1,463 results match your criteria Lumbosacral Radiculopathy


Differential Screening of Herniated Lumbar Discs Based on Bag of Visual Words Image Classification Using Digital Infrared Thermographic Images.

Healthcare (Basel) 2022 Jun 13;10(6). Epub 2022 Jun 13.

Department of Neurosurgery, National Health Insurance Service Ilsan Hospital, Yonsei University College of Medicine, Goyang 10444, Korea.

Doctors in primary hospitals can obtain the impression of lumbosacral radiculopathy with a physical exam and need to acquire medical images, such as an expensive MRI, for diagnosis. Then, doctors will perform a foraminal root block to the target root for pain control. However, there was insufficient screening medical image examination for precise L5 and S1 lumbosacral radiculopathy, which is most prevalent in the clinical field. Read More

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Spondylolisthesis and Idiopathic Sarcopenia Treated With Minimally Invasive Surgery for Transforaminal Lumbar Interbody Fusion: A Case Study and Literature Review.

Cureus 2022 May 17;14(5):e25086. Epub 2022 May 17.

Neurological Surgery, American Neurospine Institute, Plano, USA.

Sarcopenia is a muscle-wasting disease common among older adults. The condition has been associated with adverse perioperative and postoperative outcomes following spinal surgery. The combination of this muscle-wasting syndrome and spondylolisthesis and how we approached the case makes it a compelling study for surgeons attempting to treat this patient population more effectively. Read More

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MR Neurography of Lumbosacral Plexus: Incremental Value Over XR, CT, and MRI of L Spine With Improved Outcomes in Patients With Radiculopathy and Failed Back Surgery Syndrome.

J Magn Reson Imaging 2022 Jun 14. Epub 2022 Jun 14.

Department of Radiology at UT Southwestern Medical Center, Dallas, Texas, USA.

Background: Lower back pain is often evaluated using magnetic resonance imaging (MRI) and conventional imaging, which provide incomplete information about the etiology of pain and lead to less than optimal management.

Hypothesis: MR neurography (MRN) of the lumbosacral (LS) plexus renders a more accurate diagnosis, alters the management strategy, and clinical outcomes of radiculopathy or failed back surgery Syndrome (FBSS) patients when compared to the conventional imaging modalities.

Study Type: Retrospective, cross-sectional. Read More

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COVID-19 Worsens Chronic Lumbosacral Radicular Pain-Case Series Report.

Int J Environ Res Public Health 2022 May 25;19(11). Epub 2022 May 25.

Department of Biological and Medical Sciences, Faculty of Physical Education and Sport, Comenius University in Bratislava, Nábrežie Armádneho Generála Ludvíka Svobodu 9, 814 69 Bratislava, Slovakia.

The knowledge of the COVID-19 symptomatology has increased since the beginning of the SARS-CoV-2 pandemic. The symptoms of nervous system involvement have been observed across the spectrum of COVID-19 severity. Reports describing difficulties of nerve roots are rare; the affection of brain and spinal cord by SARS-CoV-2 is of leading interest. Read More

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Dorsal Root Ganglion Stimulation to Treat Focal Postsurgical and Diffuse Chronic Pain: A Case Report.

A A Pract 2022 May 1;16(5):e01589. Epub 2022 May 1.

From the Spine and Pain Institute of New York, New York, New York.

Dorsal root ganglion stimulation (DRG-S) is widely accepted for treating focal pain syndromes. We present the case of a 46-year-old woman with severe lumbar radiculopathy with an implanted spinal cord stimulator (SCS) that had lost efficacy. She developed an incisional hernia after undergoing a minimally invasive, extreme lateral interbody fusion and SCS explant. Read More

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Epitranscriptomic analysis of mA methylome in rats after lumbosacral nerve root avulsion.

Authors:
Zhibin Zhou Lei Zhu

Epigenomics 2022 05 16;14(10):589-600. Epub 2022 May 16.

Department of Orthopedics, Second Affiliated Hospital of Naval Medical University, Shanghai, 200000, China.

