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https://www.readbyqxmd.com/read/27885810/value-of-18-f-fdg-pet-mri-for-the-outcome-of-ct-guided-facet-block-therapy-in-cervical-facet-syndrome-initial-results
#1
Lino M Sawicki, Benedikt M Schaarschmidt, Philipp Heusch, Christian Buchbender, Sandra Rosenbaum-Krumme, Lale Umutlu, Sven O Eicker, Andreas Bockisch, Gerald Antoch, Frank W Floeth
INTRODUCTION: The aim of this study was to evaluate the ability of (18) F-fluorodeoxyglucose positron emission tomography/magnetic resonance imaging ((18) F-FDG PET/MRI) to detect PET-positive cervical facet arthropathy and identify patients who benefit from facet block therapy. METHODS: Ten patients with cervical facet syndrome (mean age: 65 ± 12 years) underwent (18) F-FDG PET/MRI of the neck. Focal (18) F-FDG uptake in PET-positive facet joints served as target for computed tomography (CT)-guided facet blocks...
November 25, 2016: Journal of Medical Imaging and Radiation Oncology
https://www.readbyqxmd.com/read/27803810/delayed-onset-of-a-spinal-epidural-hematoma-after-facet-joint-injection
#2
Mirko Velickovic, Tobias M Ballhause
The treatment of chronic back pain is a challenging problem. Facet joint infiltration is an established treatment for chronic low back pain caused by arthrosis of the lumbar facet joints. Due to the increasing number of patients with chronic low back pain, this therapy has become more frequent. We treated a 51-year-old male patient, who developed an epidural hematoma 2 months after infiltration therapy. Our case shows that even a delayed onset of spinal epidural hematoma is possible and should be kept in mind as a possible cause of acute myelopathy after spinal intervention...
2016: SAGE open medical case reports
https://www.readbyqxmd.com/read/27793242/spinal-injection-of-local-anesthetic-during-cervical-facet-joint-injection
#3
Juan A Ramos
INTRODUCTION: Facet joint pain is a common source of non-radicular back pain worldwide. Non-surgical interventional modalities remain the mainstay in the treatment of facetogenic back pain and comprise the second most commonly performed interventional pain procedures in the USA. CASE: A 36 year-old man with chronic cervical pain secondary to C6-C7 facet arthrosis radiographically, underwent diagnostic local anesthetic bilateral facet joint injection under fluoroscopic guidance...
November 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/27707846/radiographic-changes-in-the-cervical-spine-following-anterior-arthrodesis-a-long-term-analysis-of-166-patients
#4
Raj D Rao, Donald R Gore, Shu-Jie Tang, Brandon J Rebholz, Narayan Yoganandan, Mei Wang
BACKGROUND: Adjacent segment degeneration frequently develops following anterior cervical discectomy and fusion. The objectives of the present study were to characterize the long-term evolution of degenerative radiographic changes at segments adjacent to anterior cervical fusion and to identify factors associated with the development of these changes, including the preoperative condition of the cervical spine and parameters related to arthrodeses. METHODS: One hundred and sixty-six patients who underwent anterior cervical discectomy and fusion for symptomatic cervical spondylosis or disc herniation were followed radiographically for a mean time of 12...
October 5, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27417397/the-degenerative-spine
#5
REVIEW
Frédéric Clarençon, Bruno Law-Ye, Peggy Bienvenot, Évelyne Cormier, Jacques Chiras
Degenerative disease of the spine is a leading cause of back pain and radiculopathy, and is a frequent indication for spine MR imaging. Disc degeneration, disc protrusion/herniation, discarhtrosis, spinal canal stenosis, and facet joint arthrosis, as well as interspinous processes arthrosis, may require an MR imaging workup. This review presents the MR imaging patterns of these diseases and describes the benefit of the MR imaging in these indications compared with the other imaging modalities like plain radiographs or computed tomography scan...
