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Michael C Fu, Matthew L Webb, Rafael A Buerba, William E Neway, J Elliott Brown, Mitesh Trivedi, Andrew W Lischuk, Andrew H Haims, Jonathan N Grauer
BACKGROUND CONTEXT: Magnetic resonance imaging (MRI) is often used in the evaluation of degenerative conditions of the cervical spine. However, the agreement of interpreting and reporting varying degenerative findings on cervical MRI has not been well assessed. PURPOSE: This study aimed to compare the inter-rater and intra-rater agreement of MRI findings between common degenerative findings of the cervical spine. STUDY DESIGN: A retrospective diagnostic study was used as study design...
January 1, 2016: Spine Journal: Official Journal of the North American Spine Society
Matthew L Webb, Adam M Lukasiewicz, Andre M Samuel, Daniel D Bohl, Bryce A Basques, Arya G Varthi, Jonathan N Grauer
STUDY DESIGN: This is a retrospective cohort study. OBJECTIVE: To compare the infection rates in the Scoliosis Research Society (SRS) morbidity and mortality database to those in the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database. SUMMARY OF BACKGROUND DATA: Surgical databases have demonstrated value in orthopaedic surgery. However, few studies in the literature have used the SRS database relative to other available databases...
September 15, 2015: Spine
Jiaquan Luo, Kai Cao, Ting Yu, Liangping Li, Sheng Huang, Ming Gong, Cong Cao, Xuenong Zou
STUDY DESIGN: Systematic review and meta-analysis. BACKGROUND: Posterolateral fusion (PLF) and posterior lumbar interbody fusion(PLIF) were widely used in the treatment of lumbar isthmic spondylolisthesis(IS). There was a great controversy over the preferred fusion method. OBJECTIVE: The purpose of this study is to evaluate the the clinical outcomes between PLF and PLIF for the treatment of IS. METHODS: Related studies that compared the clinical effectiveness of PLIF and PLF for the treatment of IS were acquired by a comprehensive search in four electronic databases (PubMed, EMBASE, Cochrane Controlled Trial Register and MEDLINE) from January 1950 through December 2014...
July 14, 2016: Clinical Spine Surgery
Wei Ting Lee, Gabriel Liu, Joseph Thambiah, Hee Kit Wong
INTRODUCTION: The objective of this study was to examine the clinical outcome of single-level lumbar artificial disc replacement (ADR) compared to that of transforaminal lumbar interbody fusion (TLIF) for the treatment of symptomatic degenerative disc disease (DDD) in an Asian population. METHODS: This was a retrospective review of 74 patients who had surgery performed for discogenic lower backs that involved only the L4/5 and L5/S1 levels. All the patients had lumbar DDD without radiculopathy or spondylolithesis, and concordant pain with discogram at the pathological level...
April 2015: Singapore Medical Journal
W T Lee, G K Liu, J Thambiah, H K Wong
Introduction: The objective of this study was to examine the clinical outcome of single level lumbar artificial disc replacement (ADR) compared to that of transforaminal lumbar interbody fusion (TLIF) for the treatment of symptomatic degenerative disc disease (DDD) in an Asian population. Methods: This was a retrospective review of 74 patients who had surgery performed for discogenic lower back that involved only the L4/5 and L5/S1 levels. All patients had lumbar DDD without radiculopathy or spondylolithesis, and concordant pain with discogram at the pathological level...
February 9, 2015: Singapore Medical Journal
Prashanth J Rao, Ralph J Mobbs
Because degenerative spondylolithesis is prevalent in the elderly with associated osteoporosis, the rate of failure of pedicle screws is high; this leads to pseudoarthrosis and potentially requires reoperation. The burden of recurrent symptoms and reoperation is sufficiently significant to warrant prevention. We here describe a hybrid technique that involves a combination of a unilateral approach to bilateral decompression via a midline incision, transforaminal lumbar interbody fusion (TLIF), contralateral facet fusion, and percutaneously placed pedicle screws without compromising operative time and visualization...
February 2014: Orthopaedic Surgery
Qing-chu Li, Ze-zheng Liu, Hui-bo Yan, Da-di Jin
OBJECTIVE: To summarize the experiences of endoscopic assisted anterior lumbar interbody fusion (ALIF) with self-locking cage via retroperitoneal approach through small incision lateral to abdominal rectus. METHODS: There were 47 cases of endoscopic assisted ALIF from April 2010 to April 2012 were reviewed retrospectively, including 28 male and 19 female patients whose age ranged from 39 to 65 years, averaged of (48 ± 11) years. Of 47 cases, 17 cases were founded instability in lumbar spine, 16 cases of discogenetic low back pain, 7 cases of degenerative spondylolithesis, and 7 cases of recurrent disc herniation...
