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https://www.readbyqxmd.com/read/29788145/long-term-outcome-of-spinal-cord-stimulation-in-failed-back-surgery-syndrome-20-years-of-experience-with-224-consecutive-patients
#1
Mette Nissen, Tiina-Mari Ikäheimo, Jukka Huttunen, Ville Leinonen, Mikael von Und Zu Fraunberg
BACKGROUND: Failed back surgery syndrome (FBSS) is a challenging condition that lacks a curative treatment. In selected patients, spinal cord stimulation (SCS) has provided a satisfactory outcome. OBJECTIVE: To evaluate the long-term outcome of SCS in FBSS, as measured by (1) the explantation rate, (2) complications, and (3) patient satisfaction with the global perceived effect (GPE). METHODS: We studied 224 consecutive FBSS patients who underwent an SCS trial with surgically implanted leads at our hospital between January 1996 and December 2014...
May 21, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29783695/application-of-a-novel-anti-adhesive-membrane-e8002-in-a-rat-laminectomy-model
#2
Kiyoshi Kikuchi, Kentaro Setoyama, Takuto Terashi, Megumi Sumizono, Salunya Tancharoen, Shotaro Otsuka, Seiya Takada, Kazuki Nakanishi, Koki Ueda, Harutoshi Sakakima, Ko-Ichi Kawahara, Ikuro Maruyama, Gohsuke Hattori, Motohiro Morioka, Eiichiro Tanaka, Hisaaki Uchikado
Neuropathic pain after spinal surgery, so-called failed back surgery syndrome, is a frequently observed common complication. One cause of the pain is scar tissue formation, observed as post-surgical epidural adhesions. These adhesions may compress surrounding spinal nerves, resulting in pain, even after successful spinal surgery. E8002 is an anti-adhesive membrane. In Japan, a clinical trial of E8002 is currently ongoing in patients undergoing abdominal surgery. However, animal experiments have not been performed for E8002 in spinal surgery...
May 18, 2018: International Journal of Molecular Sciences
https://www.readbyqxmd.com/read/29744317/prospective-randomized-comparative-study-to-evaluate-epidural-fibrosis-and-surgical-outcome-in-patients-undergoing-lumbar-laminectomy-with-epidural-autologous-free-fat-graft-or-gelfoam-a-preliminary-study
#3
Shivender Sobti, Ashwani Grover, B Paul S John, Sarvpreet Singh Grewal, Uttam B George
Introduction: Epidural fibrosis (EF) contributes to unsatisfactory relief of symptoms and failed back syndrome after spine surgery. EF around the nerve root can be more refractory to treatment than the original disc herniation itself. Reoperation on the scar can produce more scarring. Few studies have been conducted regarding the type of material to be used for decreasing EF. Materials and Methods: The prospective randomized comparative study was conducted in the Department of Neurosurgery and Radiodiagnosis, of a tertiary care hospital...
April 2018: International Journal of Applied and Basic Medical Research
https://www.readbyqxmd.com/read/29730076/changing-the-quality-of-life-in-old-age-bariatric-patients-cross-sectional-study-for-79-old-age-patients
#4
Elie Chouillard, Salman Alsabah, Elias Chahine, Elias Saikaly, Tarek Debs, Radwan Kassir
PURPOSE: Bariatric surgery is being safely performed in elderly patients. However, current recommendations lack precise indications for bariatric surgery and fail to define an upper age limit for surgical procedure, leaving the field wide open to case by case assessment according to patient's physiological age and benefit-to-risk balance. OBJECTIVES: The aim of this study is to evaluate the quality of life of obese patients older than 60 years one year after bariatric surgery, and to compare the variation of their nutritional parameters to those of matched younger patients...
May 3, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29713421/failed-back-surgery-syndrome-a-review-article
#5
REVIEW
James R Daniell, Orso L Osti
Postsurgical spine syndrome is becoming an increasingly common challenge for clinicians who deal with spinal disorders owing to the expanding indications for spinal surgery and the aging world population. A multidisciplinary approach is most appropriate for patients who are unlikely to benefit from further formal surgical intervention. Anticonvulsant medications are effective in managing neuropathic pain after surgery, whereas opioids are rarely beneficial. Neuromodulation via a surgically implanted dorsal column neurostimulator is gaining popularity owing to its substantial superiority over conventional medical management and/or further surgical intervention...
