1,238 results match your criteria Lumbosacral Radiculopathy


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

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http://dx.doi.org/10.3171/2018.9.SPINE18505DOI Listing
February 2019
1 Read

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

PM R 2019 Jan 28. Epub 2019 Jan 28.

Moss Rehab.

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 demonstrate that motor weakness and patient-reported outcomes related to lumbosacral radiculopathy will improve without surgical intervention over the course of 12 months. Read More

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http://dx.doi.org/10.1002/pmrj.12082DOI Listing
January 2019
1 Read

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

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http://dx.doi.org/10.1007/s40122-018-0110-0DOI Listing
January 2019
1 Read

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

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

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

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

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

[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

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http://dx.doi.org/10.17116/jnevro201811810158DOI Listing
January 2018
9 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

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http://dx.doi.org/10.5692/clinicalneurol.cn-001213DOI Listing
December 2018
1 Read

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

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February 2019
10 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

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

Extradural Characteristics of the Origins of Lumbosacral Nerve Roots.

J Neurol Surg A Cent Eur Neurosurg 2018 Oct 31. 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

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1673400
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http://dx.doi.org/10.1055/s-0038-1673400DOI Listing
October 2018
13 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

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http://dx.doi.org/10.3174/ajnr.A5797DOI Listing
November 2018
2 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

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http://dx.doi.org/10.1016/j.cnp.2018.06.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133905PMC
July 2018
4 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

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http://dx.doi.org/10.1007/s00701-018-3664-zDOI Listing
November 2018
6 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

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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

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http://dx.doi.org/10.1097/MD.0000000000012184DOI Listing
August 2018
16 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

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http://dx.doi.org/10.4103/sni.sni_132_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6094499PMC
August 2018
7 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

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http://dx.doi.org/10.1148/radiol.2018172634DOI Listing
October 2018
10 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

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http://dx.doi.org/10.3791/57999DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6126677PMC
August 2018
19 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

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http://dx.doi.org/10.1212/01.wnl.0000544322.26939.09DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6161552PMC
September 2018
4 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

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http://dx.doi.org/10.1055/s-0038-1667172DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066366PMC
July 2018
13 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

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http://dx.doi.org/10.1177/2192568217728724DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6022957PMC
June 2018
5 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

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

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http://dx.doi.org/10.1007/s00586-018-5650-9DOI Listing
August 2018
2 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

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

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

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

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

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http://dx.doi.org/10.1093/pm/pny110DOI Listing
September 2018
2 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

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http://dx.doi.org/10.4055/cios.2018.10.2.210DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5964270PMC
June 2018
2 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

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http://dx.doi.org/10.1016/j.spinee.2018.05.029DOI Listing
January 2019
4 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

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http://dx.doi.org/10.1097/CND.0000000000000213DOI Listing
June 2018
2 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

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183098
Publisher Site
http://dx.doi.org/10.1016/j.wneu.2018.05.035DOI Listing
August 2018
11 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

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http://dx.doi.org/10.1016/j.wneu.2018.04.214DOI Listing
August 2018
14 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

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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
4 Reads

Efficacy of Trigger Point Injections in Patients with Lumbar Disc Hernia without Indication for Surgery.

Asian Spine J 2018 Apr 16;12(2):232-237. Epub 2018 Apr 16.

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

Study Design: Prospective comparative study.

Purpose: To investigate the efficacy of gluteal trigger point (TP) injections with prilocaine in patients with lumbosacral radiculopathy complaining of gluteal pain.

Overview Of Literature: TP injections can be performed using several anesthetic agents, primarily lidocaine and prilocaine. Read More

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http://dx.doi.org/10.4184/asj.2018.12.2.232DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5913013PMC
April 2018
5 Reads

High prevalence of greater trochanteric pain syndrome among patients presenting to spine clinic for evaluation of degenerative lumbar pathologies.

J Clin Neurosci 2018 Jul 20;53:89-91. Epub 2018 Apr 20.

The Spine Hospital, Columbia University Medical Center, New York, NY, United States. Electronic address:

Background: Greater trochanteric pain syndrome (GTPS) is a relatively common diagnosis among the general population.

Objective: We aim to determine the prevalence of GTPS among patients who presented to the spine clinic.

Methods: Medical records of patients who were evaluated in the spine clinic were reviewed over a 12-month period (4/1/2016 to 3/31/2017). Read More

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http://dx.doi.org/10.1016/j.jocn.2018.04.030DOI Listing
July 2018
12 Reads

Percutaneous Endoscopic Interlaminar Unilateral Ventral Dural Approach for Symptomatic Bilateral L5-S1 Herniated Nucleus Pulposus: Technical Note.

J Neurol Surg A Cent Eur Neurosurg 2018 Nov 23;79(6):518-523. Epub 2018 Apr 23.

Department of Neurosurgery, Nanoori Hospital Incheon, Incheon, Republic of Korea.

