318 results match your criteria Lumbosacral Disc Injuries


Asymptomatic Degenerative Changes in the Lumbar Spine Among Professional Soccer Players.

Spine (Phila Pa 1976) 2021 Jan;46(2):122-128

Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.

Study Design: Cross-sectional study.

Objective: The aim of this study was to evaluate the actual prevalence of degenerative spinal changes and their association with age in a cohort of professional soccer players.

Summary Of Background Data: Presently, there are data that athletes have more degenerative changes than nonathletes; however, the research examining the prevalence of degenerative spinal conditions among professional elite soccer players is scarce. Read More

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January 2021

Sacral insufficiency fracture after instrumented lumbosacral fusion: Focusing pelvic deformation -A retrospective case series.

J Clin Neurosci 2021 Jan 15;83:31-36. Epub 2020 Dec 15.

Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. Electronic address:

The purpose of this study was to report the characteristics of SIFs after ILSF and discuss its management focusing on pelvic deformation. We retrospectively reviewed all consecutive patients who underwent ILSF for degenerative disc diseases during the period between 2000 and 2017 and were diagnosed as SIF at our institute. The clinical and radiographic data were reviewed on their medical charts. Read More

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January 2021

Conjoint Nerve Root an Intraoperative Challenge in Minimally Invasive Tubular Discectomy.

Asian Spine J 2020 Nov 16. Epub 2020 Nov 16.

Department of Orthopedic and Spine Surgery, Dr. Babasaheb Ambedkar Central Railway Hospital, Mumbai, India.

Conjoint nerve root (CNR) is an embryological nerve root anomaly that mainly involves the lumbosacral region. The presence of CNR during tubular discectomy raises the chances of failure in spinal surgery and the risk of neural injuries. Tubular discectomy can be challenging in the presence of CNR owing to limited visualization. Read More

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November 2020

Cerebrospinal fluid-cutaneous fistula associated with post-traumatic Charcot spinal arthropathy: a case report and review of literature.

BMC Musculoskelet Disord 2020 Jun 29;21(1):412. Epub 2020 Jun 29.

Department of Orthopaedic Surgery, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 63-ro 10 Yeongdeungpo-gu, Seoul, 07345, South Korea.

Background: Charcot spinal arthropathy, also known as Charcot spine and neuropathic spinal arthropathy, is a progressive and destructive condition that affects an intervertebral disc and the adjacent vertebral bodies following loss of spinal joint innervation. We report the first case of Charcot spinal arthropathy (CSA) associated with cerebrospinal fluid (CSF)-cutaneous fistula.

Case Presentation: A 54-year-old male who underwent T10-L2 posterior instrumented spinal fusion seven years prior for treatment of T11 burst fracture and accompanying T11 complete paraplegia visited our department complaining of leakage of clear fluid at his lower back. Read More

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Human lumbar spinal column injury criteria from vertical loading at the base: Applications to military environments.

J Mech Behav Biomed Mater 2020 05 13;105:103690. Epub 2020 Feb 13.

SURVICE Engineering Co, USA.

The objective of this study was to determine force-based lumbar spine injury criteria due to vertical impact using Post Mortem Human Surrogate (PMHS) experiments. Mounted personnel in military vehicles sustain loads from the pelvis in combat events such as underbody blast loadings. Forty-three post mortem human subject thoracolumbar spinal columns were obtained, screened for pre-existing trauma, bone mineral densities (BMDs) were determined, pre-test radiological images were taken, fixed at the ends in polymethylmethacrylate, load cells were attached to the ends of the fixation, positioned on custom vertical accelerator device based on a military-seating posture, and impacted at the base. Read More

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A systematic review and meta-analysis for Chinese herbal medicine Duhuo Jisheng decoction in treatment of lumbar disc herniation: A protocol for a systematic review.

Medicine (Baltimore) 2020 Feb;99(9):e19310

Department of Spine, Wangjing Hospital of China Academy of Chinese Medical Sciences.

Background: Lumbar disc herniation (LDH) is 1 of the most common diseases in orthopedics, which seriously affects people's daily life and brings a heavy burden on society and families. Chinese herbal medicine has been used in clinical practice for a long time and Duhuo Jisheng Decoction (DHJSD) is believed to help alleviate the symptoms of LDH. This systematic review aims to collect evidences from randomized clinical trials and evaluate the efficacy of DHJSD on LDH in order to provide a reference for clinicians and researchers. Read More

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February 2020

Lumbar Juxtafacet Cysts.