April 2018: Asian Spine Journal
https://www.readbyqxmd.com/read/29704437/a-randomized-controlled-trial-of-subcutaneous-nerve-stimulation-for-back-pain-due-to-failed-back-surgery-syndrome-the-subqstim-study
#6
Sam S Eldabe, Rod S Taylor, Stefaan Goossens, Benedicte Bouche, Ismail Gültuna, Colin Green, Jennifer Tinsley, Pierre-Philippe Luyet, Eric Buchser
OBJECTIVES: To compare the effectiveness of peripheral nerve stimulation utilizing a subcutaneous lead implant technique-subcutaneous nerve stimulation (SQS) plus optimized medical management (SQS + OMM arm) vs. optimized medical management alone (OMM arm) in patients with back pain due to failed back surgery syndrome. PATIENTS AND METHODS: Patients were recruited from 21 centers, in Europe, Israel, and Australia. Eligible patients were randomized (1:1) to SQS + OMM or OMM arms...
April 28, 2018: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/29696119/the-results-of-treating-failed-back-surgery-syndrome-by-adhesiolysis-comparing-the-one-and-three-day-protocols
#7
Behnam Hossieni, Payman Dadkhah, Siamak Moradi, Seyed Masoud Hashemi, Farshad Safdari
Background: The optimal treatment of failed back surgery syndrome (FBSS) is controversial. Limited studies have demonstrated the satisfactory outcomes of percutaneous adhesiolysis in FBSS, which can be performed as a 1 day or 3 days procedure. In the current randomized clinical trial, we compared the clinical and functional outcomes of these 2 techniques. Methods: In this study, 60 patients with FBSS were randomly assigned into 2 equal groups: 1 day group and 3 days group...
October 2017: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/29686809/the-outcome-of-epiduroscopy-treatment-in-patients-with-chronic-low-back-pain-and-radicular-pain-operated-or-non-operated-for-lumbar-disc-herniation-a-retrospective-study-in-88-patients
#8
Derya Burcu Hazer, Arsal Acarbaş, Hans Eric Rosberg
Background: Patients with lumbar disc herniation are treated with physiotherapy/medication and some with surgery. However, even after technically successful surgery some develop a failed back syndrome with persistent pain. Our aim was to evaluate the efficacy of epiduroscopy in patients who suffer chronic low back pain and/or radicular pain with or without surgery and the gender difference in outcome. Methods: A total of 88 patients were included with a mean age of 52 years (27-82), 54 women and 34 men...
April 2018: Korean Journal of Pain
https://www.readbyqxmd.com/read/29673357/benefits-in-pain-perception-ability-function-and-health-related-quality-of-life-in-patients-with-failed-back-surgery-syndrome-undergoing-spinal-cord-stimulation-in-a-clinical-practice-setting
#9
Luciana Scalone, Furio Zucco, Angelo Lavano, Amedeo Costantini, Marisa De Rose, Paolo Poli, Gianpaolo Fortini, Laura Demartini, Enrico De Simone, Valentino Menardo, Mario Meglio, Paolo Cozzolino, Paolo A Cortesi, Lorenzo G Mantovani
No abstract text is available yet for this article.
April 19, 2018: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/29662790/update-on-biomaterials-for-prevention-of-epidural-adhesion-after-lumbar-laminectomy
#10
REVIEW
Huailan Wang, Wenjia Sun, Dongliang Fu, Yueliang Shen, Ying-Ying Chen, Lin-Lin Wang
Lumbar laminectomy often results in failed back surgery syndrome. Most scholars support the three-dimensional theory of adhesion: Fibrosis surrounding the epidural tissues is based on the injured sacrospinalis behind, fibrous rings and posterior longitudinal ligaments. Approaches including using the minimally invasive technique, drugs, biomaterial and nonbiomaterial barriers to prevent the postoperative epidural adhesion were intensively investigated. Nevertheless, the results are far from satisfactory. Our review is based on various implant biomaterials that are used in clinical applications or are under study...
April 2018: Journal of Orthopaedic Translation
https://www.readbyqxmd.com/read/29656623/superior-and-middle-cluneal-nerve-entrapment-as-a-cause-of-low-back-pain
#11
REVIEW
Toyohiko Isu, Kyongsong Kim, Daijiro Morimoto, Naotaka Iwamoto
Low back pain (LBP) is encountered frequently in clinical practice. The superior and the middle cluneal nerves (SCN and MCN) are cutaneous nerves that are purely sensory. They dominate sensation in the lumbar area and the buttocks, and their entrapment around the iliac crest can elicit LBP. The reported incidence of SCN entrapment (SCN-E) in patients with LBP is 1.6%-14%. SCN-E and MCN entrapment (MCN-E) produce leg symptoms in 47%-84% and 82% of LBP patients, respectively. In such patients, pain is exacerbated by lumbar movements, and the symptoms mimic radiculopathy due to lumbar disorder...