N-methyladenosine (mA) is the most prevalent modification in mRNAs but its role in lumbosacral nerve root avulsion (LSRA) remains elusive. expression and global mA level were detected by qPCR, western blot and immunostaining. Altered mA-tagged transcript profiles were revealed by methylated RNA immunoprecipitation and RNA sequencing. Read More

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Nerve root anomaly as a cause of unexpected outcomes of epidural steroid injections in lumbar radiculopathy: A case report.

J Back Musculoskelet Rehabil 2022 Apr 29. Epub 2022 Apr 29.

Department of Neurosurgery, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Korea.

Background: Spinal nerve root anomaly is a rare feature that can result in unexpected outcomes in epidural steroid injections or surgical procedures. Preoperative diagnostic tools for root anomalies are limited, as they are usually found intraoperatively.

Objective: This case report aims to propose an effective diagnostic process for nerve root anomalies by introducing clinical manifestations, electrodiagnostic findings, and sophisticated imaging techniques such as coronal view magnetic resonance imaging (MRI) of the lumbosacral spine. Read More

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A Case Report: Ethambutol Causes a Rare Adverse Effect of Peripheral Neuropathy.

Cureus 2022 Apr 3;14(4):e23782. Epub 2022 Apr 3.

Department of Physical Medicine and Rehabilitation, Neuromusculoskeletal Institute at Rowan University, Stratford, USA.

is a slow-growing acid-fast bacilli mycobacterium with low pathogenic potential. Patients with this infection are treated with antimycobacterial agents such as ethambutol, clarithromycin, and rifampin. We present a rare side effect of ethambutol causing peripheral neuropathy, along with regression of this upon discontinuation of the inciting medication. Read More

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[The social economic aspects of disability resulted from diseases of peripheral nervous system].

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med 2022 Mar;30(2):221-225

The Federal State Budget Educational Institution of Higher Education "The Bashkir State Medical University" of Minzdrav of Russia, 450000, Ufa, Russia.

The diseases of peripheral nervous system (PNS diseases) are diagnosed in 48%-72% of workers in various branches of economy. They made up more than half of all occupational diseases and are the main cause of labor ability and of high level of disability able-bodied population. The purpose of the study is to assess social economic importance of disability because of PNS diseases of able-bodied population in the Republic of Bashkortostan. Read More

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[Electrodiagnostic evaluation in differential diagnosis and neurosurgical treatment of radiculopathies caused by spine disorders. Diagnostic value and methodology].

Zh Vopr Neirokhir Im N N Burdenko 2022 ;86(2):109-118

Sklifosovsky Research Institute for Emergency Care, Moscow, Russia.

One of the most common causes of radiculopathy requiring neurosurgical treatment is a herniated disc. Magnetic resonance imaging (MRI) is still the main diagnostic approach for this lesion. However, MRI does not allow assessing the functional state of the root. Read More

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Ultrasound and nerve stimulator guidance lumbar transforaminal epidural block for the treatment of patients with lumbosacral radicular pain.

Sci Rep 2022 04 8;12(1):5954. Epub 2022 Apr 8.

Department of Anesthesiology and Critical Care, Imam Khomeini Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

Transforaminal epidural block (TEB) is a widely accepted technique and minimally invasive procedure for the treatment of lumbosacral radicular pain. This study aimed to evaluate the accuracy, efficacy, and safety of ultrasound and nerve stimulator guidance lumbar transforaminal epidural block (UNTEB) for the patients with unilateral lower lumbar radicular pain. The accuracy of this method was evaluated by fluoroscopy. Read More

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Cannabis Use Disorder Is Associated With Longer In-Hospital Lengths of Stay, Higher Rates of Medical Complications, and Costs of Care Following Primary 1- to 2-Level Lumbar Fusion.

Global Spine J 2022 Apr 8:21925682221093965. Epub 2022 Apr 8.

Department of Orthopaedic Surgery, 2042Maimonides Medical Center, Brooklyn, NY, USA.

Study Design: Retrospective case-control study.

Objectives: The purpose of this study is to assess whether cannabis use disorder (CUD) patients undergoing primary 1- to 2-level lumbar fusion (1-2LF) for the treatment of degenerative lumbar spine disorders have higher rates of: (1) in-hospital lengths of stay (LOS), (2) medical complications, and (3) healthcare expenditures.