Background:  Percutaneous endoscopic lumbar diskectomy is a good treatment modality for lumbar disk herniation. However, when a patient complains of bilateral lower limb radicular pain with severe disk protrusion at the L5-S1 level, the transforaminal approach is often unable to resolve both lesions owing to anatomical limitations. It is also very difficult to resolve both lesions in an ipsilateral direction using the percutaneous interlaminar approach. Read More

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http://dx.doi.org/10.1055/s-0038-1639505DOI Listing
November 2018
14 Reads
0.493 Impact Factor

Paraspinal Muscles of Patients with Lumbar Diseases.

J Neurol Surg A Cent Eur Neurosurg 2018 Jul 16;79(4):323-329. Epub 2018 Apr 16.

Department of Orthopaedic Surgery, Hallym University Dongtan Sacred Heart Hospital, Gyeonggi-do, Korea (the Republic of).

Objective:  The treatment of atrophy or increased fat infiltration of the lumbar paraspinal muscles of patients with back pain, lumbar radiculopathy, or lumbar degenerative kyphosis is controversial. We review the literature on changes in the lumbar paraspinal muscles of these patients.

Methods:  We searched Medline for relevant English-language articles and retrieved 25 articles published from 1993 to 2017 on changes in the lumbar paraspinal muscles; 21 met our study criteria. Read More

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http://dx.doi.org/10.1055/s-0038-1639332DOI Listing
July 2018
5 Reads

[Hydrogalvanic baths as a method of medical rehabilitation: a literature review and the prospects for the clinical application].

Vopr Kurortol Fizioter Lech Fiz Kult 2018 Apr 9;95(1):46-52. Epub 2018 Apr 9.

Research center of neurology.

The hydrogalvanic baths provide a tool for the combined application of warm fresh water and low frequency electric current. These procedures are suitable for both systemic and local treatments. The mechanism behind their therapeutic action is based on synergistic effect of two therapeutic agents. Read More

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http://dx.doi.org/10.17116/kurort201895146-52DOI Listing
April 2018
5 Reads

Sensitivity and Specificity of Modified Bragard Test in Patients With Lumbosacral Radiculopathy Using Electrodiagnosis as a Reference Standard.

J Chiropr Med 2018 Mar 12;17(1):36-43. Epub 2018 Jan 12.

Department of Physical Medicine and Rehabilitation, Shiraz University of Medical Sciences, Shiraz, Fars, Islamic Republic of Iran.

Objective: The purpose of this study was to assess the diagnostic accuracy of a modified Bragard test compared with the straight leg raise (SLR) test in patients presenting with electrodiagnostic evidence of L5 and S1 nerve root compression.

Methods: This was a cross-sectional study conducted on 506 consecutive patients with signs and symptoms consistent with lumbosacral radiculopathy confirmed by electrodiagnostic study. Patients were evaluated from September 2013 to September 2015 in the physical medicine and rehabilitation outpatient clinic of Shahid Faghihi Teaching Hospital, Shiraz, Iran. Read More

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http://dx.doi.org/10.1016/j.jcm.2017.10.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5883635PMC
March 2018
5 Reads

The effects of a dopamine agonist (apomorphine) on experimental and spontaneous pain in patients with chronic radicular pain: A randomized, double-blind, placebo-controlled, cross-over study.

PLoS One 2018 5;13(4):e0195287. Epub 2018 Apr 5.

Institute of Pain Medicine, Rambam Health Care Campus, Haifa, Israel.

Background: Although evidence suggests that dopaminergic systems are involved in pain processing, the effects of dopaminergic interventions on pain remains questionable. This randomized, double blinded, placebo-controlled, cross-over study was aimed at exploring the effect of the dopamine agonist apomorphine on experimental pain evoked by cold stimulation and on spontaneous pain in patients with lumbar radicular (neuropathic) pain.

Methods: Data was collected from 35 patients with chronic lumbar radiculopathy (18 men, mean age 56. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0195287PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5886417PMC
August 2018
3 Reads

Quantitative Evaluation of Compressed L4-5 and S1 Nerve Roots of Lumbar Disc Herniation Patients by Diffusion Tensor Imaging and Fiber Tractography.

World Neurosurg 2018 Jul 27;115:e45-e52. Epub 2018 Mar 27.

Department of Medical Imaging, The Second Hospital of Hebei Medical University, Shijiazhuang, China. Electronic address:

Objective: To delineate fractional anisotropy (FA) and apparent diffusion coefficient (ADC) values of compressed nerve roots in patients with lumbar disc herniation by diffusion tensor imaging and fiber bundle tracing and investigate the relationship between FA and ADC values and Swiss Spinal Stenosis Questionnaire and visual analog scale scores.

Methods: Twenty patients with lumbar disc herniation and 20 age- and sex-matched healthy volunteers were assessed using the Swiss Spinal Stenosis Questionnaire and visual analog scale. All subjects underwent conventional sagittal T1-weighted and T2-weighted magnetic resonance imaging, axial T2-weighted imaging, and diffusion tensor imaging and fiber tractography. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.03.134DOI Listing
July 2018
8 Reads

Magnetic Resonance Neurography in Chronic Lumbosacral and Pelvic Pain: Diagnostic and Management Impact-Institutional Audit.