Turk Neurosurg 2020 ;30(3):416-421

Ondokuz Mayıs University, Faculty of Medicine, Neurosurgery Department, Samsun, Turkey.

Aim: To evaluate the factors affecting the clinical and radiological findings of juxtafacet cyst patients.

Material And Methods: Between January 2011 and December 2018, eight patients diagnosed with juxtafacet cyst were reviewed, retrospectively. Patient demographics; signs and symptoms; and neurological examination, radiological, and surgical findings were noted. Read More

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October 2020

Postoperative Cerebrospinal Fluid Leak After Lumbar Total Disc Replacement: A Diagnostic and Management Challenge.

World Neurosurg 2020 05 5;137:119-125. Epub 2020 Feb 5.

Department of Neurosurgery, Cedars Sinai Medical Center, Los Angeles, California, USA. Electronic address:

Background: Lumbar total disc replacement is increasingly becoming a more common treatment for discogenic low back pain refractory to conservative measures. Nevertheless, several complications have been reported, including, among others, wound infection, vascular injury, retrograde ejaculation, postsympathectomy syndrome, ileus, and cerebrospinal fluid (CSF) leak. Although CSF leakage is rare, we discuss a case of CSF leakage and the diagnosis and management of CSF leakage after lumbar total disc replacement. Read More

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Is age more than manual material handling associated with lumbar vertebral body and disc changes? A cross-sectional multicentre MRI study.

BMJ Open 2019 09 18;9(9):e029657. Epub 2019 Sep 18.

Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.

Objective: Conflicting evidence exists to what extent manual material handling (MMH) causes lumbar disc disease, lack of evidence exist that this effect takes place especially at L5-S1 level, where the greatest moment occurs. The aim was to assess if lumbar vertebral body and disc changes are more common in people whose job involves significant MMH and, if so, to evaluate if lumbar vertebral body and disc changes are more prevalent in the lower part of the lumbar spine (L4-L5 and L5-S1).

Design: Observational, cross-sectional, with quasi-random recruitment. Read More

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September 2019

Clinical reasoning in feline spinal disease: which combination of clinical information is useful?

J Feline Med Surg 2020 06 28;22(6):521-530. Epub 2019 Jun 28.

Clinical Science and Services, The Royal Veterinary College, University of London, Hatfield, UK.

Objectives: The aim of this study was to evaluate if a combination of discrete clinical characteristics can be used to identify the most likely differential diagnoses in cats with spinal disease.

Methods: Two hundred and twenty-one cats referred for further evaluation of spinal disease were included and categorised as follows: non-lymphoid neoplasia (n = 44); intervertebral disc disease (n = 42); fracture/luxation (n = 34); ischaemic myelopathy (n = 22); feline infectious peritonitis virus myelitis (n = 18); lymphoma (n = 16); thoracic vertebral canal stenosis (n = 11); acute non-compressive nucleus pulposus extrusion (n = 11); traumatic spinal cord contusion (n = 8); spinal arachnoid diverticula (n = 7); lumbosacral stenosis (n = 5); and spinal empyema (n = 3). Information retrieved from the medical records included signalment, clinical history and clinical presentation. Read More

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AOSpine-Spine Trauma Classification System: The Value of Modifiers: A Narrative Review With Commentary on Evolving Descriptive Principles.

Global Spine J 2019 May 8;9(1 Suppl):77S-88S. Epub 2019 May 8.

Rothman Institute at Thomas Jefferson University Hospital, Philadelphia, PA, USA.

Study Design: Narrative review.

Objectives: To describe the current AOSpine Trauma Classification system for spinal trauma and highlight the value of patient-specific modifiers for facilitating communication and nuances in treatment.

Methods: The classification for spine trauma previously developed by The AOSpine Knowledge Forum is reviewed and the importance of case modifiers in this system is discussed. Read More

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Risk factors of instrumentation failure and pseudarthrosis after stand-alone L5-S1 anterior lumbar interbody fusion: a retrospective cohort study.

J Neurosurg Spine 2019 May 31;31(3):338-346. Epub 2019 May 31.