Materials And Methods: A retrospective case-control study of the MSpine dataset of the PearlDiver claims from January 2007 to March 2018 was performed. Read More

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Lumbo-sacral pedicular aplasia diagnosis and treatment: a systematic literature review and case report.

Br J Neurosurg 2022 Apr 8:1-7. Epub 2022 Apr 8.

Institute of Neurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Catholic University, Rome, Italy.

Aplasia of the lumbar pedicle is a rare condition, frequently associated with low back pain. Its recognition is fundamental in the definition of the correct treatment. We performed a literature review in order to clarify how to best diagnose and treat this rare anatomical condition. Read More

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Comparison of Caudal Versus Transforaminal Epidural Steroid Injection in Post Lumbar Surgery Syndrome After Single-level Discectomy: A Prospective, Randomized Trial.

Pain Physician 2022 03;25(2):161-169

Department of Physical Medicine and Rehabilitation, Division of Pain Medicine, Faculty of Medicine, Marmara University, Istanbul, Turkey.

Background: Epidural fibrosis (EF) is one of the leading causes of post lumbar surgery syndrome (PLSS). Although there are studies in the literature suggesting that lumbar epidural steroid injections are an effective method in the pain management of PLSS caused by EF, no study is available comparing the effectiveness and safety of caudal and transforaminal approaches.

Objectives: To investigate the efficacy of caudal epidural steroid injection (CESI) versus transforaminal epidural steroid injection (TFESI) in patients with PLSS. Read More

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Lateral Lumbar Interbody Fusion at the L5-S1 Vertebral Level: A Unique Anatomical Case Report.

Cureus 2022 Feb 10;14(2):e22096. Epub 2022 Feb 10.

Orthopedic Surgery, Prisma Health-Midlands/University of South Carolina, Columbia, USA.

A 57-year-old female presented with L4-L5 and L5-S1 mobile spondylolisthesis and associated stenosis with radiculopathy who failed conservative treatment. This patient underwent lateral lumbar interbody fusion (LLIF) of L4-L5 and L5-S1, and posterior spinal fusion (PSF) with instrumentation. LLIF is a minimally invasive procedure to treat degenerative diseases of the lumbar spine. Read More

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February 2022

Electrodiagnostic referrals and neuromuscular disease pattern in East Africa: Experience from a tertiary hospital in Ethiopia.

Clin Neurophysiol Pract 2022 24;7:65-70. Epub 2022 Feb 24.

Department of Neurology, School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Objective: We present a retrospective cross-sectional review of the electrodiagnostic (EDX) referral and diagnostic patterns in patients with suspected neuromuscular conditions at a tertiary hospital in Ethiopia.

Methods: Between 2016 and 2019, 313 patients were evaluated at the EDX lab in Tikur Anbessa Specialised Hospital, Addis Ababa, Ethiopia. In our patients, nerve conduction study and when appropriate needle electromyography was done. Read More

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February 2022

Microendoscopic decompression of conjoined lumbosacral nerve roots.

BMJ Case Rep 2022 Mar 16;15(3). Epub 2022 Mar 16.

Brigham and Women's Hospital, Boston, Massachusetts, USA

Nerve root morphological variability is often incompletely appreciated on preoperative imaging and can complicate intraoperative decision-making. This case demonstrates the utility of spinal endoscopy in the visualisation and manipulation of conjoined nerve roots and includes procedural images to promote better understanding and awareness of this anatomical anomaly. A woman in her 50s presented with 1 year of progressive left S1 radiculopathy refractory to non-operative modalities. Read More

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INTERVENTIONAL COMBINED RADIOFREQUENCY METHOD IN THE TREATMENT OF CHRONIC LUMBOSACRAL RADICULAR PAIN ASSOCIATED WITH MODERATE DISC HERNIATION.

Georgian Med News 2022 Feb(323):60-67

2Vita Medical Clinic, Kyiv, Ukraine.

