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Cureus 2022 Jul 11;14(7):e26727. Epub 2022 Jul 11.

Department of Neurosurgery, Acibadem City Clinic Tokuda Hospital, Sofia, BGR.

Introduction The distinct anatomy of the superficial and deep back muscles is characterized by complex layered courses, fascial planes, specific vascularization, and innervation. Knowledge of these anatomical parameters is important for some surgical approaches, including lumbar disc herniation, cerebrospinal fluid fistula repair, vascularized muscle pedicle flaps, and posterior fossa extra-intracranial bypass. In the present study, we use modern techniques of three-dimensional (3D) surface scanning to help better illustrate the layered anatomy of the back muscles. Read More

J Orthop Surg Res 2022 Aug 13;17(1):391. Epub 2022 Aug 13.

Department of Spine Surgery, Yijishan Hospital, The First Affiliated Hospital of Wannan Medical College, 2 Zheshan West Road, Wuhu, Anhui, 241001, People's Republic of China.

Background: There is still much controversy about whether transforaminal or interlaminar fully endoscopic spine surgery can better treat lumbar 4/5 disc herniation. Therefore, this study intends to compare the clinical efficacy of fully endoscopic spine surgery through transforaminal and interlaminar approaches in the treatment of lumbar 4/5 disc herniation.

Methods: Seventy-six patients with lumbar 4/5 disc herniation admitted from March 2019 to June 2020 were divided into the transforaminal approach group (endoscopic transforaminal lumbar discectomy, ETLD; 54 cases) and the interlaminar approach group (endoscopic interlaminar lumbar discectomy, EILD; 22 cases) according to different surgical methods. Read More

BMC Musculoskelet Disord 2022 Aug 13;23(1):772. Epub 2022 Aug 13.

Department of Applied Health Sciences, Division of Physiotherapy, Hochschule für Gesundheit (University of Applied Sciences), Gesundheitscampus 6-8, 44801, Bochum, Germany.

Background: Astronauts have a higher risk of cervical intervertebral disc herniation. Several mechanisms have been attributed as causative factors for this increased risk. However, most of the previous studies have examined potential causal factors for lumbar intervertebral disc herniation only. Read More

J Vet Intern Med 2022 Aug 13. Epub 2022 Aug 13.

Small Animal Clinical Sciences, Texas A&M University, College Station, Texas, USA.

Background: Opioids are widely used for perioperative pain control in dogs undergoing spinal surgery, but alternatives may be required because data suggest that opioids exacerbate inflammation in the injured spinal cord and veterinary access to opioids may become more restricted in the future.

Objectives: To compare recovery of ambulation and other functions between spinal cord-injured dogs receiving peri-operative fentanyl and those receiving a ketamine-dexmedetomidine combination.

Animals: A total of 102 client-owned dogs undergoing decompressive surgery for thoracolumbar intervertebral disc herniation. Read More

Vet Radiol Ultrasound 2022 Aug 12. Epub 2022 Aug 12.

Department of Veterinary Medicine, The Queen's Veterinary School Hospital (QVSH), Madingley Road, Cambridgeshire, CB3 0ES, UK.

Reherniation and reoperation rates of 4.5%-36% are reported in canine patients treated for intervertebral disc herniation (IVDH). Decision-making for surgical reintervention can prove challenging, especially since common postoperative changes are poorly described on MRI. Read More