keyword
https://read.qxmd.com/read/38500427/-effectiveness-of-unilateral-biportal-endoscopy-combined-with-percutaneous-pedicle-screw-fixation-in-treatment-of-lumbar-burst-fractures-with-neurological-symptoms
#21
JOURNAL ARTICLE
Ting Yan, Jun Zeng, Xu Lin, Haigang Hu, Chao Wu
OBJECTIVE: To evaluate the effectiveness of spinal canal decompression assisted by unilateral biportal endoscopy (UBE) and percutaneous uniplanar pedicle screw internal fixation in the treatment of lumbar burst fractures with neurological symptoms. METHODS: Between June 2021 and December 2022, 10 patients with single level lumbar burst fracture with neurological symptoms were treated with spinal canal decompression assisted by UBE and percutaneous uniplanar pedicle screw internal fixation...
March 15, 2024: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/38500426/-comparison-of-effectiveness-between-unilateral-biportal-endoscopic-and-uniportal-interlaminar-endoscopic-decompression-in-the-treatment-of-lumbar-spinal-stenosis
#22
JOURNAL ARTICLE
Guosong Han, Li Ma, Yonghong Cheng, Ke Zheng, Jialong Qi, Zhou Dong, Zhidong Zhang, Dengpan Yao
OBJECTIVE: To compare the effectiveness between unilateral laminotomy and bilateral decompression (ULBD) with unilateral biportal endoscopy (UBE) and uniportal interlaminar endoscopy (UIE) in the treatment of lumbar spinal stenosis. METHODS: A clinical data of 52 patients with lumbar spinal stenosis, who met the selection criteria and treated with ULBD between March 2021 and November 2022, was retrospectively analyzed. The patients were allocated into UBE group (23 cases) and UIE group (29 cases) according to the surgical methods...
March 15, 2024: Chinese Journal of Reparative and Reconstructive Surgery
https://read.qxmd.com/read/38499062/left-digit-bias-in-surgical-decision-making-for-lumbar-spinal-stenosis
#23
JOURNAL ARTICLE
Izzet Akosman, Karim Shafi, Tejas Subramanian, Gregory S Kazarian, Austin C Kaidi, Matthew Cunningham, Han Jo Kim, Francis Lovecchio
BACKGROUND CONTEXT: Left-digit bias is a behavioral heuristic or cognitive "shortcut" in which the leftmost digit of a number, such as patient age, disproportionately influences surgical decisions. PURPOSE: To determine if left-digit bias in patient age influences the decision to perform arthrodesis with instrumentation vs. decompression in lumbar spinal stenosis (LSS). DESIGN: Retrospective cohort. PATIENT SAMPLE: Patients with an ICD-10 diagnosis of lumbar stenosis or spondylolisthesis identified in the 2017-2021 National Surgical Quality Improvement Program (NSQIP) database...
March 16, 2024: Spine Journal: Official Journal of the North American Spine Society
https://read.qxmd.com/read/38493893/short-term-clinical-and-radiographic-evaluation-of-patients-treated-with-expandable-and-static-interbody-spacers-following-lumbar-lateral-interbody-fusion
#24
JOURNAL ARTICLE
Yawara Eguchi, Noritaka Suzuki, Sumihisa Orita, Kazuhide Inage, Miyako Narita, Yasuhiro Shiga, Masahiro Inoue, Noriyasu Toshi, Soichiro Tokeshi, Kohei Okuyama, Shuhei Ohyama, Satoshi Maki, Yasuchika Aoki, Junichi Nakamura, Shigeo Hagiwara, Yuya Kawarai, Tsutomu Akazawa, Masao Koda, Hiroshi Takahashi, Seiji Ohtori
OBJECTIVE: The goal of this study was to evaluate, using computed tomography (CT) and magnetic resonance imaging (MRI), patients who underwent oblique lateral interbody fusion (OLIF) using either expandable or static interbody spacers. METHODS: Thirty-five patients with degenerative disc disease were surgically treated with one-level OLIF and were followed up for more than six months. The Static group consisted of 22 patients, and 13 patients were in the Expandable group...