Intervertebral disc degeneration often is a cause of low back pain (LBP) and radicular pain even without severe compression of the nerve root by hernial material. Thermodiscoplasty, or intradiscal electrothermal therapy (IDET) is used for minimally invasive treatment of discogenic pain. Pulsed radiofrequency (PRF) of the dorsal root ganglion (DRG) is used as an interventional method for radicular pain elimination. Read More

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February 2022

Effectiveness of Low-Level Laser Therapy in Patients with Discogenic Lumbar Radiculopathy: A Double-Blind Randomized Controlled Trial.

J Healthc Eng 2022 27;2022:6437523. Epub 2022 Feb 27.

University Institute of Physical Therapy, The University of Lahore, Islamabad, Pakistan.

Purpose: To determine the effectiveness of low-level laser therapy (LLLT) in patients with discogenic lumbar radiculopathy and correlation among pain intensity, functional disability, and lumbar range of motion (LROM). . A double-blind RCT was conducted at physical therapy departments of different hospitals of Islamabad, Pakistan. Read More

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Reliability of the straight leg raise test for suspected lumbar radicular pain: A systematic review with meta-analysis.

Musculoskelet Sci Pract 2022 06 20;59:102529. Epub 2022 Feb 20.

Department of Physical Therapy, Samuel Merritt University, Oakland, CA, USA.

Background: The passive straight leg raise (SLR) and crossed SLR are recommended tests for lumbar radicular pain. There are no recent reviews of test reliability.

Objectives: To summarize SLR and crossed SLR reliability in patients with suspected lumbar radicular pain. Read More

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A comparative study of a nerve block therapy with and without a deeply inserted acupotomy applied to hyeopcheok points for lumbosacral radiculopathy: Safety, effectiveness, cost-effectiveness (a randomized controlled, two-arm, parallel study, pilot study, assessor-blind).

Medicine (Baltimore) 2022 Mar;101(9):e28983

Institute for Integrative Medicine, Catholic Kwandong University International St. Mary's Hospital, Incheon, South Korea.

Introduction: The prevalence of lumbosacral radiculopathy is estimated to be approximately 3% to 5% in patient populations. Lumbosacral radiculopathy is largely caused by a complex interaction between biomechanical and biochemical factors. Nerve block therapy (NBT) mainly treats lumbosacral radiculopathy by improving the biochemical factors, whereas acupotomy mainly focuses on improving the biomechanical factors. Read More

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Is there an association between lumbosacral epidural lipomatosis and lumbosacral epidural steroid injections? A comprehensive narrative literature review.

N Am Spine Soc J 2022 Mar 3;9:100101. Epub 2022 Feb 3.

University of Utah School of Medicine, Department of Physical Medicine and Rehabilitation, Salt Lake City, UT, USA.

Background: Exogenous systemic steroid exposure is a well-established risk factor for spinal epidural lipomatosis (SEL), however the association between lumbosacral epidural steroid injections (LESIs) and lumbosacral epidural lipomatosis (LEL) is generally regarded as poorly understood. Our objective was to investigate the rationale and the evidence implicating LESI(s) as a potential cause of LEL as well as the evidence related to use of LESI(s) as a potential pain relieving treatment option for radicular pain in the setting of LEL.

Methods: PubMed, Embase, Google Scholar, OVID were searched from inception until April 2021. Read More

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Comparison of Primary Versus Revision Lumbar Discectomy Using a Biportal Endoscopic Technique.

Global Spine J 2022 Feb 18:21925682211068088. Epub 2022 Feb 18.

Department of Orthopedic Surgery, Spine Center, 484893Bumin Hospital Seoul, Seoul, Korea.

Study Design: Retrospective study.

Objective: To compare the clinical outcomes of the biportal endoscopic technique for primary lumbar discectomy (BE-LD) and revision lumbar discectomy (BE-RLD).

Methods: Eighty-one consecutive patients who underwent BE-LD or BE-RLD, and could be followed up for at least 12 months were divided into two groups: Group A (BE-LD; n = 59) and Group B (BE-RLD; n = 22). Read More

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February 2022

Elsberg Syndrome, Lumbosacral Radiculopathy, and Myelitis Due to Herpes Zoster in a Patient With Smoldering Myeloma.