November 2013: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Alessandro Landi, Nicola Marotta, Cristina Mancarella, Roberto Tarantino, Roberto Delfini
We describe the case of a 67-year-old woman with L5-S1 ontogenetic spondylolisthesis treated with pedicle fixation associated with interbody arthrodesis performed with S1-L5 trans-sacral screwing according to the technique of Bartolozzi. The procedure was followed by a wide decompressive laminectomy. The patient had a progressive improvement of the symptoms which gradually disappeared in 12 mo. The radiograph at 6 and 12 mo showed complete fusion system. The choice of treatment in L5-S1 ontogenetic spondylolithesis is related to a correct clinical and diagnostic planning (X-ray, computer tomography magnetic resonance imaging, Measurement)...
June 16, 2013: World Journal of Clinical Cases
Weifei Wu, Yuanli Du, Jie Liang, Ying Chen, Xiaoyi Tan, Xuanping Xiang, Wanhong Wang, Neng Ru
STUDY DESIGN: A comparative study. OBJECTIVE: The aims of this study were to: (1) evaluate Scoliosis Research Society (SRS)-22 questionnaire performance in normal adolescents without scoliosis to establish a normative baseline useful for evaluating the discriminate validity of the SRS-22 in primary adolescent scoliosis; and (2) investigate impact of age and sex on SRS-22 in an adolescent population unaffected by scoliosis. SUMMARY OF BACKGROUND DATA: The SRS-22 questionnaire is widely used to measure health-related quality of life of patients with spinal disease including scoliosis and lumbar spondylolisthesis...
February 1, 2014: Spine
Yong-Ping Ye, Hao Xu, Dan Chen
INTRODUCTION: Primary aim of this study was to compare long-term pain relief and quality of life in adults with isthmic spondylolisthesis (IS) who were treated with posterior lumbar interbody fusion (PLIF) and posterolateral fusion (PLF). Secondary aim was to compare the fusion and infection rates of PLIF- or PLF-treated groups. MATERIALS AND METHODS: We searched four databases and the cited reference lists of the included studies. Inclusion criteria were pain assessment with visual analog scale (VAS), and clinical studies that compared long-term pain relief of PLF and PLIF-treated adults with IS...
December 2013: Archives of Orthopaedic and Trauma Surgery
Ibrahim Farooq Pasha, Muhammed Abid Qureshi, Irfan Zafar Haider, Arsalan Sharif Malik, Muhammad Asad Qureshi, Usama Bin Tahir
BACKGROUND: Spondylolithesis is forward slipping of upper vertebra in relation to its lower one, which at times requires surgery. The objective of present study is to document the outcome of surgical treatment in spondylolisthesis of lumbosacral region. METHODS: We reviewed outcome of surgery in 45 patients with spondylolisthesis. Improvement in pain intensity, neurological status and union achieved after surgery was studied. All patients requiring surgical treatment were included in the study...
January 2012: Journal of Ayub Medical College, Abbottabad: JAMC
Yi-bing Bai, Ling Xu, Jian-cheng Xi, Xiao-jing Mu
OBJECTIVE: To conduct a retrospective analysis of diagnosis and treatment of lumbar disc herniation by discography and percutaneous transforaminal endoscopic surgery. METHODS: From December 2009 to June 2010, 119 patients with lumbar disc herniation underwent discography and transforaminal endoscopic surgery under local anesthesia. There were 75 males and 44 females with a mean age of 44.8 years (range: 15 - 55). The mean disease course was 9 months (range: 3 - 72)...
December 18, 2012: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Julien Gervais, Delphine Périé, Stefan Parent, Hubert Labelle, Carl-Eric Aubin
BACKGROUND: Early stages of scoliosis and spondylolisthesis entail changes in the intervertebral disc (IVD) structure and biochemistry. The current clinical use of MR T2-weighted images is limited to visual inspection. Our hypothesis is that the distribution of the MRI signal intensity within the IVD in T2-weighted images depends on the spinal pathology and on its severity. Therefore, this study aims to develop the AMRSID (analysis of MR signal intensity distribution) method to analyze the 3D distribution of the MR signal intensity within the IVD and to evaluate their sensitivity to scoliosis and spondylolisthesis and their severities...