March 15, 2024: World Neurosurgery
https://read.qxmd.com/read/38491725/retrospective-study-to-compare-the-effectiveness-of-minimally-invasive-microscopic-unilateral-laminotomy-with-microscopic-bilateral-laminotomy-for-bilateral-decompression-in-the-early-postoperative-period-in-142-patients-with-single-level-lumbar-spinal-stenosis
#25
JOURNAL ARTICLE
Bülent Gülensoy, Serkan Şimşek
BACKGROUND We aimed to compare the effectiveness of microscopic unilateral laminotomy for bilateral decompression (ULBD) and microscopic bilateral laminotomy for bilateral decompression (BLBD) in the early postoperative period among patients with single-level lumbar spinal stenosis (LSS). MATERIAL AND METHODS A retrospective cohort study was conducted on patients with LSS who underwent ULBD or BLBD between January 2020 and December 2023, including 94 patients who underwent ULBD and 58 who underwent BLBD. Patient demographics, comorbidities, smoking status, and data related to LSS were reviewed...
March 16, 2024: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://read.qxmd.com/read/38478070/retrospective-analysis-of-medium-term-outcomes-following-anterior-lumbar-interbody-fusion-surgery-performed-in-a-tertiary-spinal-surgical-centre
#26
JOURNAL ARTICLE
T Srirangarajan, K Eseonu, B Fakouri, P Liantis, P Panteliadis, J Lucas, T Ember, M Harris, M Tyrrell, B Sandford, J R Panchmatia
INTRODUCTION: Anterior lumbar interbody fusion (ALIF) can treat spondylolisthesis, degenerative disc disease and pseudoarthrosis. This approach facilitates complete discectomy, disc space distraction, indirect decompression of neural foramina and placement of large interbody devices. Several intra- and postoperative complications can be attributed to the anterior approach: vascular/visceral injury, hypogastric plexus injury and urogenital consequences. Spine-specific complications include implant migration, graft failure, pseudoarthrosis and persistent symptomology...
March 13, 2024: Annals of the Royal College of Surgeons of England
https://read.qxmd.com/read/38476434/does-indirect-decompression-by-oblique-lateral-interbody-fusion-produce-similar-clinical-and-radiological-outcomes-to-direct-decompression-by-open-transforaminal-lumbar-interbody-fusion
#27
JOURNAL ARTICLE
Auroshish Sahoo, Mantu Jain, Suprava Naik, Gurudip Das, Pankaj Kumar, Sujit Kumar Tripathy, Harish V K Ratna, Mathan Kumar Ramasubbu
OBJECTIVES: Open transforaminal lumbar interbody fusion (O-TLIF) remains the most popular and widely practiced lumbar fusion method even today, providing direct decompression. Oblique lateral interbody fusion (OLIF) is a novel retroperitoneal approach that allows placement of a large interbody cage which provides an indirect neural decompression, and screws can be placed minimal invasively or through the Wiltse OLIF (W-OLIF) approach. We aim to find out the short-term efficacy of W-OLIF to O-TLIF in terms of radiological and clinical outcomes in patients of lumbar degenerative diseases...
2024: Journal of Neurosciences in Rural Practice
https://read.qxmd.com/read/38476410/pain-outcome-of-non-instrumented-lumbar-decompressive-surgery-for-degenerative-lumbar-spine-disease-using-patient-reported-pain-outcome-instruments
#28
JOURNAL ARTICLE
Moses Osaodion Inojie, Chika Anele Ndubuisi, Okwuoma Okwunodulu, Okiemute Vanita Inojie, Ned Micheal Ndafia, Samuel Chwukwunoyerem Ohaegbulam
OBJECTIVES: A clinical disorder known as degenerative lumbar spine disease (DLSD) is characterized by persistent low back pain (LBP) coupled with radiculopathy and other signs of neurologic impairment. Using patient-reported pain outcome assessment tools, this study evaluated the pain outcome of non-instrumented lumbar decompressive surgery for DLSD. MATERIALS AND METHODS: A prospective longitudinal research was conducted. Using the metric visual analog scale (VAS) score and the Oswestry disability index (ODI), consenting patients who underwent non-instrumented lumbar decompressive surgery for symptomatic DLSD were evaluated for radicular pain and LBP...