J Investig Med High Impact Case Rep 2022 Jan-Dec;10:23247096211063348

Medical University of South Carolina, Charleston, USA.

Herpes zoster (HZ) is a common illness caused by the reactivation of latent varicella zoster virus (VZV) due to waning immunity, often secondary to old age or an underlying immunocompromised state. Its complications can manifest in variety of ways, including persistent neuralgias, vasculopathies, and stroke. Here, we describe a case of a 45-year-old man with a history of cryptogenic stroke and smoldering myeloma who was admitted with sacral HZ complicated by right lumbosacral radiculopathy and myelitis, otherwise known as Elsberg syndrome (ES). Read More

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January 2022

[Optimizing the diagnosis and treatment of dorsalgia in real-world clinical practice: the primary endpoint of the DORISS multicenter observational study].

Zh Nevrol Psikhiatr Im S S Korsakova 2021 ;121(12):24-32

Central Clinical Hospital «RZD-Medicine», Moscow, Russia.

Objective: To evaluate the impact of treatment with Ipigrix on the dynamics of clinical symptoms, neurological status, and quality of life in patients with dorsalgia of the lumbosacral spine based on the DORISS non-interventional multicenter observational study.

Material And Methods: A total of 3563 patients with verified diagnoses of low back pain in 200 clinical centers across the Russian Federation who received comparable baseline therapy according to nosological standards were examined, some of whom additionally received oral or staged administration of Ipigrix. The primary endpoint of the study was the description of clinical and sociodemographic parameters, the consumption of medical resources, and the search for optimization of dorsalgia diagnosis in contemporary Russian outpatient neurological practice. Read More

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January 2022

Juxtaneural ganglia arising from the hip joint: focus on magnetic resonance imaging findings and clinical manifestations.

Skeletal Radiol 2022 Jul 10;51(7):1439-1452. Epub 2022 Jan 10.

Department of Radiology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, Seoul, Korea.

Objective: To present cases of juxtaneural ganglia arising from the hip with a discussion of the magnetic resonance imaging (MRI) findings, presenting symptoms, and possible treatment option.

Materials And Methods: Two radiologists performed a consensus review of MRI scans obtained between January 2013 and March 2021 to identify patients with juxtaneural ganglia around the hip. A total of 11 patients with 11 juxtaneural ganglia were identified. Read More

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Microdiscectomy for sciatica: reality check study of long-term surgical treatment effects of a Lumbosacral radicular syndrome (LSRS).

Eur Spine J 2022 02 7;31(2):400-407. Epub 2022 Jan 7.

Department of Neurosurgery, Amsterdam UMC, Meibergdreef 9, 1105 EZ, Amsterdam, The Netherlands.

Purpose: It remains unclear whether the long-term results of RCTs regarding the outcome of microdiscectomy for lumbosacral radicular syndrome (LSRS) are generalizable. The purpose of this study was to determine the external validity of the outcome preseneted in RCTs after microdicectomy for LSRS in a patient cohort from a high-volume spine center.

Methods: Between 2007 and 2010, 539 patients had a single level microdiscectomy for MRI disk-related LSRS of whom 246 agreed to participate. Read More

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February 2022

Does Unilateral Lumbosacral Radiculopathy Affect the Association between Lumbar Spinal Muscle Morphometry and Bone Mineral Density?

Int J Environ Res Public Health 2021 12 14;18(24). Epub 2021 Dec 14.

Department of Physical Medicine and Rehabilitation, Kyung Hee University Hospital at Gangdong, Seoul 05278, Korea.

Age-related degenerative changes lead to a gradual decrease in bone mineral density (BMD) and muscle mass. We aimed to assess the effects of decreased BMD and lumbar denervation on lumbar spinal muscle morphometry and the relationship between BMD and lumbar spinal muscular morphometry, respectively. Eighty-one patients, aged 50-85 years, diagnosed with unilateral lumbosacral radiculopathy based on electrodiagnostic studies between January 2016 and April 2021 were enrolled. Read More

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December 2021