August 2016: Magnetic Resonance Imaging Clinics of North America
https://www.readbyqxmd.com/read/27154449/subdural-empyema-following-lumbar-facet-joint-injection-an-exceeding-rare-complication
#6
Oluwafikayo Fayeye, Adikarige Haritha Dulanka Silva, Swarupsinh Chavda, Navin Raoul Furtado
Chronic low back pain is extremely common with a life time prevalence estimated at greater than 70%. Facet joint arthrosis is thought to be the causative aetiological substrate in approximately 25% of chronic low back pain cases. Facet joint injection is a routine intervention in the armamentarium for both the diagnostic and therapeutic management of chronic low back pain. In fact, a study by Carrino et al. reported in excess of 94,000 facet joint injection procedures were carried out in the US in 1999. Although generally considered safe, the procedure is not entirely without risk...
2016: Neurologia i Neurochirurgia Polska
https://www.readbyqxmd.com/read/27008289/radiofrequency-neurolysis-for-lumbar-pain-using-a-variation-of-the-original-technique
#7
Jorge F Ramirez Leon, Jose G Rugeles Ortiz, Enrique Osorio Fonseca, Carolina Ramirez Martinez, Gabriel Oswaldo Alonso Cuellar
BACKGROUND: Zygapophysial joint arthrosis is a pathology related with axial lumbar pain. The most accepted treatment, after failure of medical management, is the thermal denervation of the medial branch. Nonetheless, the placement of the heat probe remains a challenge to surgeons, even when using the fluoroscope. Using a variation of Shealy's and Bogduk's original techniques, which includes ablation of the medial branch and the nerves present in the joint capsule, we hypothesize that we can obtain similar outcomes to those found in the literature...
March 2016: Pain Physician
https://www.readbyqxmd.com/read/26949033/persistent-axial-neck-pain-after-cervical-disc-arthroplasty-a-radiographic-analysis
#8
Scott C Wagner, Peter M Formby, Daniel G Kang, Gregory S Van Blarcum, John P Cody, Robert W Tracey, Ronald A Lehman
BACKGROUND CONTEXT: There is very little literature examining optimal radiographic parameters for placement of cervical disc arthroplasty (CDA), nor is there substantial evidence evaluating the relationship between persistent postoperative neck pain and radiographic outcomes. PURPOSE: We set out to perform a single-center evaluation of the radiographic outcomes, including associated complications, of CDA. DESIGN: This is a retrospective review...
July 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/26511687/transverse-decompression-technique-in-the-surgical-treatment-of-degenerative-lumbar-canal-stenosis
#9
Salih Müjde, Nuri Erel, Fırat Ozan
OBJECTIVE: The aim of this study was to assess the outcomes of fusion technique via posterior instrumentation in combination with transverse decompression in the surgical treatment of degenerative lumbar canal stenosis. METHODS: Forty-five patients-39 women (86.7%) and 6 men (13.3%)-were included. Mean age was 58.68±8.63 years with mean follow-up of 51.71±20.96 months. Preoperative and postoperative clinical evaluation was performed using the Oswestry Disability Index (ODI) and Visual Analog Scale (VAS) for overall pain...
2015: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/26403424/bilateral-pars-defects-at-the-l4-vertebra-result-in-increased-degeneration-when-compared-with-those-at-l5-an-anatomic-study
#10
COMPARATIVE STUDY
Peter T McCunniff, HoJun Yoo, Anthony Dugarte, Navkirat S Bajwa, Jason O Toy, Uri M Ahn, Nicholas U Ahn
BACKGROUND: Cadaveric studies have examined disc degeneration at the L4-L5 and L5-S1 motion segments; however, we are not aware of another study that has examined the relationship between bilateral spondylolysis and its effect on degenerative disc disease at those levels. This may have been overlooked by researchers owing to the majority of spondylolysis occurring at the L5 vertebra. QUESTIONS/PURPOSES: Using osteologic specimens from a collection that included individuals who died in one city in the USA between 1893 and 1938, we asked: (1) do specimens with bilateral spondylolysis (bilateral pars defects) have increased levels of disc degeneration, at their respective motion segments, when compared with matched controls without spondylolysis, and (2) is the finding of a bilateral pars defect associated with more severe arthritis at L4-L5 than at L5-S1? METHODS: An observational study was performed on 665 skeletal lumbar spines from the Hamann-Todd Osteologic Collection at the Cleveland Museum of Natural History (Cleveland, OH, USA)...
