1,255 results match your criteria Lumbosacral Radiculopathy


Understanding quality of life and treatment history of patients with Bertolotti syndrome compared with lumbosacral radiculopathy.

J Neurosurg Spine 2019 Apr 19:1-7. Epub 2019 Apr 19.

4Center for Spine Health, Department of Neurosurgery, Neurologic Institute, Cleveland Clinic Foundation, Cleveland, Ohio.

OBJECTIVEBertolotti syndrome is a rare spinal condition that causes low-back pain due to a lumbosacral transitional vertebra (LSTV), which is a pseudoarticulation between the fifth lumbar transverse process and the sacral ala. Bertolotti syndrome patients are rarely studied, particularly with regard to their quality of life. This study aimed to examine the quality of life and prior treatments in patients with Bertolotti syndrome at first presentation to the authors' center in comparison with those with lumbosacral radiculopathy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3171/2019.2.SPINE1953DOI Listing

Parallels between lumbosacral radiculopathy and complex regional pain syndrome: α1-adrenoceptor upregulation, reduced dermal nerve fibre density and hemi-sensory disturbances in post-surgical sciatica.

Pain 2019 Apr 2. Epub 2019 Apr 2.

College of Science, Health, Engineering and Education, Murdoch University, Perth, Western Australia.

Residual lower limb pain after low back surgery (post-surgical sciatica) and complex regional pain syndrome involving a lower limb (CRPS) are separate conditions, but may share some mechanisms (e.g., tissue inflammation, neuro-immune disturbances and central neuro-plasticity). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/j.pain.0000000000001574DOI Listing
April 2019
1 Read

An evaluation of contrast dispersal pattern on preganglionic epidural injection through trans-lateral recess approach in patients with lumbosacral radiculopathy.

Eur Spine J 2019 Mar 25. Epub 2019 Mar 25.

Department of Orthopedic Surgery, Seoul Red Cross Hospital, Seoul, Republic of Korea.

Purpose: To evaluate the accessibility of the preganglionic epidural space in patients with lumbosacral radiculopathy treated with epidural steroid injection (ESI) through trans-lateral recess (TLR) approach.

Methods: From September 2016 to December 2016, we enrolled 50 consecutive preganglionic ESI through TLR approach for 38 patients with lumbosacral radiculopathy at or below L4 territory. Fifteen of patients were diagnosed with lumbar disc herniation and 23 with lumbar spinal stenosis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00586-019-05947-wDOI Listing
March 2019
4 Reads

Prospective Evaluation of Radiculitis following Bone Morphogenetic Protein-2 Use for Transforaminal Interbody Arthrodesis in Spine Surgery.

Asian Spine J 2019 Mar 15. Epub 2019 Mar 15.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA.

Study Design: Prospective observational cohort study.

Purpose: This study aims to evaluate the safety and efficacy of bone morphogenetic protein-2 (BMP-2) in transforaminal lumbar interbody fusion (TLIF) with regard to postoperative radiculitis.

Overview Of Literature: Bone morphogenetic protein (BMP) is being used increasingly as an alternative to iliac crest autograft in spinal arthrodesis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.31616/asj.2018.0277DOI Listing
March 2019
4 Reads

Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment.

Curr Pain Headache Rep 2019 Mar 11;23(3):23. Epub 2019 Mar 11.

Department of Anesthesiology, Louisiana State University Health Science Center, New Orleans, LA, 70112, USA.

Purpose Of Review: Low back pain encompasses three distinct sources: axial lumbosacral, radicular, and referred pain. Annually, the prevalence of low back pain in the general US adult population is 10-30%, and the lifetime prevalence of US adults is as high as 65-80%.

Recent Findings: Patient history, physical exam, and diagnostic testing are important components to accurate diagnosis and identification of patient pathophysiology. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s11916-019-0757-1DOI Listing
March 2019
2 Reads

The Outcome of Pulsed Radiofrequency Treatment According to Electodiagnosis in Patients with Intractable Lumbosacral Radicular Pain.

Pain Med 2019 Mar 8. Epub 2019 Mar 8.

Department of Neurosurgery, Wooridul Spine Hospital, Seoul, South Korea.

Background: Radicular pain is related to lesions that either directly compromise the dorsal root ganglion (DRG) or indirectly compromise the spinal nerve and its roots by causing ischemia or inflammation of the axons.