Department of Orthopaedic Surgery, Hôpital Henri Mondor, AP-HP, Université Paris Est Créteil (UPEC), Creteil, France

Objective: L5-S1 stand-alone anterior lumbar interbody fusion (ALIF) is a reliable technique to treat symptomatic degenerative disc disease but remains controversial for treatment of isthmic spondylolisthesis. In the present study the authors aimed to identify risk factors of instrumentation failure and pseudarthrosis after stand-alone L5-S1 ALIF and to evaluate whether instrumentation failure influenced the rate of fusion.

Methods: The study included 64 patients (22 [34. Read More

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Vertebral fracture in elderly female patients after posterior fusion with pedicle screw fixation for degenerative lumbar pathology: a retrospective cohort study.

BMC Musculoskelet Disord 2019 May 29;20(1):259. Epub 2019 May 29.

Department of Orthopaedic Surgery, Nihon University School of Medicine, 30-1 Oyaguchi Kami-cho, Itabashi-ku, Tokyo, 173-8610, Japan.

Background: There have been only a few reports of subsequent postoperative vertebral fracture following posterior spinal instrumentation fusion, especially in elderly female patients. This study attempted to evaluate the long-term prevalence of subsequent postoperative vertebral fracture in female patients aged 70 years and older who underwent spine decompression and fusion surgery with pedicle screw fixation.

Methods: We retrospectively reviewed prospectively collected data from 125 patients who met our inclusion and exclusion criteria. Read More

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Intraoperative ultrasound visualization of paravertebral anatomy in the retroperitoneal space during lateral lumbar spine surgery.

J Neurosurg Spine 2019 May;31(3):334-337

1Department of Orthopedic Surgery, Juntendo University; and.

Objective: Lumbar surgery via a lateral approach is a minimally invasive and highly useful procedure. However, care must be taken to avoid its potentially fatal complications of intestinal and vascular injuries. The object of this study was to evaluate the usefulness of intraoperative ultrasound in improving the safety of lateral lumbar spine surgery. Read More

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Influence of incidental dural tears and their primary microendoscopic repairs on surgical outcomes in patients undergoing microendoscopic lumbar surgery.

Spine J 2019 09 19;19(9):1559-1565. Epub 2019 Apr 19.

Department of Orthopaedic Surgery, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-8655, Japan. Electronic address:

Background Context: Dural tear represents a common complication of microendoscopic spine surgery that may lead to postoperative sequelae including insufficient decompression, cerebrospinal fluid fistula, intracranial hypotension, and subdural/intraparenchymal bleeding. The gold standard to manage intraoperative dural tears is primary repair. However, the downside of conversion to open surgery can be detrimental. Read More

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September 2019

Effect of whole-body vibration and sitting configurations on lumbar spinal loads of vehicle occupants.

Comput Biol Med 2019 04 25;107:292-301. Epub 2019 Feb 25.

Department of Mechanical Engineering, Sharif University of Technology, Tehran, Iran. Electronic address:

Whole-body vibration (WBV) has been identified as one of the serious risk factors leading to spinal disorders, particularly in professional drivers. Although the influential factors in this area have been investigated epidemiologically, finite element (FE) modeling can efficiently help us better understand the problem. In this study, a modified HYBRID III dummy FE model which was enhanced by detailed viscoelastic discs in the lumbar region was utilized to simulate the effect of WBV on lumbar spine loads. Read More

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Dural tear is associated with an increased rate of other perioperative complications in primary lumbar spine surgery for degenerative diseases.

Medicine (Baltimore) 2019 Jan;98(1):e13970

Orthopaedic Surgery, Osaka University Graduate School of Medicine, Suita, Osaka.

Prospective case-control study.This study used a prospective multicenter database to investigate whether dural tear (DT) is associated with an increased rate of other perioperative complications.Few studies have had sufficient data accuracy and statistical power to evaluate the association between DT and other complications owing to a low incidence of occurrence. Read More

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January 2019

Serious Neurological Complication Resulting from Inadvertent Intradiscal Injection During Fluoroscopically Guided Interlaminar Epidural Steroid Injection.

Cardiovasc Intervent Radiol 2019 May 2;42(5):775-778. Epub 2019 Jan 2.

MGH Harvard Medical School, Boston, USA.

