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lumbar spondylolisthesis

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https://www.readbyqxmd.com/read/29792994/lumbar-spinal-stenosis-comparison-of-surgical-practice-variation-and-clinical-outcome-in-three-national-spine-registries
#1
Greger Lønne, Peter Fritzell, Olle Hägg, Dennis Nordvall, Paul Gerdhem, Tobias Lagerbäck, Mikkel Andersen, Søren Eiskjaer, Martin Gehrchen, Wilco Jacobs, Miranda L van Hooff, Tore K Solberg
BACKGROUND: Decompression surgery for lumbar spinal stenosis (LSS) is the most common spinal procedure in the elderly. To avoid persisting low back pain, adding arthrodesis has been recommended, especially if there is a coexisting degenerative spondylolisthesis. However, this strategy remains controversial, resulting in practice-based variation. PURPOSE: To evaluate in a pragmatic study if surgical selection criteria and variation in use of arthrodesis in three Scandinavian countries can be linked to variation in treatment effectiveness...
May 21, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29770280/effect-of-body-mass-index-on-perioperative-outcomes-in-minimally-invasive-oblique-lateral-lumbar-interbody-fusion-versus-open-fusions-a-multivariant-analysis
#2
Hamid Abbasi, Alex Grant
Background Obesity is an increasing public health concern associated with increased perioperative complications and expense in lumbar spine fusions. While open and mini-open fusions such as transforaminal lumbar interbody fusion (TLIF) and minimally invasive TLIF (MIS-TLIF) are more challenging in obese patients, new MIS procedures like oblique lateral lumbar interbody fusion (OLLIF) may improve perioperative outcomes in obese patients relative to TLIF and MIS-TLIF. Purpose The purpose of this study is to determine the effects of obesity on perioperative outcomes in OLLIF, MIS-TLIF, and TLIF...
March 8, 2018: Curēus
https://www.readbyqxmd.com/read/29769108/correlation-between-the-sagittal-spinopelvic-alignment-and-degenerative-lumbar-spondylolisthesis-a-retrospective-study
#3
Qi Lai, Tian Gao, Xin Lv, Xuqiang Liu, Zongmiao Wan, Min Dai, Bin Zhang, Tao Nie
BACKGROUND: Pain and disability associated with degenerative lumbar spondylolisthesis (DLS) results in significant burden on both the patients' quality of life and healthcare costs. Currently, there is controversy regarding the specificity of spinopelvic measures of sagittal plane alignment with respect to DLS. Moreover, the correlation among spinopelvic parameters of sagittal plane alignment remains to be clarified. Our aim in this study was to compare these measurements between patients with single-segment DLS at L5 and a control group with no history of DLS...
May 16, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29752555/minimally-invasive-surgery-procedure-in-isthmic-spondylolisthesis
#4
Francesco Ciro Tamburrelli, Maria Concetta Meluzio, Aaron Burrofato, Andrea Perna, Luca Proietti
PURPOSE: The aim of the study was to evaluate the efficacy and safety of the direct lateral approach to the lumbar spine in the treatment of painful isthmic spondylolisthesis in adults. METHODS: Twenty-one patients affected by isthmic spondylolisthesis and treated with extreme lateral interbody fusion and posterior percutaneous pedicle screw fixation were enrolled. All included patients were clinically evaluated with Oswestry Disability Index, SF36 and Visual Scale Anatomy (VAS) for back pain at 1, 3 months and at 1 year...
May 11, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29749136/minimally-invasive-lumbar-spinal-fusion-is-more-effective-than-open-fusion-a-meta-analysis
#5
Yung Park, Sang Ok Seok, Soo Bin Lee, Joong Won Ha
PURPOSE: To evaluate the efficacy of minimally invasive spinal fusion in comparison to open fusion for adult lumbar spondylolisthesis or spondylosis. MATERIALS AND METHODS: The present study was conducted as a meta-analysis of all estimates from studies that were selected after comprehensive literature search by two independent reviewers. RESULTS: Of 745 articles, nine prospective cohort studies were identifed. The quality of evidence was downgraded because of study design, inconsistency, imprecision, and publication bias...