Objective: Our study aimed to assess the outcomes of pulsed readiofrequency treatment (PRF) according to electrodiagnosis results in patients with chronic intractable lumbosacral radicular pain.

Methods: A total of 82 failed back surgery syndrome (FBSS) patients were included in this study. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/pm/pnz028DOI Listing
March 2019
2 Reads

Preganglionic Epidural Steroid Injection through Translateral Recess Approach.

Clin Orthop Surg 2019 Mar 18;11(1):131-136. Epub 2019 Feb 18.

Department of Orthopedic Surgery, Seoul Red Cross Hospital, Seoul, Korea.

The approach we suggest was developed for cases in which the fourth and fifth lumbar and first sacral spinal nerves were affected in lumbar degenerative disc disease. Retrodiscal transforaminal epidural injection is known to be very effective for lumbar radiculopathy because of excellent access to primary pathology; however, access below L5 is often restricted by the anatomic characteristics of the L5-S1. In the translateral recess approach (TLR), proper final needle placement (i. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4055/cios.2019.11.1.131DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389524PMC
March 2019
11 Reads

Perineural cyst with intracystic hemorrhage following aneurysmal subarachnoid hemorrhage: A case report.

Medicine (Baltimore) 2019 Feb;98(8):e14184

Department of Rehabilitation Medicine, Dongguk University Ilsan Hospital, Goyang, Korea and Dongguk University, Seoul, Korea.

Rationale: Most perineural cysts are asymptomatic and discovered incidentally at the time of imaging. Although enlargement of the perineural cyst (PC) through a ball-valve mechanism and resultant compression of the adjacent neural or bony structures are known to be a source of pain in PCs, the reason why asymptomatic PCs become symptomatic is unclear. The authors report a case of PC, which was presumed to become symptomatic after subarachnoid hemorrhage without enlargement of the pre-existing PC. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000014184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408090PMC
February 2019
2 Reads

Treatment of only the fractional curve for radiculopathy in adult scoliosis: comparison to lower thoracic and upper thoracic fusions.

J Neurosurg Spine 2019 Feb 1:1-9. Epub 2019 Feb 1.

Departments of1Neurological Surgery and.

OBJECTIVEMany options exist for the surgical management of adult spinal deformity. Radiculopathy and lumbosacral pain from the fractional curve (FC), typically from L4 to S1, is frequently a reason for scoliosis patients to pursue surgical intervention. The purpose of this study was to evaluate the outcomes of limited fusion of the FC only versus treatment of the entire deformity with long fusions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3171/2018.9.SPINE18505DOI Listing
February 2019
3 Reads

Symptomatic Idiopathic Spinal Epidural Lipomatosis in 9 Patients: Clinical, Radiologic, and Pathogenetic Features.

World Neurosurg 2019 Jan 29. Epub 2019 Jan 29.

The Atkinson Morley Neurosurgical Department, St. George's Hospital, Tooting, England.

Background: Symptomatic spinal epidural lipomatosis (SSEL) is characterized by hypertrophy of adipose tissue within the spinal canal and consequent neural compromise. The exact pathogenesis remains enigmatic. The authors describe a retrospective case series, define the full clinical spectrum, and discuss possible pathogenetic mechanisms. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2019.01.098DOI Listing
January 2019

Clinical Course of Motor Deficits from Lumbosacral Radiculopathy Due to Disk Herniation.

PM R 2019 Jan 28. Epub 2019 Jan 28.

Department of Physical Medicine and Rehabilitation, Moss Rehab, Elkins Park, PA.

Background: The clinical course of motor deficits from lumbosacral radiculopathy appears to improve with or without surgery. Strength measurements have been confined to manual muscle testing (MMT) and have not been extensively followed and quantified in prior studies.

Objective: To determine if motor weakness and patient-reported outcomes related to lumbosacral radiculopathy improve without surgical intervention over the course of 12 months. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/pmrj.12082DOI Listing
January 2019
3 Reads

A Novel Application of an Adjustable Catheter in Acute Radicular Pain Management.

Pain Ther 2019 Jan 8. Epub 2019 Jan 8.

Pain Clinic and Palliative Care Unit, A.O.U. Città della Salute e della Scienza, Corso Bramante 88, 10131, Turin, Italy.