February 2016: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/26355013/-spinal-injection-of-local-anesthetic-during-cervical-facet-joint-injection
#11
Juan A Ramos
INTRODUCTION: facet joint pain is a common source of non-radicular back pain worldwide. Non-surgical interventional modalities remain the mainstay in the treatment of facetogenic back pain and comprise the second most commonly performed interventional pain procedures in the USA. CASE: a 36 year-old man with chronic cervical pain secondary to C6-C7 facet arthrosis radiographically, underwent diagnostic local anesthetic bilateral facet joint injection under fluoroscopic guidance...
September 2, 2014: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/26169027/risk-factors-for-a-recurrence-of-low-back-pain
#12
Mark J Hancock, Chris M Maher, Peter Petocz, Chung-Wei Christine Lin, Daniel Steffens, Alejandro Luque-Suarez, John S Magnussen
BACKGROUND CONTEXT: The clinical importance of lumbar pathology identified on magnetic resonance imaging (MRI) remains unclear. It is plausible that pathology seen on MRI is a risk factor for a recurrence of low back pain (LBP); however, to our knowledge, this has not been investigated by previous studies. PURPOSE: The aim was to investigate whether lumbar pathology, identifiable on MRI, increases the risk of a recurrence of LBP. STUDY DESIGN: This was a prospective inception cohort study with 1-year follow-up...
November 1, 2015: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/25922335/talocalcaneal-joint-middle-facet-coalition-resection-with-interposition-of-a-juvenile-hyaline-cartilage-graft
#13
Dyane E Tower, Ryan W Wood, Michael D Vaardahl
Talocalcaneal joint middle facet coalition is the most common tarsal coalition, occurring in ≤2% of the population. Fewer than 50% of involved feet obtain lasting relief of symptoms after nonoperative treatment, and surgical intervention is commonly used to relieve symptoms, increase the range of motion, improve function, reconstruct concomitant pes planovalgus, and prevent future arthrosis from occurring at the surrounding joints. Several approaches to surgical intervention are available for patients with middle facet coalitions, ranging from resection to hindfoot arthrodesis...
November 2015: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/25694939/endoscopic-foraminal-decompression-for-failed-back-surgery-syndrome-under-local-anesthesia
#14
Anthony Yeung, Satishchandra Gore
BACKGROUND: The most common causes of failed back surgery are residual or recurrent herniation, foraminal fibrosis and foraminal stenosis that is ignored, untreated, or undertreated. Residual back ache may also be from facetal causes or denervation and scarring of the paraspinal muscles.(1-6) The original surgeon may advise his patient that nothing more can be done on the basis of his opinion that the nerve was visually decompressed by the original surgery, supported by improved post-op imaging and follow-up studies such as EMG and conduction velocity studies...
2014: International Journal of Spine Surgery
https://www.readbyqxmd.com/read/25694936/endoscopically-guided-foraminal-and-dorsal-rhizotomy-for-chronic-axial-back-pain-based-on-cadaver-and-endoscopically-visualized-anatomic-study
#15
Anthony Yeung, Satishchandra Gore
BACKGROUND: Conventional fluoroscopically guided continuous radiofrequency (CRF) and pulsed Radiofrequency (PRF) lesioning of the medial branch, dorsal ramus, a standard technique to treat facet pain, is compared to an endoscopic visually guided technique. The endoscopic technique (Figure 1) is designed to ablate a larger area of the transverse process where the medial branch crosses to innervate the facet. Endoscopically guided visualization provides confirmation of nerve ablation or transection in the most common location of the branches of the dorsal ramus innervating the facet joint...
