paraparesis occurring 10 days before, almost immediately after he had immerged his legs in boiling water for treating his severe left lombo-crural pain. This was known to be due to a right L3-L4 herniated disk diagnosed by MRI. At the examination he showed severe motor paresis and absent reflexes of his lower limbs, whilst crural pain was very mild and sensation and urinary function were unaffected. The results of his neurological examination led us to suspect an acute motor axon degeneration related to the heating shock...
October 11, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27725307/associated-lumbar-scoliosis-does-not-affect-outcomes-in-patients-undergoing-focal-minimally-invasive-surgery-transforaminal-lumbar-interbody-fusion-mistlif-for-neurogenic-symptoms-a-minimum-2-year-follow-up-study
#4
Kae Sian Tay, Anupreet Bassi, William Yeo, Wai Mun Yue
BACKGROUND CONTEXT: There is no current literature comparing outcomes of patients with and without lumbar scoliosis having neurologic symptoms undergoing minimally invasive surgery-transforaminal lumbar interbody fusion (MISTLIF) technique. PURPOSE: This study aimed to determine whether associated lumbar scoliosis will result in different clinical, radiological, and operative outcomes in patients undergoing focal MISTLIF for neurogenic symptoms, without specific correction of the scoliosis...
October 8, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27683708/percutaneous-thoracolumbar-decompression-combined-with-percutaneous-pedicle-screw-fixation-and-fusion-a-method-for-treating-spinal-degenerative-pain-in-a-biplane-angiography-suite-with-the-avoidance-of-general-anesthesia
#5
Bohdan W Chopko
BACKGROUND: Spondylytic degeneration of the axial lumbar spine is a major cause of pain and disability. Recent advances in spinal surgical instrumentation, including percutaneous access and fusion techniques, have made possible the performance of instrumented fusion through small incisions. By blending strategies of interventional pain management, neuroradiology, and conventional spine surgery, it is now feasible to treat spinal axial pain using permanent fixation techniques and local anesthesia in the setting of a fluoroscopy suite using mild sedation and local anesthesia...
June 2016: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/27506780/minimally-invasive-surgery-through-the-interlaminar-approach-in-the-treatment-of-spinal-tuberculosis-a-retrospective-study-of-31-patients
#6
Huadong Yang, Kedong Hou, Lin Zhang, Xifeng Zhang, Yan Wang, Peng Huang, Songhua Xiao
The aim of this study was to evaluate the efficacy of minimally invasive spinal decompression combined with local chemotherapy in treating patients with thoracic/lumbar tuberculosis (TB) and abscess compression of the spinal canal. Clinical data of 31 patients with thoracic/lumbar TB and spinal epidural abscess, admitted to our hospital between December 2005 and June 2014 were retrospectively analyzed. All patients received initial conservative treatment but achieved unsatisfactory results and then underwent minimally invasive spinal canal decompression, focus debridement and catheter drainage through a posterior interlaminar approach...
October 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/27454281/complex-regional-pain-syndrome-caused-by-lumbar-herniated-intervertebral-disc-disease
#7
Se Hee Kim, Sang Sik Choi, Mi Kyung Lee, Jung Eun Kin
Most cases of complex regional pain syndrome (CRPS) occur after some inciting injury. There are a few cases of CRPS after an operation for disc disease. CRPS from a mild herniated intervertebral disc (HIVD) without surgical intervention is even rarer than CRPS after an operation for disc disease.A 22-year-old man was transferred to a pain clinic. He had continuously complained about back and right leg pain. He presented with a skin color change in the right lower leg, intermittent resting tremor, stiffness, and swelling in the right leg...
July 2016: Pain Physician
https://www.readbyqxmd.com/read/27290708/-a-comparation-of-efficacy-between-unilateral-laminectomy-approach-bilateral-decompression-and-traditional-total-laminectomy-decompression-in-the-treatment-of-lumbar-spinal-stenosis
#8
W Hu, J Zhao, C Gong, M Zou, J H Yuan, X Y Liu
OBJECTIVES: To compare the efficacy between unilateral laminectomy approach bilateral decompression and traditional total laminectomy decompression in the treatment of graft bone fusion and internal fixation for degenerative lumbar spinal stenosis with the unilateral symptoms. METHOD: From January 2013 to December 2014, a total of 40 patients with unilateral symptoms of lumbar spinal stenosis were treated in Department of Spinal Surgery Bozhou People's Hospital of Anhui Province...