June 2018: Yonsei Medical Journal
https://www.readbyqxmd.com/read/29746964/geographic-variation-in-the-surgical-management-of-lumbar-spondylolisthesis-characterizing-practice-patterns-and-outcomes
#6
Tej D Azad, Daniel Vail, Chloe O'Connell, Summer S Han, Anand Veeravagu, John K Ratliff
BACKGROUND CONTEXT: The role of arthrodesis in the surgical management of lumbar spondylolisthesis remains controversial. We hypothesized that practice patterns and outcomes for this patient population may vary widely. PURPOSE: To characterize geographic variation in surgical practices and outcomes for patients with lumbar spondylolisthesis. STUDY DESIGN/SETTING: Retrospective analysis on a national longitudinal database between 2007 and 2014...
May 7, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29742708/the-effectiveness-and-safety-of-nonsurgical-integrative-interventions-for-symptomatic-lumbar-spinal-spondylolisthesis-a-randomized-controlled-multinational-multicenter-trial-protocol
#7
Kiok Kim, Yousuk Youn, Sang Ho Lee, Jung Chul Choi, Jae Eun Jung, Jaehong Kim, Wenchun Qu, Jason Eldrige, Tae-Hun Kim
BACKGROUND: Surgery is generally accepted as the main therapeutic option for symptomatic lumbar spondylolisthesis. However, new nonsurgical therapeutic options need to be explored for this population. OBJECTIVES: The objective of this study is to assess the effectiveness and safety of a 5-week Mokhuri treatment program compared with conventional nonsurgical treatments for symptomatic lumbar spondylolisthesis. METHODS: This is a study protocol for a multinational, multicenter clinical randomized controlled trial comparing the effectiveness and safety of 5 weeks of nonsurgical integrative treatments (a Mokhuri treatment program consisting of Chuna, acupuncture, and patient education) with nonsurgical conventional treatments (drugs for pain relief, epidural steroid injections, and physical therapy)...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29732430/effect-of-interbody-fusion-cage-on-clinical-and-radiological-outcome-of-surgery-in-l4-l5-lumbar-degenerative-spondylolisthesis
#8
Farzad Omidi-Kashani, Reza Jalilian, Farideh Golhasani-Keshtan
Background: Lumbar degenerative spondylolisthesis (LDS) is a degenerative slippage of a lumbar vertebra relative to the adjacent vertebra below that can be clinically symptomatic. We aim to compare radiological and clinical outcome of surgery in L4-L5 LDS with or without applying the interbody fusion cage. Methods: We studied 60 patients (mean age, 51.3±13.2 years; follow-up, 53.3±14.6 months) with L4-L5 LDS who had been treated by decompression, pedicle screw and rod instrumentation associated with posterolateral fusion (PLF) without and with transforaminal lumbar interbody fusion (TLIF) in equally divided groups A and B, respectively...
March 2018: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29732419/complications-following-single-level-interbody-fusion-procedures-an-acs-nsqip-study
#9
Jamal N Shillingford, Joseph L Laratta, Joseph M Lombardi, John D Mueller, Meghan Cerpa, Hemant P Reddy, Comron Saifi, Charla R Fischer, Ronald A Lehman
Background: Controversy exists over the ability of various lumbar interbody fusion techniques to realign global and regional balance and their effect on patient outcomes. This is a retrospective cohort study to compare thirty-day postoperative outcomes between anterior and posterior interbody fusion techniques within a large national database. Methods: A retrospective cohort study utilizing the National Surgical Quality Improvement Program (NSQIP) database included 2,372 (29...
March 2018: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29730459/are-patient-reported-outcome-measures-biased-by-method-of-follow-up-evaluating-paper-based-and-digital-follow-up-after-lumbar-fusion-surgery
#10
Marc L Schröder, Marlies P de Wispelaere, Victor E Staartjes
BACKGROUND CONTEXT: Long-term follow-up of patient-reported outcome measures (PROM) is essential in both modern spinal care as well as in research. Lack of time and staff are commonly reported barriers to implementing long-term follow-up of PROM. Automated and digital follow-up systems for PROM collection are seeing widespread use, yet their validity and comparative effectiveness have never been evaluated. PURPOSE: To assess the validity of digital follow-up systems in comparison with the conventional paper-based follow-up...