Introduction: Acute lumbosacral radicular syndrome is often a medical disorder of difficult management. Epidural steroid injection is a useful approach for the herniated disc and radiculitis. The transforaminal approach is usually considered more effective and target-specific, but it can be associated with permanent lower extremity paralysis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s40122-018-0110-0DOI Listing
January 2019
3 Reads

Successful treatment of malignant thymoma with sacrum metastases: A case report and review of literature.

Medicine (Baltimore) 2018 Dec;97(51):e13796

Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences.

Rationale: Malignant thymoma in the spine is a rare disease without standard curative managements so far. The objective of this article is to report a very rare case of recurrent malignant thymoma with sacrum metastases causing severe lumbosacral pain, which was presented with acute radiculopathy and treated with 2 operations combined with stabilization and cement augmentation. The management of these unique cases is not well-documented. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000013796DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319783PMC
December 2018
3 Reads

Clinical research on the efficacy and safety of Bosinji for low back pain with radiculopathy caused by herniated intervertebral disc of the lumbar spine: A protocol for a multicenter, randomized, controlled equivalence trial.

Medicine (Baltimore) 2018 Dec;97(50):e13684

Department of Acupuncture and Moxibustion, Kyung Hee University Hospital at Gangdong, Seoul.

Background: A lumbar herniated intervertebral disc (LHIVD) is a common problem that usually causes low back pain and radiating pain. The effectiveness of Bosinji, one of the herbal medicines used for low back pain and radiating pain in patient with LHIVD, has been reported in several studies; however, little clinical evidence is available owing to the methodological limitations in previous studies. Hence, the present study aims to establish the clinical evidence regarding the efficacy and safety of Bosinji in improving pain, function, and quality of life in LHIVD patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000013684DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320215PMC
December 2018
4 Reads

Enhancing the natural history awareness of lumbar disc displacement and facilitating rehabilitation following surgery.

Spine J 2018 12;18(12):2374-2375

Department of Orthopaedics, Xiang'an Hospital of Xiamen University, Xiamen, 361101 Fujian Province, China.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.spinee.2018.08.018DOI Listing
December 2018
2 Reads

Comparison of Minimally Invasive and Open Transforaminal Lumbar Interbody Fusion for Lumbar Disc Herniation: A Retrospective Cohort Study.

Med Sci Monit 2018 Dec 1;24:8693-8698. Epub 2018 Dec 1.

Department of Orthopedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China (mainland).

BACKGROUND This cohort study compared the efficacy and safety of minimally invasive versus open transforaminal lumbar interbody fusion (Mis-TLIF versus Open-TLIF) for lumbar disc herniation with radiculopathy. MATERIAL AND METHODS From July 2016 to September 2017, we recruited 37 patients suffering from lumbar disc herniation with radiculopathy. Seventeen patients underwent Mis-TLIF (Mis group) and 20 patients underwent Open-TLIF (Open group). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12659/MSM.912808DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6286631PMC
December 2018
4 Reads

Percutaneous Epidural Adhesiolysis Using Inflatable Balloon Catheter and Balloon-less Catheter in Central Lumbar Spinal Stenosis with Neurogenic Claudication: A Randomized Controlled Trial.

Pain Physician 2018 11;21(6):593-606

Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Background: When conventional interventional procedures fail, percutaneous epidural adhesiolysis (PEA), which has moderate evidence for successful treatment of lumbar spinal stenosis (LSS), has been recommended over surgical treatments. In a previous study, we demonstrated the efficacy of a newly developed inflatable balloon catheter for overcoming the access limitations of pre-existing catheters for patients with severe stenosis or adhesions.

Objectives: This study compared the treatment response of combined PEA with balloon decompression and PEA only in patients with central LSS over 6 months of follow-up. Read More

View Article

Download full-text PDF

Source
November 2018
3 Reads

[Disc hernia regression as a natural course of discogenic lumbosacral radiculopathy].

Zh Nevrol Psikhiatr Im S S Korsakova 2018;118(10):58-62

Sechenov First Moscow State Medical University, Moscow, Russia.

Disc herniation with radiculopathy is a common cause of severe back pain leading to significant disability and a decrease in patients' quality of life. The authors report a case of 38-year-old female patient with radiculopathy of the first sacral root due to a large (11 mm) sequestered disc herniation between the fifth lumbar and the first sacral vertebrae. Conservative treatment with fluoroscopically-guided epidural steroid injection provided a significant clinical improvement, the patient was able to return to normal daily and professional activity in a short time. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17116/jnevro201811810158DOI Listing
March 2019
12 Reads

[Lumbosacral radiculoplexus neuropathy with a small intramedullary lesion in posterior spinal cord: a case report].