June 7, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27268102/differential-diagnosis-and-treatment-of-acute-cauda-equina-syndrome-in-the-human-immunodeficiency-virus-positive-patient-a-case-report-and-review-of-the-literature
#9
George Panos, Dionysios C Watson, Ioannis Karydis, Dimitrios Velissaris, Marina Andreou, Vasilis Karamouzos, Maria Sargianou, Antonios Masdrakis, Paraskevi Chra, Lavrentios Roussos
BACKGROUND: Acute cauda equina syndrome is an uncommon but significant neurologic presentation due to a variety of underlying diseases. Anatomical compression of nerve roots, usually by a lumbar disk hernia is a common cause in the general population, while inflammatory, neoplastic, and ischemic causes have also been recognized. Among human immunodeficiency virus (HIV) infected patients with acquired immunodeficiency syndrome, infectious causes are encountered more frequently, the most prevalent of which are: cytomegalovirus, herpes simplex virus 1/2, varicella zoster virus, and Mycobacterium tuberculosis infections...
2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27228518/facetoplasty-using-radiofrequency-thermocoagulation-for-facet-joint-hypertrophy
#10
Jinyoung Oh, Daehyun Jo, Koohyun Kim, Jungwoo Shim, Misun Roh
UNLABELLED: Lumbar spinal stenosis is one of most common pathologic conditions affecting the lumbar spine. Pain and/or disability in the low back and lower extremities with or without neurogenic claudication may occur as a result of compression of dural sac contents or nerve roots in the narrowed space. Bulging and protrusion, facet joint hypertrophy, and disc herniation combined with osteophytes and arthritic changes of facet joints can be the cause of lumbar spinal stenosis. Medical/interventional treatment may be considered as an initial treatment for patients with mild symptoms of lumbar spinal stenosis...
May 2016: Pain Physician
https://www.readbyqxmd.com/read/27228511/mild%C3%A2-is-an-effective-treatment-for-lumbar-spinal-stenosis-with-neurogenic-claudication-midas-encore-randomized-controlled-trial
#11
Ramsin M Benyamin, Peter S Staats, Investigators MiDAS Encore
BACKGROUND: Lumbar spinal stenosis (LSS) is a common degenerative condition of the spine, which is a major cause of pain and functional disability for the elderly. Neurogenic claudication symptoms are a hallmark of LSS, where patients develop low back or leg pain when walking or standing that is relieved by sitting or lumbar flexion. The treatment of LSS generally begins with conservative management such as physical therapy, home exercise programs, and oral analgesics. Once these therapies fail, patients commonly move forward with interventional pain treatment options such as epidural steroid injections (ESIs) or MILD® as the next step...
May 2016: Pain Physician
https://www.readbyqxmd.com/read/27224937/innovations-in-interventional-pain-management-of-chronic-spinal-pain
#12
Laxmaiah Manchikanti, Mark V Boswell, Joshua A Hirsch
INTRODUCTION: Interventional pain management dates back to 1901, with significant innovations, which include the definition, literature synthesis, pathophysiology, and technical interventions. AREAS COVERED: Interventional pain management and interventional techniques include neural blockade, neural ablative procedures, spinal cord and peripheral nerve stimulation, intrathecal drug delivery systems, minimally invasive lumbar decompression (MILD®), percutaneous endoscopic spinal decompression, and regenerative medicine...
September 2016: Expert Review of Neurotherapeutics
https://www.readbyqxmd.com/read/27196133/magnetic-resonance-imaging-evaluation-of-the-effects-of-surgical-invasiveness-on-paravertebral-muscles-following-muscle-preserving-interlaminar-decompression-mild
#13
Hitoshi Tonomura, Yoichiro Hatta, Yasuo Mikami, Takumi Ikeda, Tomohisa Harada, Masateru Nagae, Hironori Koike, Hitoshi Hase, Toshikazu Kubo
STUDY DESIGN: A retrospective study. OBJECTIVES: To determine the extent of damage to the paravertebral muscles following muscle-preserving interlaminar decompression (MILD) using magnetic resonance imaging (MRI) to evaluate changes in the multifidus muscle (MF). SUMMARY OF BACKGROUND DATA: Short-term surgical outcomes of MILD for lumbar spinal canal stenosis (LSCS) are satisfactory; however, the extent of damage to the paravertebral muscles following MILD remains unclear...
May 18, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27157279/acute-foramen-magnum-syndrome-following-single-diagnostic-lumbar-puncture-consequence-of-a-small-posterior-fossa
#14
Amandeep Kumar, Mohit Agrawal, Surya Prakash, Shambanduram Somorendra, Pankaj Kumar Singh, Ajay Garg, Manmohan Singh, Bhawani Shanker Sharma
BACKGROUND: Type I Chiari malformation (CMI) is a rare complication of lumbar cerebrospinal fluid (CSF) drainage that is usually reported after lumbar drain or lumboperitoneal shunt placement. It usually remains asymptomatic; however, even if it becomes symptomatic, symptoms are usually mild. There are only a few reports of acute foramen magnum syndrome following continuous lumbar CSF drainage, and acute foramen magnum syndrome after a single diagnostic lumbar puncture (LP) has not been previously reported...