2024: Journal of Neurosciences in Rural Practice
https://read.qxmd.com/read/38472429/deep-learning-reconstructed-lumbar-spine-3d-mri-for-surgical-planning-pedicle-screw-placement-and-geometric-measurements-compared-to-ct
#29
JOURNAL ARTICLE
Frederik Abel, Darren R Lebl, George Gorgy, David Dalton, J Levi Chazen, Elisha Lim, Qian Li, Darryl B Sneag, Ek T Tan
PURPOSE: To test equivalency of deep-learning 3D lumbar spine MRI with "CT-like" contrast to CT for virtual pedicle screw planning and geometric measurements in robotic-navigated spinal surgery. METHODS: Between December 2021 and June 2022, 16 patients referred for spinal fusion and decompression surgery with pre-operative CT and 3D MRI were retrospectively assessed. Pedicle screws were virtually placed on lumbar (L1-L5) and sacral (S1) vertebrae by three spine surgeons, and metrics (lateral deviation, axial/sagittal angles) were collected...
March 12, 2024: European Spine Journal
https://read.qxmd.com/read/38469611/comparison-of-percutaneous-transforaminal-endoscopic-decompression-and-full-endoscopic-lamina-fenestration-decompression-in-the-treatment-of-degenerative-lumbar-spinal-stenosis-with-unilateral-radicular-pain-a-retrospective-study
#30
JOURNAL ARTICLE
Liang Xiong, Fengping Liu, Hongwei Zhao, Mingyi Luo, Bin Lu, Yuxiang Deng, Zhenyu Zhou
BACKGROUND: Endoscopic decompression of the spinal canal is an emerging procedure for the treatment of degenerative lumbar spinal stenosis, but there are few reports of comparative studies of endoscopic techniques for transforaminal and non-transforaminal approaches. OBJECTIVE: To compare the clinical application of percutaneous transforaminal endoscopic decompression (PTED) and full endoscopic lamina fenestration decompression (Endo-LOVE) for treating degenerative lumbar spinal stenosis with unilateral radicular pain...
2024: Annali Italiani di Chirurgia
https://read.qxmd.com/read/38468674/postoperative-discal-pseudocyst-report-of-a-case-with-an-unusual-complication-after-microlumbar-discectomy-and-successful-treatment-by-transforaminal-endoscopic-lumbar-decompression
#31
Prasad R Patgaonkar, Sagar Kishor Kokate, S Subith, Pushkar S Borole
BACKGROUND: Lumbar discal pseudocysts are uncommon complications that can arise following lumbar spine surgery. It manifests as a fluid-filled sac near the intervertebral disc, causing pain and discomfort. Understanding its causes, symptoms, and management is crucial for patients and healthcare professionals involved in postoperative spinal care. CASE DESCRIPTION A: 35-year-old female developed a discal pseudocyst after undergoing laminectomy and discectomy for lumbar disc herniation...
2024: Surgical Neurology International
https://read.qxmd.com/read/38468664/perspective-operate-on-lumbar-synovial-cysts-and-avoid-ineffective-percutaneous-techniques
#32
REVIEW
Nancy E Epstein, Marc A Agulnick
BACKGROUND: Lumbar synovial cysts (LSC), best diagnosed on MR studies, may cause symptoms/signs ranging from unilateral radiculopathy to cauda equina compressive syndromes. Attempts at percutaneous treatment of LSC typically fail. Rather, greater safety/efficacy is associated with direct surgical resection with/without fusion. METHODS: Treatment of LSC with percutaneous techniques, including cyst aspiration/perforation, injection (i.e., with/without steroids, saline/other), dilatation, and/or disruption/bursting, classically fail...