Authors:
Motomi Arai

Rinsho Shinkeigaku 2018 Dec 29;58(12):745-749. Epub 2018 Nov 29.

Department of Neurology, Seirei Mikatahara General Hospital.

We present the unique case of a patient with lumbosacral radiculoplexus neuropathy (LRPN) and a small intramedullary lesion, probably an infarction, in the spinal cord. A previously healthy 58-year-old female developed acute severe pain involving the entire right lower limb, followed by weakness of the right lower limb a few hours later. The patient could not walk and was referred to our clinic. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5692/clinicalneurol.cn-001213DOI Listing
December 2018
2 Reads

Effects of a nutraceutical combination in patients with chronic lumbosacral radicular pain.

Funct Neurol 2018 Jul/Sept;33(3):125-130

Drugs used for the treatment of chronic lumbosacral radicular pain (LRP) may have frequent adverse effects leading to medication withdrawal. The use of add-on nutraceuticals, which have no side effects, may therefore play a role in LRP treatment. We performed a six-week, single-center, open label prospective uncontrolled clinical study to evaluate the effect of a nutraceutical combination (Noxiall®) used as an add-on therapy in patients with chronic LRP. Read More

View Article

Download full-text PDF

Source
February 2019
17 Reads

Meralgia paresthetica.

Authors:
R Kaiser

Rozhl Chir Spring 2018;97(6):286-290

Meralgia paresthetica is a compression neuropathy of the lateral femoral cutaneous nerve. Despite its rarity, it is the most common nerve entrapment of the lower limbs. It produces similar symptoms as those associated with the more common L4 or L5 radiculopathy. Read More

View Article

Download full-text PDF

Source
April 2019
8 Reads

Prevalence of cervical and lumbosacral compressive radiculopathies in Qena governorate/Egypt: Population-based survey.

Clin Neurol Neurosurg 2018 Dec 24;175:112-120. Epub 2018 Oct 24.

Faculty of Medicine, Department of Neuropsychiatry, South Valley University, Qena, Egypt.

Objectives: The aim of the study was to estimate the crude prevalence rate (CPR) of compressive radiculopathies in Qena governorate/Egypt.

Patients And Methods: 10 areas in Qena governorate were selected by random sampling, involving 9303 inhabitants with 57.3% urban residents and 42. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S03038467183040
Publisher Site
http://dx.doi.org/10.1016/j.clineuro.2018.10.003DOI Listing
December 2018
21 Reads

Extradural Characteristics of the Origins of Lumbosacral Nerve Roots.

J Neurol Surg A Cent Eur Neurosurg 2019 Mar 31;80(2):109-115. Epub 2018 Oct 31.

Department of Neurosurgery, Faculty of Medicine, Comenius University, Bratislava, Slovakia.

Background And Study Aims:  A great number of unsuccessful intervertebral herniated disk surgeries in the lumbosacral region have highlighted the importance of a comprehensive knowledge of the different types of nerve root anomalies. That knowledge gained by anatomical studies (and intraoperative findings) might contribute to better results. In our study we focused on intraspinal extradural lumbosacral nerve root anomalies and their possible role in radiculopathy. Read More

View Article

Download full-text PDF

Source
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1673400
Publisher Site
http://dx.doi.org/10.1055/s-0038-1673400DOI Listing
March 2019
20 Reads

Comparison of Clinical Efficacy of Epidural Injection With or Without Steroid in Lumbosacral Disc Herniation: A Systematic Review and Meta-analysis.

Pain Physician 2018 09;21(5):449-468

Department of Physical and Rehabilitation Medicine, Veterans Medical Center, Seoul, South Korea.

Background: Epidural injection is performed for treatment of back and radicular pain in patients with lumbosacral disc herniation (LDH). Steroids are usually administered to effectively remove inflammatory mediators, and local anesthetics or saline also contribute to pain reduction by washing out chemical mediators or blocking the nociceptor activity. Controversy exists regarding whether steroids produce superior clinical effects compared with local anesthetics or saline. Read More

View Article

Download full-text PDF

Source
September 2018
15 Reads

Comparison of Clinical Efficacy Between Transforaminal and Interlaminar Epidural Injections in Lumbosacral Disc Herniation: A Systematic Review and Meta-Analysis.