March 2018: Neurospine
https://www.readbyqxmd.com/read/29621201/remote-ischemic-preconditioning-does-not-affect-the-release-of-humoral-factors-in-propofol-anesthetized-cardiac-surgery-patients-a-secondary-analysis-of-the-ripheart-study
#12
Julia Ney, Katleen Hoffmann, Patrick Meybohm, Andreas Goetzenich, Sandra Kraemer, Carina Benstöm, Nina C Weber, Johannes Bickenbach, Rolf Rossaint, Gernot Marx, Kai Zacharowski, Jürgen Bernhagen, Christian Stoppe
In contrast to several smaller studies, which demonstrate that remote ischemic preconditioning (RIPC) reduces myocardial injury in patients that undergo cardiovascular surgery, the RIPHeart study failed to demonstrate beneficial effects of troponin release and clinical outcome in propofol-anesthetized cardiac surgery patients. Therefore, we addressed the potential biochemical mechanisms triggered by RIPC. This is a predefined prospective sub-analysis of the randomized and controlled RIPHeart study in cardiac surgery patients ( n = 40) that was recently published...
April 5, 2018: International Journal of Molecular Sciences
https://www.readbyqxmd.com/read/29608807/long-term-effect-of-peripheral-nerve-field-stimulation-as-add-on-therapy-to-spinal-cord-stimulation-to-treat-low-back-pain-in-failed-back-surgery-syndrome-patients-a-12-month-follow-up-of-a-randomized-controlled-study
#13
Eric-Jan J A A van Gorp, Onno Teernstra, Hans J Aukes, Tanja Hamm-Faber, Katja Bürger, Jan Willem Kallewaard, Geert Spincemaille, Johannes W L C Schapendonk, Leon Vonhögen, Ewald Bronkhorst, Kris C P Vissers
OBJECTIVE: Different approaches in neuromodulation have been used to treat chronic low back pain in failed back surgery syndrome (FBSS) patients. We previously randomized 52 FBSS patients to be treated with spinal cord stimulation (SCS) and additional peripheral nerve field stimulation (PNFS) or SCS alone. At three months, we found a significant reduction of back pain in the PNFS-SCS group compared to the SCS group. In the subsequent open phase part of the study, all patients received optimal SCS and PNFS simultaneously...
April 2, 2018: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/29608229/prospective-randomized-sham-control-double-blind-crossover-trial-of-subthreshold-spinal-cord-stimulation-at-various-kilohertz-frequencies-in-subjects-suffering-from-failed-back-surgery-syndrome-scs-frequency-study
#14
Adnan Al-Kaisy, Stefano Palmisani, David Pang, Karen Sanderson, Samuel Wesley, Ye Tan, Sheryl McCammon, Andrea Trescott
INTRODUCTION: The increasing use of high frequency paresthesia-free spinal cord stimulation has been associated with improved outcomes in the therapy of neuropathic pain. What is unknown is the effect of varying frequency on pain relief and the placebo effect. MATERIALS AND METHODS: This is a prospective, randomized, sham-controlled double blind crossover study. Subjects with predominantly axial low back pain undergoing spinal cord stimulation therapy for failed back surgery syndrome were randomized to sham, 1200 Hz, 3030 Hz, and 5882 Hz with a four-phase crossover design over 12 weeks...
April 2, 2018: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/29593203/the-perifascial-areolar-tissue-and-negative-pressure-wound-therapy-for-one-stage-skin-grafting-on-exposed-bone-and-tendon
#15
Yoshiro Abe, Ichiro Hashimoto, Soushi Ishida, Kazuhide Mineda, Sho Yoshimoto
BACKGROUND: Factors such as exposed bones or tendons can inhibit wound healing and make it a lengthy process unless aggressive debridement or vascularized flap surgery are performed. We have developed a new procedure involving simultaneous application of a skin graft and perifascial areolar tissue (PAT) and negative pressure wound therapy. METHODS: Of 8 patients with wounds, bones, tendons, and thick fascia were exposed in 4, 2, and 2 cases, respectively. These wounds were adequately covered with PAT, and split-thickness skin grafts were applied simultaneously on the PAT with a VACsize 4...