We describe the case of a 30-year-old patient who was referred for lumbar epidural corticosteroid injection due to right L5 radiculopathy. Two months earlier, MRI demonstrated a right large paracentral L4-L5 disk extrusion causing disabling L5 radiculopathy. The L4-L5 level was selected for interlaminar injection, using fluoroscopic guidance. Read More

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[Features of the clinical picture, diagnosis and treatment of pain syndromes formed on the basis of combined lesions of the spine in the elderly and senile age.]

Adv Gerontol 2019 ;32(5):795-803

Ural state medical University, 3 Repin str., Yekaterinburg 620028, Russian Federation, e-mail:

Based on the long-term observation of 105 representatives of the elderly and senile age, the features of the clinical picture of pain syndromes formed in the elderly and senile age on the basis of combined spinal lesions in osteoporosis and spondylarthrosis are presented, and methods of diagnosis and treatment of such patients are proposed. The main variants of symptoms developing in response to long-term tonic muscle tension in degenerative age-dependent injuries of vertebral bodies, intervertebral discs and facet joints at the level of thoracic and lumbosacral spine are shown. Pathogenetic connections of frequent urination disorders in the elderly and senile age with pathological processes in the spine and muscular-tonic pain syndromes were determined. Read More

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Two-level reverse Bohlman transsoseous approach for treatment of symptomatic pseudarthrosis.

Br J Neurosurg 2019 Feb 6;33(1):84-87. Epub 2018 Dec 6.

a Department of Neurological Surgery , Oregon Health & Science University , Portland , OR , USA.

Surgical treatment for high-grade spondylolisthesis with high sacral slope remains controversial and no definitive gold standard procedure has been identified. The Bohlman technique, in which a fibular strut is reamed posteriorly across the L5-S1 disc space in an oblique, inferior to superior trajectory, has been increasingly utilized. Recently, a Reverse Bohlman technique has been described, in which a graft is reamed anteriorly across a single disc space in a superior to inferior trajectory. Read More

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February 2019

Validation of an in vivo Medical Image-Based Young Human Lumbar Spine Finite Element Model.

J Biomech Eng 2018 Dec 5. Epub 2018 Dec 5.

ASME Fellow, Mechanical and Aerospace Engineering Department, Biomedical Engineering Department, University of California, Davis, 2132 Bainer Drive, Davis, CA 95616-5294.

Mathematical models of the human spine can be used to investigate spinal biomechanics without the difficulties, limitations and ethical concerns associated with physical experimentation. Validation of such models is necessary to ensure the modeled system behavior accurately represents the physics of the actual system. The goal of this work was to validate a medical image-based nonlinear lumbosacral spine finite element model of a healthy 20-year-old female subject under physiological moments. Read More

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December 2018

The Conservative Treatment of Traumatic Thoracolumbar Vertebral Fractures.

Dtsch Arztebl Int 2018 10;115(42):697-704

Department of Orthopedics, Trauma Surgery and Plastic Surgery, University Hospital of Leipzig, Leibzig, Germany; Department of Physical and Rehabilitation Medicine, BG Hospital Bergmannstrost, Halle, Germany; Reha Assist Deutschland GmbH, Berlin, Germany; Collm Klinik Oschatz GmbH, Oschatz, Germany; Department of Orthopedic, Trauma and Reconstructive Surgery, University Hospital of Halle, Halle, Germany; Department of General Orthopedic and Spine Surgery, St. Josef-Hospital Bochum, University Hospital of the Ruhr University of Bochum, Bochum, Germany.

Background: The conservative treatment of traumatic thoracolumbar vertebral fractures is often not clearly defined.

Methods: This review is based on articles retrieved by a systematic search in the PubMed and Web of Science databases for publications up to February 2018 dealing with the conservative treatment of traumatic thoracolumbar vertebral fractures. The search initially yielded 3345 hits, of which 35 were suitable for use in this review. Read More

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October 2018

Failure of lumbar disc surgery: management by fusion or arthroplasty?

Authors:
Vladimir Kovač

Int Orthop 2019 04 13;43(4):981-986. Epub 2018 Nov 13.

Arithera Hospital for Special Diseases, Bukovačka 1, 10000, Zagreb, Croatia.

Purpose: To analyze and clarify conflicting aspects of fusion and total disc replacement (TDR) surgery in literature.