Pain Physician 2018 09;21(5):433-448

Department of Physical and Rehabilitation Medicine, Veterans Medical Center, Seoul, South Korea.

Background: Epidural injection (EI) is used to treat back or radicular pain from lumbosacral disc herniation (LDH). Although several reports have stated that the transforaminal approach in EI (TFEI) has an advantage in target specificity and yields better clinical efficacy than the interlaminar approach in EI (ILEI), other studies have indicated that the clinical efficacy of ILEI was not inferior to that of TFEI and that ILEI also has the ability to spread medication into the ventral space to a degree similar to that of TFEI. There has been controversy about whether TFEI is superior to ILEI in clinical efficacy. Read More

View Article

Download full-text PDF

Source
September 2018
4 Reads

MR Neurography of the Lumbosacral Plexus for Lower Extremity Radiculopathy: Frequency of Findings, Characteristics of Abnormal Intraneural Signal, and Correlation with Electromyography.

AJNR Am J Neuroradiol 2018 Nov 27;39(11):2154-2160. Epub 2018 Sep 27.

Neurology (N.F.), Center for Comprehensive Spine Care, Weill Cornell Medicine, NewYork-Presbyterian Hospital, New York, New York.

Background And Purpose: MR neurography enables high resolution imaging of peripheral nerves. Our aim was to evaluate the utility of MR neurography in lumbosacral radiculopathy and correlate abnormal intraneural signal with history, physical examination, and abnormal electrodiagnostic study findings.

Materials And Methods: Retrospective review of lumbosacral MR neurography examinations performed from December 2014 through January 2017 on a 3T scanner was undertaken. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3174/ajnr.A5797DOI Listing
November 2018
4 Reads

Electrodiagnosis-based management of patients with radiculopathy: The concept and application involving a patient with a large lumbosacral disc herniation.

Clin Neurophysiol Pract 2018 12;3:141-147. Epub 2018 Jul 12.

Texas Electrophysiology & Physical Therapy Services, 1812 Wheeler ST., Houston, TX 77030, USA.

Objectives: The evaluation of patients with lower back pain (LBP) is based mainly on clinical examinations and imaging procedures that are subjective or anatomic in nature. The treatments, either physical therapy or osteopathy, lack evidence-based protocol and may be disruptive to the spine. Therefore, a neurophysiologic-based approach to managing such patients is necessary. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.cnp.2018.06.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133905PMC
July 2018
5 Reads

Use of MRI in diabetic lumbosacral radiculoplexus neuropathy: case report and review of the literature.

Acta Neurochir (Wien) 2018 Nov 10;160(11):2225-2227. Epub 2018 Sep 10.

Department of Neurosurgery, The George Washington University, 2150 Pennsylvania Avenue, NW, Suite 7-412, Washington, DC, 20037, USA.

Diabetic lumbosacral radiculoplexus neuropathy is often confused with radiculopathy in the context of spinal degenerative disc disease including spinal stenosis. Accuracy in diagnosis may prevent unnecessary interventional procedures including selective nerve root blocks or epidural steroid injections or even surgery in selected cases. Our patient with known diabetes and lumbar disc disease presented with acute onset of pain in L5-S1 distribution of the left lower extremity. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00701-018-3664-zDOI Listing
November 2018
9 Reads

A Case of Double Anatomic Variation: Diagnostic Efficacy of Combination of Ultrasound and Neurophysiology.

World Neurosurg 2018 Dec 30;120:112-116. Epub 2018 Aug 30.

IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy; Department of Geriatrics, Neurosciences and Orthopaedics, Università Cattolica del Sacro Cuore, Rome, Italy.

Background: The purpose of this paper is to underline that the association of physical examination, electrophysiology, and ultrasound was crucial in identifying the correct disease and atypical characteristics of its presentation, in turn, providing proper information for both surgical treatment and a rehabilitation program. Fibular nerve compression is a common finding in the adult population, and it is more frequent at the fibular head. The clinical picture may be characterized by motor and/or sensory deficits. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2018.08.161DOI Listing
December 2018
5 Reads

Successful treatment of malignant pheochromocytoma with sacrum metastases: A case report.

Medicine (Baltimore) 2018 Aug;97(35):e12184

Department of Orthopaedic Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences.