2014: International Journal of Spine Surgery
https://www.readbyqxmd.com/read/25649063/segmental-translation-after-lumbar-total-disc-replacement-using-prodisc-l%C3%A2-associated-factors-and-relation-to-facet-arthrosis
#16
M H Shin, K S Ryu, N K Rathi, C K Park
AIM: Segmental translation after lumbar TDR with ProDisc-L® prosthesis is frequently observed radiographic findings during follow-up period. However its precise pathomechanism and relation with facet arthrosis have not been investigated yet. This study was performed to evaluate possible factors that affect postoperative segmental translation and to identify its relation with facet joint degeneration after lumbar total disc replacement (TDR) using ProDisc-L® prosthesis. METHODS: Thirty-five consecutive patients who underwent lumbar TDR using ProDisc-L®, completed minimum 24 months follow-up...
February 4, 2015: Journal of Neurosurgical Sciences
https://www.readbyqxmd.com/read/25555050/stabilization-with-the-dynamic-cervical-implant-a-novel-treatment-approach-following-cervical-discectomy-and-decompression
#17
Guy Matgé, Christophe Berthold, Vimal Raj Nitish Gunness, Ardian Hana, Frank Hertel
OBJECT: Although cervical total disc replacement (TDR) has shown equivalence or superiority to anterior cervical discectomy and fusion (ACDF), potential problems include nonphysiological motion (hypermobility), accelerated degeneration of the facet joints, particulate wear, and compromise of the mechanical integrity of the endplate during device fixation. Dynamic cervical stabilization is a novel motion-preserving concept that facilitates controlled, limited flexion and extension, but prevents axial rotation and lateral bending, thereby reducing motion across the facet joints...
March 2015: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/25217245/hemilaminoplasty-for-the-treatment-of-lumbar-intraspinal-synovial-cysts-liscs-and-literature-review
#18
Zuo Zhenbo, Li Huanting, Wang Jin, Gong Haifeng, Fang Yuan, Li Ming
PURPOSE: The present report intended to introduce the hemilaminoplasty technique and evaluate the efficacy of our surgical procedure for LISCs. METHODS: This retrospective study was conducted to analyze the results in 24 LISCs who had undergone our hemilaminoplasty between 2000 and 2012 in two hospitals. All were confirmed by pathological histology and mid- to long-term follow-up had been performed in all cases with a mean of 4.9 years. Using the Japanese Orthopedic Association scoring system (JOA score) and visual analog scale (VAS), symptoms resulting from cyst compression were quantified at various stage for statistical analysis...
September 13, 2014: European Spine Journal
https://www.readbyqxmd.com/read/25189113/evaluation-of-efficacy-of-a-new-hybrid-fusion-device-a-randomized-two-centre-controlled-trial
#19
RANDOMIZED CONTROLLED TRIAL
Jan Siewe, Jan Bredow, Johannes Oppermann, Timmo Koy, Stefan Delank, Peter Knoell, Peer Eysel, Rolf Sobottke, Kourosh Zarghooni, Marc Röllinghoff
BACKGROUND: The 360° fusion of lumbar segments is a common and well-researched therapy to treat various diseases of the spine. But it changes the biomechanics of the spine and may cause adjacent segment disease (ASD). Among the many techniques developed to avoid this complication, one appears promising. It combines a rigid fusion with a flexible pedicle screw system (hybrid instrumentation, "topping off"). However, its clinical significance is still uncertain due to the lack of conclusive data...
September 5, 2014: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/24938702/comparison-of-computed-tomography-and-magnetic-resonance-imaging-in-the-evaluation-of-facet-tropism-and-facet-arthrosis-in-degenerative-cervical-spondylolisthesis
#20
C Xu, Z H Ding, Y K Xu
The aim of this study was to determine the reliability of magnetic resonance imaging (MRI) in the assessment of facet tropism and facet arthrosis of spondylolisthesis levels in degenerative cervical spondylolisthesis as compared to computed tomography (CT). The discrepancies in the interpretation of CT and MRI data in the evaluation of facet tropism and arthrosis have given rise to questions regarding the reliability of comparisons of the two techniques. Using a 4-point scale, 3 blinded readers independently graded the severity of facet tropism and facet arthrosis of 79 cervical facet joints on axial T2-weighted and sagittal T1 and T2-weighted turbo spin echo images as well as the corresponding axial CT scans...
May 30, 2014: Genetics and Molecular Research: GMR
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