Method: Using keywords, 23 literature reviews, 41 studies accepted by "importance criteria" from the Internet, and 16 articles "published in 2018" were chosen. Altogether 80 studies. Read More

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Sagittal alignment assessment after short-segment lumbar fusion for degenerative disc disease.

Int Orthop 2019 04 4;43(4):891-898. Epub 2018 Nov 4.

Spine Center Stuttgart, Paulinenhilfe, Diakonie-Klinikum Stuttgart, Stuttgart, Germany.

Purpose: To investigate whether differences in spinopelvic parameters, and especially spinopelvic alignment, could be associated with adjacent segment disease (ASD) or pseudarthrosis after short-segment lumbar fusion.

Methods: Retrospective study of patients offered mono- or bisegmental transforaminal lumbar interbody fusion (TLIF) with polyetheretherketone (PEEK) or titanium cages, due to degenerative disease. Of 419 patients, 32 (7. Read More

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High Sacral Endplate Inclination Vector Forces Are Associated with Pars Fracture-Mediated Lumbosacral Spondylolisthesis.

World Neurosurg 2019 Feb 1;122:e790-e794. Epub 2018 Nov 1.

Department of Neurosurgery, Harvard Medical School, Boston, Massachusetts, USA. Electronic address:

Objective: Lumbar spondylolisthesis can be related to facet arthropathy and disc degeneration or to a fracture of the pars interarticularis, but the mechanistic underpinnings of spondylolisthesis remain unclear. We posit that high sacral slope and body weight increase sacral inclination vector forces, which leads to pars fractures and exacerbates risk for spondylolisthesis.

Methods: To investigate this hypothesis, we measured the sacral slope, body weight, and S1 endplate vector forces for patients who underwent L5-S1 fusion for grade I spondylolisthesis. Read More

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February 2019

Spontaneous Regression of Posterior Ring Apophysis Separation in Lumbar Spine.

World Neurosurg 2018 11 21;119:304-305. Epub 2018 Aug 21.

Department of Neurosurgery, Avicenne Military Hospital, Marrakech, Morocco; Mohammed V University, Rabat, Morocco.

The pathogenesis of spinal posterior ring apophysis separation (PRAS) remains controversial, and spontaneous regression of PRAS has not been established previously. This is a case report about a 33-year-old man with a PRAS of the posterior superior end plate of S1 who presented with spontaneous low back pain followed by right leg pain. The patient was managed conservatively. Read More

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November 2018

Management of Dural Tears in Endoscopic Lumbar Spinal Surgery: A Review of the Literature.

World Neurosurg 2018 Nov 12;119:494-499. Epub 2018 Jun 12.

Department of Neurosurgery, Saarland University Medical Center and Faculty of Saarland University, Homburg-Saar, Germany. Electronic address:

Objective: The incidental dural tear is a common complication in lumbar spine surgery. It has been reported that the incidence of dural tears is much greater in endoscopic procedures. Primary closure via suturing remains challenging in endoscopic procedures. Read More

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November 2018

Traumatic Lumbosacral Spondyloptosis in a Pediatric Patient: Case Report and Literature Review.

Pediatr Neurosurg 2018 30;53(4):263-269. Epub 2018 May 30.

Department of Neurosurgery, School of Medicine, University of São Paulo, São Paulo, Brazil.

A 4-year-old girl was admitted to the emergency department after having been buried beneath a wall. A computed tomography scan revealed anterior grade V L5-S1 spondylolisthesis, and magnetic resonance imaging showed a traumatic rupture of the fibrous annulus of the L5-S1 intervertebral disc and lesion of the anterior longitudinal and yellow ligaments. The patient underwent anterior and posterior fixation. Read More

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September 2018

Sacrocaudal (sacrococcygeal) intervertebral disc protrusion in 2 cats.

Can Vet J 2018 04;59(4):388-392

Dick White Referrals, Six Mile Bottom, Cambridgeshire CB8 0UH, United Kingdom.

One cat was presented for investigation of urinary retention and constipation and a second cat was presented with decreased appetite, reluctance to jump, reduced level of activity, and constipation. Magnetic resonance imaging revealed dorsal bulging of the hypo-intense intervertebral disc at S3-Cd1 on fast spin echo T2. Dorsal laminectomy was performed and both cats recovered with resolution of neurological signs. Read More

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