Rationale: Malignant pheochromocytoma in the spine is a rare disease without standard curative managements so far. The objective of this article is to report a very rare case of malignant pheochromocytoma with sacrum metastases causing severe lumbosacral pain, which was presented with acute radiculopathy and treated with three operations combined with cement augmentation and stabilization. The management of these unique cases has yet to be well-documented. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000012184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393136PMC
August 2018
27 Reads

Transforaminal epidural steroid injection can result in further neurological injury in a patient with severe foraminal stenosis and nerve impingement.

Surg Neurol Int 2018 10;9:159. Epub 2018 Aug 10.

Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, Illinois, USA.

Background: Chronic low back pain (LBP) is highly prevalent and costly in our society. The use of epidural steroid injections (ESIs) for the treatment of radicular LBP is very widespread and continues to rise. The most popular injection is the lumbar/sacral transforaminal epidural steroid injection (TFESI). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/sni.sni_132_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6094499PMC
August 2018
9 Reads

MRI of Foot Drop: How We Do It.

Radiology 2018 Oct 28;289(1):9-24. Epub 2018 Aug 28.

From the Department of Radiology, New York Presbyterian Hospital-Weill Cornell Medical Center, New York, NY (S.P.D., A.H.B.); Electrodiagnostic Services, Department of Physiatry (J.H.F.), and Department of Radiology & Imaging (J.A.C., D.B.S.), Hospital for Special Surgery, 535 E 70th St, New York, NY 10021.

Various pathologic conditions extending from the lumbar and pelvic regions to the lower leg may manifest as foot drop, or weakness of ankle dorsiflexion. Potential causes of foot drop include L5 radiculopathy, lumbosacral plexopathy, sciatic neuropathy, and peroneal neuropathy. Although the first-line test in lesion localization is most commonly electrodiagnostic testing, MR neurography has emerged as a useful tool to verify lesion site, to accurately characterize the cause of the neuropathy, and to guide patient treatment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1148/radiol.2018172634DOI Listing
October 2018
11 Reads

A Mobile Outside-in Technique of Transforaminal Lumbar Endoscopy for Lumbar Disc Herniations.

J Vis Exp 2018 08 7(138). Epub 2018 Aug 7.

Department of Neurosurgery, Nanoori Incheon Hospital.

Percutaneous endoscopic transforaminal lumbar discectomy (PETLD) has now become a standard of care for the management of lumbar disc disease. There are two techniques for the introduction of a working cannula with respect to disc-outside-in and inside-out. The aim of this prospective study is to describe the technical aspects of a novel mobile outside-in method in dealing with different types of disc prolapse. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3791/57999DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6126677PMC
August 2018
34 Reads

Work-relatedness of lumbosacral radiculopathy syndrome: Review and dose-response meta-analysis.

Neurology 2018 Sep 17;91(12):558-564. Epub 2018 Aug 17.

From the Academic Medical Center (P.P.F.M.K., C.T.J.H., M.H.W.F.-D., H.F.V.d.M.), Amsterdam, the Netherlands; Finnish Institute of Occupational Health (J.H.V.), Kuopio, Finland; Faculty of Medicine (A.S.), TU Dresden; and Institute for Occupational Safety and Health of the German Social Accident Insurance (IFA) (R.E.), Sankt Augustin, Germany.

Objective: Clinicians need to know whether lumbosacral radiculopathy syndrome (LRS) can be attributed to work. This review describes what work-related risk factors are associated with LRS.

Methods: A systematic review was performed in PubMed and Embase. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1212/01.wnl.0000544322.26939.09DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6161552PMC
September 2018
13 Reads

Surgical Treatment of a Rare Presentation of Bertolotti's Syndrome from Castellvi Type IV Lumbosacral Transitional Vertebra: Case Report and Review of the Literature.

J Neurol Surg Rep 2018 Jul 30;79(3):e70-e74. Epub 2018 Jul 30.

Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, The Mount Sinai Hospital, New York, New York, United States.

 Advancements in radiological imaging and diagnostic criteria enable doctors to more accurately identify lumbosacral transitional vertebrae (LSTV) and their association with back and L5 distribution leg pain. It is considered the most common congenital anomaly of the lumbosacral spine with an incidence between 4 and 35%, although many practitioners describe 10 to 12% overall incidence. LSTVs include sacralization of the L5 vertebral body and lumbarization of the S1 segment while demonstrating varying morphology, ranging from broadened transverse processes to complete fusion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0038-1667172DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066366PMC
July 2018
18 Reads

Lumbar Selective Nerve Root Block: Comparative Study Using Two Pharmacological Formulae.