2024: Surgical Neurology International
https://read.qxmd.com/read/38465058/assessment-of-health-related-quality-of-life-in-patients-with-traumatic-fractures-following-thoracolumbar-fusion-short-term-results
#33
JOURNAL ARTICLE
Stylianos Kapetanakis, Nikolaos Gkantsinikoudis, Paschalis Tsioulas, Joanna Bladowska, Sotirios Apostolakis
INTRODUCTION: Thoracolumbar vertebral fractures (TVFs) constitute frequent injuries with specific therapeutic challenges and remarkable implications for affected individuals. The aim of this study is to investigate the alteration of overall health-related quality of life (HRQoL) in patients with traumatic TVFs undergoing thoracolumbar fusion surgery. MATERIALS AND METHODS: A total of 72 patients with single-level traumatic thoracic or lumbar vertebral fractures (AO type A3 or A4) were enrolled in this prospective cohort study...
February 2024: Curēus
https://read.qxmd.com/read/38463120/is-cranioplasty-the-optimal-treatment-for-contralateral-subdural-effusion-after-decompressive-craniectomy-a-case-report
#34
Qing Ouyang, Yongxiang Yang, Jingmin Cheng, Bing Sun, Yuan Ma
INTRODUCTION AND IMPORTANCE: Contralateral subdural effusion (CSDE) is a rare complication secondary to decompressive craniectomy (DC), which can lead to encephalocele and neurologic deterioration. The authors report a case that confirm the existence of unidirectional membrane valve, and cranioplasty is an effective treatment for CSDE. CASE PRESENTATION: The authors reported a case of 43-year-old female was diagnosed with ruptured intracranial aneurysm and treated with interventional embolization...
March 2024: Annals of Medicine and Surgery
https://read.qxmd.com/read/38458252/do-six-week-postoperative-patient-reported-outcomes-predict-long-term-clinical-outcomes-following-lumbar-decompression
#35
JOURNAL ARTICLE
Jacob C Wolf, Aayush Kaul, Fatima N Anwar, Andrea M Roca, Ishan Khosla, Alexandra C Loya, Srinath S Medakkar, Vincent P Federico, Arash J Sayari, Gregory D Lopez, Kern Singh
BACKGROUND: Little research has been done evaluating the prognostic value of short-term postoperative patient-reported outcomes (PROs) on long-term PROs following lumbar decompression (LD). OBJECTIVE: To evaluate the prognostic value of short-term PROs on long-term PROs through two years following LD. METHODS: A single spine surgeon database was retrospectively queried for patients undergoing primary LD and had six-week postoperative PROs reported...
March 6, 2024: World Neurosurgery
https://read.qxmd.com/read/38457803/differences-in-the-surgical-management-of-degenerative-lumbar-spondylolisthesis-based-on-self-reported-sex-analysis-of-the-csorn-prospective-dls-study
#36
JOURNAL ARTICLE
Taryn N Walker, Jennifer C Urquhart, Parham Rasoulinejad, Supriya Singh, R Andrew Glennie, Charles G Fisher, Y Raja Rampersaud, Edward Abraham, John Street, Marcel F Dvorak, Scott Paquette, Raphaele Charest-Morin, Nicolas Dea, Nicholas Gelinas-Phaneuf, Brian K Kwon, Christopher S Bailey
OBJECTIVE: Surgical treatment of degenerative lumbar spondylolisthesis (DLS) reliably improves patient-reported quality of life; however, patient population heterogeneity, in addition to other factors, ensures ongoing equipoise in choosing the ideal surgical treatment. Surgeon preference for fusion or decompression alone influences surgical treatment decision-making. Meanwhile, at presentation, patient-reported outcome measures (PROMs) differ considerably between females and males. The aims of this study were to determine whether there exists a difference in the rates of decompression and fusion versus decompression alone based on patient-reported sex, and to determine if widely accepted indications for fusion justify any observed differences or if surgeon preference plays a role...