May 3, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29713419/comparison-of-clinical-and-radiologic-results-of-mini-open-transforaminal-lumbar-interbody-fusion-and-extreme-lateral-interbody-fusion-indirect-decompression-for-degenerative-lumbar-spondylolisthesis
#11
Yutaka Kono, Hogaku Gen, Yoshio Sakuma, Yasuhide Koshika
Study Design: Retrospective study. Purpose: In this study, we compared the postoperative outcomes of extreme lateral interbody fusion (XLIF) indirect decompression with that of mini-open transforaminal lumbar interbody fusion (TLIF) in patients with lumbar degenerative spondylolisthesis. Overview of Literature: There are very few reports examining postoperative results of XLIF and minimally invasive TLIF for degenerative lumbar spondylolisthesis, and no reports comparing XLIF and mini-open TLIF...
April 2018: Asian Spine Journal
https://www.readbyqxmd.com/read/29713413/comparative-prospective-study-reporting-intraoperative-parameters-pedicle-screw-perforation-and-radiation-exposure-in-navigation-guided-versus-non-navigated-fluoroscopy-assisted-minimal-invasive-transforaminal-lumbar-interbody-fusion
#12
Tarun Dusad, Vishal Kundnani, Shumayou Dutta, Ankit Patel, Gaurav Mehta, Mahendra Singh
Study Design: Prospective cohort study. Purpose: To compare intraoperative parameters, radiation exposure, and pedicle screw perforation rate in navigation-guided versus non-navigated fluoroscopy-assisted minimal invasive transforaminal lumbar interbody fusion (MIS TLIF). Overview of Literature: The poor reliability of fluoroscopy-guided instrumentation and growing concerns about radiation exposure have led to the development of navigation-guided instrumentation techniques in MIS TLIF...
April 2018: Asian Spine Journal
https://www.readbyqxmd.com/read/29713409/prognostic-importance-of-spinopelvic-parameters-in-the-assessment-of-conservative-treatment-in-patients-with-spondylolisthesis
#13
Sai Krishna M L V, Deep Sharma, Jagdish Menon
Study Design: This was a prospective, two-group comparative study. Purpose: The present study aimed to determine the importance of the spinopelvic parameters in the causation and progression of spondylolisthesis. Overview of Literature: Spondylolisthesis is slippage of one vertebra over the vertebra below. Since the discovery of pelvic incidence (PI) in 1998 in addition to documentation of other parameters in spinopelvic balance, slippage in spondylolisthesis has been attributed to these parameters...
April 2018: Asian Spine Journal
https://www.readbyqxmd.com/read/29713407/the-incidence-of-adjacent-segment-degeneration-after-the-use-of-a-versatile-dynamic-hybrid-stabilization-device-in-lumbar-stenosis-results-of-a-5-8-year-follow-up
#14
Mauro Dobran, Davide Nasi, Domenico Paolo Esposito, Maurizio Gladi, Massimo Scerrati, Maurizio Iacoangeli
Study Design: Retrospective study with long-term follow-up. Purpose: To evaluate the long-term incidence of adjacent segment degeneration (ASD) and clinical outcomes in a consecutive series of patients who underwent spinal decompression associated with dynamic or hybrid stabilization with a Flex+TM stabilization system (SpineVision, Antony, France) for lumbar spinal stenosis. Overview of Literature: The incidence of ASD and clinical outcomes following dynamic or hybrid stabilization with the Flex+TM system used for lumbar spinal stenosis have not been well investigated...
April 2018: Asian Spine Journal
https://www.readbyqxmd.com/read/29708266/nerves-and-blood-vessels-in-degenerated-intervertebral-discs-are-confined-to-physically-disrupted-tissue
#15
Polly Lama, Christine L Le Maitre, Ian J Harding, Patricia Dolan, Michael A Adams
Nerves and blood vessels are found in the peripheral annulus and endplates of healthy adult intervertebral discs. Degenerative changes can allow these vessels to grow inwards and become associated with discogenic pain, but it is not yet clear how far, and why, they grow in. Previously we have shown that physical disruption of the disc matrix, which is a defining feature of disc degeneration, creates free surfaces which lose proteoglycans and water, and so become physically and chemically conducive to cell migration...