2018: Journal of Medical Investigation: JMI
https://www.readbyqxmd.com/read/29588238/surgery-for-multi-segment-thoracolumbar-mild-osteoporotic-fractures-revised-the-assessment-system-of-thoracolumbar-osteoporotic-fracture
#16
Jin Peng Du, Ji Jun Liu, Yong Fan, Jia Nan Zhang, Yan Sheng Huang, Jing Zhang, Dingjun Hao
OBJECTIVE: The assessment system of thoracolumbar osteoporotic fracture (ASTLOF), which can effectively guide the treatment of single-segmental thoracolumbar osteoporotic vertebral compression fractures (OVCF) but fail to guide the treatment of multi-segmental thoracolumbar mild osteoporotic vertebral compression fracture (MSTMOVCF). The current study focused on this problem. METHODS: A prospective case series study was designed to enroll elderly patients with MSTMOVCF who have been treated with PKP/PVP from June 2013 to June 2016...
March 24, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29584916/a-randomized-multicenter-double-blind-parallel-pilot-study-assessing-the-effect-of-mechanical-adhesiolysis-vs-adhesiolysis-with-corticosteroid-and-hyaluronidase-administration-into-the-epidural-space-during-epiduroscopy
#17
Róbert Rapcan, Ladislav Kocan, Juraj Mláka, Miroslav Burianek, Hana Kocanová, Simona Rapcanová, Michael Hess, Anthony Hammond, Martin Griger, Michal Venglarcík, Miroslav Gajdoš, Janka Vašková
Objective: Epiduroscopy is a proven method of diagnosis and treatment for chronic radicular pain after spinal surgery, which is known as failed back surgery syndrome (FBSS). The aim of the study was to compare the efficacy of drugs (the enzyme hyaluronidase and corticosteroid DEPO-Medrol) administrated into the epidural space during epiduroscopy, performed within the ventral and ventro-lateral epidural space with a focus on releasing foraminal adhesions. Methods:  Forty-eight patients with diagnosed FBBS were randomized into two groups before epiduroscopy...
March 23, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29581890/recurrent-discitis-in-the-acute-rehab-setting-a-case-report
#18
Kunj Patel, Lauren Hutts, Stephen Porter, Zachary Fausel, Dale Strasser
Introduction: Discitis is an infection of the intervertebral disc space that can lead to paralysis, sepsis, epidural abscess, or other life-threatening complications if left untreated and may sometimes present with limited laboratory abnormalities to clue a diagnosis. Case presentation: We present a case of a 67-year-old female in an acute rehabilitation setting who had presenting symptoms of sudden unexplained back pain refractory to pain control. She had a previous history of discitis and multiple failed knee replacement surgeries secondary to MSSA infections...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29566313/spinal-cord-stimulation-for-the-treatment-of-failed-neck-surgery-syndrome-outcome-of-a-prospective-case-series
#19
Corey W Hunter, Jonathan Carlson, Ajax Yang, Timothy Deer
OBJECTIVES: Spinal cord stimulation (SCS) is an accepted, cost-effective treatment option for a variety of chronic pain syndromes, including failed back surgery syndrome (FBSS). The application of SCS in the cervical spine, particularly for pain after cervical spine surgery, has been drawn into question in recent years by payers due to a purported lack of clinical evidence. To challenge this claim, we analyzed data from a prospective registry to support the use of SCS in the cervical spine for pain after spine surgery...
March 22, 2018: Neuromodulation: Journal of the International Neuromodulation Society
https://www.readbyqxmd.com/read/29545982/cocaine-induced-type-a-aortic-dissection-extending-to-the-common-iliac-arteries
#20
Mohamed A Mohamed, Rohit Abraham, Tareq I Maraqa, Samir Elian
Aortic dissection is a rare and fatal complication of cocaine-induced hypertension. The injury mechanism is through shear stress that penetrates the intimal vessel layer, allowing blood flow to separate intimal and medial layers. Due to its scarcity and the paucity of related literature, our knowledge of this condition is limited. We present a rare case of a cocaine-induced aortic dissection, which extended continuously from the aortic root to the common iliacs, along with a literature review of similar cases...
January 12, 2018: Curēus
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