Authors:
Juan Pablo Guyot

Global Spine J 2018 Jun 1;8(4):374-377. Epub 2017 Sep 1.

Hospital Universitario Fundación Favaloro, Buenos Aires, Argentina.

Study Design: Retrospective cohort study.

Objectives: The objective of the present study was to compare the effectiveness of 2 different pharmacological formulae in selective nerve root injections.

Methods: We studied a series of 298 patients who received a selective nerve root injection and made a comparative study dividing them into 2 groups according to the drugs used. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2192568217728724DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022957PMC
June 2018
7 Reads

Lower thoracic disc herniation mimicking lower lumbar disk disease: A case report.

Med J Islam Repub Iran 2017 16;31:87. Epub 2017 Dec 16.

Emam-Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Thoracic disk herniation comprises 0.15% of all disk herniation and has various and confusing manifestations. Among them, radicular pain down the leg could be the rarest presentation, especially if it is the only complaint. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.14196/mjiri.31.87DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6014753PMC
December 2017
4 Reads

F-waves of peroneal and tibial nerves in the differential diagnosis and follow-up evaluation of L5 and S1 radiculopathies.

Eur Spine J 2018 08 12;27(8):1734-1743. Epub 2018 Jun 12.

Department of Orthopedics, Huashan Hospital, Fudan University, 12 Mid- Wulumuqi Road, Shanghai, 200040, China.

Purpose: To investigate F-wave as a method to identify a specific root lesion of L5 or S1 and to quantitatively evaluate the severity and progression of motor root lesions in lumbosacral radiculopathies (LR).

Methods: Both peroneal and tibial F-waves were performed bilaterally in 142 patients with unilateral L5 or S1 radiculopathies and 37 controls along with Medical Research Council (MRC) evaluation, and soleus H-reflexes were tested bilaterally in 78 of these 142 cases. Both F-wave and MRC were re-evaluated approximately 1 year after initial examination in 65 patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00586-018-5650-9DOI Listing
August 2018
3 Reads

Sciatica Caused by Venous Varix Compression of the Sciatic Nerve.

World Neurosurg 2018 Sep 19;117:242-245. Epub 2018 Jun 19.

Department of Neurosurgery, Medical University of South Carolina, Charleston, South Carolina, USA.

Background: The authors report the case of a 76-year-old woman presenting with leg pain, numbness, and weakness mimicking a lumbosacral radiculopathy.

Case Description: Initial lumbar spine magnetic resonance imaging demonstrated mild root compression, but lumbar decompression afforded only transient symptomatic relief. Postoperative magnetic resonance imaging of the lumbosacral plexus and sciatic nerve revealed a gluteal venous varix compressing the sciatic nerve just distal to the piriformis muscle. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2018.06.058DOI Listing
September 2018
27 Reads

Non-Small Cell Lung Cancer Drop Metastasis Causing Lumbosacral Radiculopathy.

Pain Med 2018 09;19(9):1874-1875

Department of Anesthesiology, Center for Pain Medicine, UC San Diego Health System, La Jolla, California, USA.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/pm/pny110DOI Listing
September 2018
3 Reads

Revalidating Pfirrmann's Magnetic Resonance Image-Based Grading of Lumbar Nerve Root Compromise by Calculating Reliability among Orthopaedic Residents.

Clin Orthop Surg 2018 Jun 18;10(2):210-215. Epub 2018 May 18.

Department of Orthopaedic Surgery, Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research, Affiliated to the Tamil Nadu Dr MGR Medical University, Tamil Nadu, India.

Background: Intervertebral disc herniations lead to subsequent compromise of the nerve root. The root can either have a mere contact with the disc material or be pushed aside or compressed. This was earlier graded by Pfirrmann and colleagues. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4055/cios.2018.10.2.210DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5964270PMC
June 2018
3 Reads

Induced lumbosacral radicular symptom referral patterns: a descriptive study.

Spine J 2019 Jan 22;19(1):163-170. Epub 2018 May 22.

Sports and Spine Division, Department of Rehabilitation Medicine, University of Washington, 3800 Montlake Blvd NE, Seattle, WA 98195, USA.