July 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27063925/when-is-compensation-for-lumbar-spinal-stenosis-a-clinical-sagittal-plane-deformity
#15
Aaron J Buckland, Shaleen Vira, Jonathan H Oren, Renaud Lafage, Bradley Y Harris, Matthew A Spiegel, Bassel G Diebo, Barthelemy Liabaud, Themistocles S Protopsaltis, Frank J Schwab, Virginie Lafage, Thomas J Errico, John A Bendo
BACKGROUND CONTEXT: Degenerative lumbar stenosis (DLS) patients have been reported to lean forward in an attempt to provide neural decompression. Spinal alignment in patients with DLS may resemble that of adult spinal deformity (ASD). No previous studies have compared and contrasted the compensatory mechanisms of DLS and ASD patients. PURPOSE: This study aimed to determine the differences in compensatory mechanisms between DLS and ASD patients with increasing severity of sagittal spinopelvic malalignment...
August 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/26931264/the-role-of-selective-nerve-root-block-in-the-treatment-of-lumbar-radicular-leg-pain
#16
S A Jonayed, M Kamruzzaman, M K Saha, S Alam, S Akter
The objective of this retrospective study was to investigate the clinical effectiveness of nerve root blocks (i.e., periradicular injection of Lidocaine and triamcinolone) for lumbar monoradiculopathy in patients with a mild neurological deficit in National Institute of Traumatology & Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh from March 2014 to December 2014. We Included 24 patients (32-74 years) with a minor sensory/motor deficit and an unequivocal MRI finding (18 disc herniations, 6 foraminal stenosis) treated with a selective nerve root block...
January 2016: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/26824399/surgical-versus-non-surgical-treatment-for-lumbar-spinal-stenosis
#17
REVIEW
Fabio Zaina, Christy Tomkins-Lane, Eugene Carragee, Stefano Negrini
BACKGROUND: Lumbar spinal stenosis (LSS) is a debilitating condition associated with degeneration of the spine with aging. OBJECTIVES: To evaluate the effectiveness of different types of surgery compared with different types of non-surgical interventions in adults with symptomatic LSS. Primary outcomes included quality of life, disability, function and pain. Also, to consider complication rates and side effects, and to evaluate short-, intermediate- and long-term outcomes (six months, six months to two years, five years or longer)...
January 29, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/26815247/midas-encore-randomized-controlled-clinical-trial-report-of-6-month-results
#18
RANDOMIZED CONTROLLED TRIAL
Peter S Staats, Ramsin M Benyamin
BACKGROUND: Patients suffering from neurogenic claudication due to lumbar spinal stenosis (LSS) often experience moderate to severe pain and significant functional disability. Neurogenic claudication results from progressive degenerative changes in the spine, and most often affects the elderly. Both the MILD® procedure and epidural steroid injections (ESIs) offer interventional pain treatment options for LSS patients experiencing neurogenic claudication refractory to more conservative therapies...
February 2016: Pain Physician
https://www.readbyqxmd.com/read/26584199/early-postoperative-magnetic-resonance-imaging-in-detecting-radicular-pain-after-lumbar-decompression-surgery-retrospective-study-of-the-relationship-between-dural-sac-cross-sectional-area-and-postoperative-radicular-pain
#19
Toshimasa Futatsugi, Jun Takahashi, Hiroki Oba, Shota Ikegami, Yuji Mogami, Syunichi Shibata, Yoshihito Ohji, Hirotaka Tanikawa, Hiroyuki Kato
STUDY DESIGN: A retrospective analysis. OBJECTIVE: To evaluate the association between early postoperative dural sac cross-sectional area (DCSA) and radicular pain. SUMMARY OF BACKGROUND DATA: The correlation between postoperative magnetic resonance imaging (MRI) findings and postoperative neurological symptoms after lumbar decompression surgery is controversial. METHODS: This study included 115 patients who underwent lumbar decompression surgery followed by MRI within 7 days postoperatively...
July 14, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/26430603/idiopathic-spinal-subarachnoid-hemorrhage-a-case-report-and-review-of-the-literature
#20
Justin M Moore, Rondhir Jithoo, Peter Hwang
Study Design Case report. Objective Spinal subarachnoid hemorrhage (SSAH) makes up less than 1.5% of all the cases of subarachnoid hemorrhage. Most cases of spontaneous SSAH occur in association with coagulopathy, lumbar punctures, or minor trauma. Idiopathic SSAH is extremely rare with only 17 cases published. Idiopathic SSAH presents a diagnostic dilemma, and the appropriate investigations and treatment remain a matter of controversy. We report a case of idiopathic SSAH and a review of the literature regarding its clinical presentation, diagnosis, and treatment...
October 2015: Global Spine Journal
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