2012: BMC Musculoskeletal Disorders
Dhiruj Kirpalani, Raj Mitra
BACKGROUND: Cervical epidural steroid injections (ESIs) are often used to treat patients with neck and upper extremity pain associated with a cervical radiculopathy. The effect of chronic opioid use in cervical radiculopathy patients managed with ESIs is unknown; past studies suggest that these patients may behave differently than opioid naïve patients. The purpose of this study is to determine the effect of chronic (greater than 6 months) opioid use on the immediate outcome of cervical ESIs...
2011: Journal of Back and Musculoskeletal Rehabilitation
Owoicho Adogwa, Scott L Parker, Ali Bydon, Joseph Cheng, Matthew J McGirt
STUDY DESIGN: Retrospective cohort comparison between minimally invasive (MIS) and open transforaminal lumbar interbody fusion (TLIF). OBJECTIVE: To assess 2 earlier unstudied endpoints (duration of narcotic use and return to work) and long-term pain, disability, and quality of life (QOL) for MIS-TLIF versus open-TLIF. SUMMARY OF BACKGROUND DATA: MIS-TLIF for lumbar spondylolithesis theoretically allows for surgical treatment of back and leg pain while minimizing blood loss and tissue injury...
December 2011: Journal of Spinal Disorders & Techniques
Vivek A Mehta, Matthew J McGirt, Giannina L Garcés Ambrossi, Scott L Parker, Daniel M Sciubba, Ali Bydon, Jean-Paul Wolinsky, Ziya L Gokaslan, Timothy F Witham
BACKGROUND: Posterior lumbar interbody fusion (PLIF) and trans-foraminal lumbar interbody fusion (TLIF) are both accepted surgical approaches for spinal fusion in spondylolisthesis and degenerative disc disease. The unilateral approach of TLIF may minimize the risk of iatrogenic durotomy and nerve root injury; however, there is no definitive evidence to support either approach. We review our experience with TLIF versus PLIF to compare operative complications. METHODS: We retrospectively reviewed 119 consecutive cases of PLIF or TLIF performed for degenerative disc disease or spondylolithesis at a single institution over 5 years and examined the incidences of operative complications and outcomes...
January 2011: Neurological Research
In-Soo Oh, Kee-Yong Ha
STUDY DESIGN: Human ligamentum flavum (LF) was examined for the activity level of matrix metalloproteinase-3 (MMP-3) in degenerative spondylolithesis (DS) patients using immunohistochemistry, Western blot, reverse transcriptase-polymerase chain reaction (RT-PCR), and quantitative real-time PCR. OBJECTIVE: To investigate the hypothesis that the activity of MMP-3 is elevated in LF of DS patients, which might contribute to DS pathogenesis. SUMMARY OF BACKGROUND DATA: MMP-3 is a proteinase produced by connective tissue cells and is responsible for the degradation and modification of extracellular matrix molecules...
July 15, 2009: Spine
Jason David Eubanks, Vinay K Cheruvu
STUDY DESIGN: An anatomic, osteologic study of spina bifida occulta (SBO). OBJECTIVE: To determine the prevalence and patterns of SBO in a large population and examine its relationship to age, sex, and race; then to evaluate SBOs relationship to the sacral table angle (STA) when compared with an age-matched control group. SUMMARY OF BACKGROUND DATA: SBO has a reported prevalence of 1.2% to 50% and has been implicated in various pathologic problems...
July 1, 2009: Spine
Sun-Ho Lee, Joo-Kyung Sung
OBJECTIVE: This study examined the clinical and radiologic results of cervical spine injuries associated with a unilateral lateral mass-facet fracture (ULMFF) in an attempt to clarify the fracture pattern and treatment strategies using single-level anterior fusion. METHODS: From July 2003 to June 2006, adult patients, who had sustained ULMFFs of the middle cervical spine, were reviewed retrospectively. The fractures were classified into six subtypes using roentgenogram and computed tomography imaging with three-dimensional analysis...
March 2009: Journal of Trauma
Shifeng Dai, Zhigang Zhang, Yongmin Li, Zuoming Yang, Yanrui Zhang, Qi Wang
OBJECTIVE: To investigate the clinical outcomes of lumbar spondylolisthesis associated with lumbar spinal stenosis through decompressive laminectomy, spondylolithesis reduction system (SRS) internal fixation, single posterolateral Vigor Spacer threaded fusion cages and intertransverse process arthrodesis bone grafting. METHODS: From June 2002 to June 2006, 58 cases of lumbar spondylolisthesis were treated with decompressive laminectomy, fixed by SRS instrumentation, posterior installed with interbody Vigor Spacer Cage and bone grafted between intertransverse process arthrodesis...
December 2008: Chinese Journal of Reparative and Reconstructive Surgery
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