Background Context: Lumbosacral radicular symptoms are commonly evaluated in clinical practice. Level-specific diagnosis is crucial for management. Clinical decisions are often made by correlating a patient's symptom distribution and imaging with sensory dermatomal maps. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.spinee.2018.05.029DOI Listing
January 2019
7 Reads

Return to work following surgery for lumbar radiculopathy: a systematic review.

Spine J 2018 09 22;18(9):1694-1714. Epub 2018 May 22.

I-CHER, Interuniversity Center for Health Economics Research; Department of Public Health (GEWE), Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Building K, Laarbeeklaan 103, 1090 Jette, Belgium.

Background Context: Informing patients about postoperative return to work (RTW) expectations is of utmost importance because of the influence of realistic expectations on RTW outcomes.

Purpose: We aimed to give an overview of the duration of sick leave and RTW rates after surgery for lumbar radiculopathy and to list predictors of and factors related to RTW.

Study Design: A systematic review was carried out. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.spinee.2018.05.030DOI Listing
September 2018
21 Reads

Lumbosacral Radiculoplexopathy as the Initial Presentation of Lymphoma: A Report of 4 Cases.

J Clin Neuromuscul Dis 2018 Jun;19(4):196-202

Department of Neurology, Neuromuscular Center, Neurological Institute, Cleveland Clinic Cleveland, OH.

Objectives: To evaluate the clinical, laboratory, and radiological features of 4 cases of biopsy-proven lymphomatous lumbosacral radiculoplexopathy.

Methods: Retrospective chart review.

Results: All patients suffered from diffuse large B-cell lymphoma. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/CND.0000000000000213DOI Listing
June 2018
5 Reads

Sciatic Neuralgia Caused by May-Thurner Syndrome.

World Neurosurg 2018 Aug 15;116:40-43. Epub 2018 May 15.

Department of Neurosurgery, Shonan Kamakura General Hospital, Kamakura, Japan.

Background: Sciatic neuralgia (SN) is a type of pain commonly associated with lumbosacral radiculopathy. May-Thurner syndrome (MTS) is a disease characterized by venous congestion in the left common iliac vein (LCIV) due to right common iliac artery compression. A case of MTS with SN as the first presenting symptom is described. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S18788750183098
Publisher Site
http://dx.doi.org/10.1016/j.wneu.2018.05.035DOI Listing
August 2018
13 Reads

Can Epidural Contrast Dispersal Pattern Help to Predict the Outcome of Transforaminal Epidural Steroid Injections in Patients with Lumbar Radicular Pain.

World Neurosurg 2018 Aug 9;116:e394-e398. Epub 2018 May 9.

Gülhane Medical Faculty, Health Sciences University, Fiziksel Tıp ve Rehabilitasyon AD, Ankara, Turkey.

Objective: To investigate the relationship between epidurographic contrast dispersal patterns and both immediate and short-term clinical effectiveness of lumbar transforaminal epidural steroid injections (TFESIs) in patients with radicular back pain.

Methods: A digital database of 64 patients who underwent single-level lumbar TFESI for unilateral lumbar radicular pain was scanned. The type of contrast pattern was analyzed by 1 physiatrist and defined as follows: type 1 (tubular appearance), type 2 (nerve root visible as a filling defect), or type 3 (cloud-like appearance). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2018.04.214DOI Listing
August 2018
22 Reads

Minimally Invasive Transtubular Endoscopic Decompression for L5 Radiculopathy Induced by Lumbosacral Extraforaminal Lesions.

Asian Spine J 2018 Apr 16;12(2):246-255. Epub 2018 Apr 16.

Department of Orthopedic Surgery, Karatsu Red Cross Hospital, Karatsu, Japan.

Study Design: Retrospective study.

Purpose: This study aimed to evaluate the efficacy of minimally invasive transtubular endoscopic decompression for the treatment of lumbosacral extraforaminal lesion (LSEFL).

Overview Of Literature: Conventional procedures for surgical decompression for the treatment of LSEFL involve certain technical challenges because the lumbosacral extraforaminal region has unique anatomical features. Read More

View Article

Download full-text PDF

Source
http://asianspinejournal.org/journal/view.php?doi=10.4184/as
Publisher Site
http://dx.doi.org/10.4184/asj.2018.12.2.246DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5913015PMC
April 2018
7 Reads