April 30, 2018: Journal of Anatomy
https://www.readbyqxmd.com/read/29707555/lumbar-disc-reherniation-after-transforaminal-lumbar-endoscopic-discectomy
#16
Thomas A Kosztowski, David Choi, Jared Fridley, Michael Galgano, Ziya Gokaslan, Adetokunbo Oyelese, Albert Edward Telfeian
Background: Transforaminal lumbar endoscopic discectomy is a minimally invasive surgical procedure that can be performed in awake patients through an incision less than 1 cm. The procedure requires very little bony removal to access the herniated disc material because the approach is through the foramen, and only a small amount of the superior articulating process is removed to access Kambin's triangle. This study describes our experience with transforaminal endoscopic lumbar decompression (TELD) for the treatment of lumbar disc herniation...
March 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29707554/comparison-of-minimally-invasive-and-open-transforaminal-lumbar-interbody-fusion-in-the-treatment-of-single-segmental-lumbar-spondylolisthesis-minimum-two-year-follow-up
#17
Ai-Min Wu, Zhi-Chao Hu, Xiao-Bin Li, Zhen-Hua Feng, Dong Chen, Hui Xu, Qi-Shan Huang, Yan Lin, Xiang-Yang Wang, Kai Zhang, Jie Zhao, Wen-Fei Ni
Background: Compare the efficacy and safety of minimally invasive and open transforaminal lumbar interbody fusion (TLIF) in the treatment of single segmental lumbar spondylolisthesis. Methods: From 2010-01 to 2015-10, in total, 167 patients with single segmental spondylolisthesis treated by TLIF were included, 79 cases in minimally invasive TLIF (MI-TLIF) group and 88 cases in open TLIF group. The peri-operative parameters of operative time, estimated blood loss and length of postoperative hospital stay was recorded, as well as complications...
March 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29705337/cost-effectiveness-of-circumferential-fusion-for-lumbar-spondylolisthesis-propensity-matched-comparison-of-transforaminal-lumbar-interbody-fusion-versus-anterior-posterior-fusion
#18
Ehsan Jazini, Jeffrey L Gum, Steven D Glassman, Charles H Crawford, Mladen Djurasovic, R Kirk Owens, John R Dimar, Katlyn E McGraw, Leah Y Carreon
BACKGROUND CONTEXT: Transforaminal Lumbar Interbody Fusion (TLIF) and dual approach antero-posterior (AP) are common techniques to achieve circumferential fusion for lumbar spondylolisthesis. It is unclear which approach is more cost-effective. PURPOSE: Our goal is to determine the incremental cost-effectiveness ratio (ICER) by calculating the cost per quality-adjusted life year (QALY) for each approach. STUDY DESIGN/SETTING: Propensity matched cost-effectiveness comparison...
April 26, 2018: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/29705297/effect-of-plif-and-tlif-on-sagittal-spinopelvic-balance-of-patients-with-degenerative-spondylolisthesis
#19
Mustafa Uysal, Metin Ozalay, Alihan Derincek, Alauddin Kochai, Mehmet Turker
OBJECTIVE: The aim of this study was to evaluate the effects of PLIF and TLIF on sagittal spinopelvic balance and to compare radiological results of two surgical procedures with regard to spinopelvic parameters. METHODS: Thirty-five patients (34 female and 1 male; mean age: 52.29 ± 13.08 (range: 35-75)) with degenerative spondylolisthesis cases were included in the study. Patients were divided into two groups according to surgical technique: PLIF and TLIF. The level and the severity of listhesis according to Meyerding classification were assessed and spinopelvic parameters including sacral slope, pelvic tilt, pelvic incidence (PI), lumbar lordosis, and segmental lumbar lordosis were measured on digital X-rays...
April 25, 2018: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29704693/cardiac-arrest-during-spine-surgery-in-the-prone-position-case-report-and-review-of-the-literature
#20
REVIEW
Victor E Staartjes, Shiva A Schillevoort, Patricia G Blum, J Peter van Tintelen, Wouter E Kok, Marc L Schröder
OBJECTIVE: Intraoperative cardiac arrest (CA) is usually attributable to pre-existing disease, or to intraoperative complications. In rare cases, intraoperative stress can demask certain genetic diseases, such as Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT). It is essential that neurosurgeons are aware of the etiologies, risk factors, and initial management of CA during surgery in the prone position. METHODS: We present a case of CA directly after spinal fusion for lumbar spondylolisthesis, and review the literature on cardiac arrests during spinal neurosurgery in the prone position...
April 26, 2018: World Neurosurgery
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