March 8, 2024: Journal of Neurosurgery. Spine
https://read.qxmd.com/read/38451373/discovery-of-circulating-blood-biomarkers-in-patients-with-and-without-modic-changes-of-the-lumbar-spine-a-preliminary-analysis
#37
JOURNAL ARTICLE
Khaled Aboushaala, Ana V Chee, Sheila J Toro, Rajko Vucicevic, Catherine Yuh, Jake Dourdourekas, Ishani K Patel, Alejandro Espinoza-Orias, Chundo Oh, Lena Al-Harthi, Jaro Karppinen, Edward J Goldberg, Frank M Phillips, Matthew Colman, Frances M K Williams, Jeffrey A Borgia, Stefan Green, Christopher Forsyth, Howard S An, Dino Samartzis
PURPOSE: The following study aimed to determine the existence of blood biomarkers in symptomatic patients with or without lumbar Modic changes (MC). METHODS: A cross-sectional sub-analyses of a prospective cohort was performed. Fasting blood samples were collected from patients with and without lumbar MC who had undergone spinal fusion or microdiscectomy. An 80-plex panel and CCL5/RANTES were used to assess preoperative plasma cytokine concentrations. Patient demographics and imaging phenotypes were also assessed...
March 7, 2024: European Spine Journal
https://read.qxmd.com/read/38448387/spondylodiscitis-of-lumbar-complicated-with-spinal-epidural-abscess-caused-by-parvimonas-micra-a-case-report-and-literature-review
#38
JOURNAL ARTICLE
Yan Yang, Jianhuang Wu, Jianzhong Hu, Tianding Wu
Spinal infection caused by Parvimonas micra ( P. micra ) is a rare infection. The characteristic imageology includes spondylodiscitis, spondylitis, paravertebral abscess, and epidural abscess. One case of spondylodiscitis of lumbar complicated with spinal epidural abscess caused by P. micra was admitted to the Department of Spinal Surgery, Xiangya Hospital, Central South University on February, 2023. This case is a 60 years old man with lower back pain and left lower limb numbness. MRI showed spondylitis, spondylodiscitis, and epidural abscess...
December 28, 2023: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
https://read.qxmd.com/read/38447036/confirmatory-study-of-the-usefulness-of-quantum-molecular-resonance-and-microdissectomy-for-the-treatment-of-lumbar-radiculopathy-in-a-prospective-cohort-at-6-months-follow-up
#39
JOURNAL ARTICLE
Ángeles Canós-Verdecho, Ruth Robledo, Rosa Izquierdo, Ara Bermejo, Elisa Gallach, David Abejón, Pilar Argente, Isabel Peraita-Costa, María Morales-Suárez-Varela
OBJECTIVES: Low back pain is a common musculoskeletal complaint and while prognosis is usually favorable, some patients experience persistent pain despite conservative treatment and invasive treatment to target the root cause of the pain may be necessary. The aim of this study is to evaluate patient outcomes after treatment of lumbar radiculopathy (LR) with quantum molecular resonance radiofrequency coblation disc decompression and percutaneous microdiscectomy with grasper forceps (QMRG)...
January 1, 2024: Scandinavian Journal of Pain
https://read.qxmd.com/read/38446872/management-for-degenerative-lumbar-spondylolisthesis-a-network-meta-analysis-and-systematic-review-basing-on-randomized-controlled-trials
#40
JOURNAL ARTICLE
Hao Jia, Zhuo Zhang, Jianpu Qin, Lipei Bao, Jun Ao, Hu Qian
BACKGROUND: Consensus on the various interventions for degenerative lumbar spondylolisthesis (DLS) remains unclear. MATERIALS AND METHODS: We searched PubMed, Embase, Cochrane Library, Web of Science, and major scientific websites until Nov 01, 2023, to screen eligible randomized controlled trials (RCTs) involving the treatment of DLS. The seven most common DLS interventions (non-surgical [NS], decompression only [DO], decompression plus fusion without internal fixation [DF], decompression plus fusion with internal fixation [DFI], endoscopic decompression plus fusion [EDF], endoscopic decompression [ED], and circumferential fusion [360F]) were compared...
March 4, 2024: International Journal of Surgery
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