World Neurosurg 2018 Jun 23;114:e77-e113. Epub 2018 Mar 23.

Department of Radiology, University of Texas Southwestern Medical Center, Dallas, Texas, USA. Electronic address:

Background/objective: Low back and pelvic pain are among the most prevalent conditions worldwide, with major social and economic costs. The aim of this study was to evaluate the role of magnetic resonance neurography (MRN) of lumbosacral plexus in the management and outcomes of these patients with chronic pain.

Methods: Consecutive patients with chronic lumbosacral and pelvic pain referred for MRN over a year were included. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183034
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http://dx.doi.org/10.1016/j.wneu.2018.02.072DOI Listing
June 2018
11 Reads

The Effect of Bipolar Pulsed Radiofrequency Treatment on Chronic Lumbosacral Radicular Pain Refractory to Monopolar Pulsed Radiofrequency Treatment.

Pain Physician 2018 03;21(2):E97-E103

Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Korea.

Background: Patients with lumbosacral radicular pain may complain of persisting pain after monopolar pulsed radiofrequency (PRF) treatment.

Objective: We evaluated the effect of bipolar PRF stimulation of the dorsal root ganglion (DRG) in patients with chronic lumbosacral radicular pain who were unresponsive to both monopolar PRF stimulation of the DRG and transforaminal epidural steroid injection (TFESI).

Study Design: This is a prospective observational study. Read More

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March 2018
11 Reads

The Effect of Pregabalin and Metformin on Subacute and Chronic Radiculopathy.

Adv Biomed Res 2018 16;7:26. Epub 2018 Feb 16.

Department of Neurology, Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Radicular pain is one of the most common forms of chronic pain in the world, which has challenges about effective medical therapy. The aim of this study was to evaluate the effect of pregabalin (PGB) and metformin (Met) on subacute and chronic radiculopathy.

Materials And Methods: This double-blind prospective clinical trial was performed on 71 patients with subacute and chronic cervical and lumbosacral radiculopathy. Read More

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http://dx.doi.org/10.4103/2277-9175.225599DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841011PMC
February 2018
7 Reads

Denervation pseudohypertrophy of calf muscles associated with diabetic neuropathy.

Radiol Case Rep 2017 Dec 25;12(4):815-820. Epub 2017 Jul 25.

Department of Radiology, North District Hospital, Sheung Shui, Hong Kong.

Denervation of muscle usually leads to muscle atrophy with fatty replacement but, uncommonly, also results in muscle hypertrophy or pseudohypertrophy with fatty replacement. We report the ultrasonographic and magnetic resonance imaging (MRI) findings of a patient with diffuse fatty infiltration of calf muscles as a result of denervation pseudohypertrophy. The elevated fasting glucose, neurogenic electromyographic changes, and muscle atrophy with adipose tissue infiltration are consistent with diabetic neuropathy as the cause of denervation pseudohypertrophy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19300433173022
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http://dx.doi.org/10.1016/j.radcr.2017.06.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5823303PMC
December 2017
16 Reads

Neuroinflammation of the spinal cord and nerve roots in chronic radicular pain patients.

Pain 2018 May;159(5):968-977

Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Numerous preclinical studies support the role of spinal neuroimmune activation in the pathogenesis of chronic pain, and targeting glia (eg, microglia/astrocyte)- or macrophage-mediated neuroinflammatory responses effectively prevents or reverses the establishment of persistent nocifensive behaviors in laboratory animals. However, thus far, the translation of those findings into novel treatments for clinical use has been hindered by the scarcity of data supporting the role of neuroinflammation in human pain. Here, we show that patients suffering from a common chronic pain disorder (lumbar radiculopathy), compared with healthy volunteers, exhibit elevated levels of the neuroinflammation marker 18 kDa translocator protein, in both the neuroforamina (containing dorsal root ganglion and nerve roots) and spinal cord. Read More

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http://dx.doi.org/10.1097/j.pain.0000000000001171DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5908728PMC
May 2018
12 Reads

Efficacy of Caudal Epidural Steroid Injection with Targeted Indwelling Catheter and Manipulation in Managing Patients with Lumbar Disk Herniation and Radiculopathy: A Prospective, Randomized, Single-Blind Controlled Trial.

World Neurosurg 2018 Jun 2;114:e29-e34. Epub 2018 Feb 2.

Department of Orthopaedics, LongHua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China. Electronic address:

Background: Lumbar disk herniation (LDH) is considered a common cause of lumbosacral radiculopathy. Epidural steroid injection is a common method to treat inflammation associated with low back-related leg pain. Spinal manipulations are widely used, and systematic reviews have also shown that these manipulations are more effective than placebos. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750183020
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http://dx.doi.org/10.1016/j.wneu.2018.01.162DOI Listing
June 2018
11 Reads

The safe use of long screws in L5/S1 stand-alone anterior interbody fusion for olisthesis cases.

Br J Neurosurg 2018 Feb 6;32(1):28-31. Epub 2018 Feb 6.

a The Centre for Spinal Studies and Surgery , Queens Medical Centre, Nottingham University Hospitals NHS Trust , Nottingham , UK.

Background: Stand-alone anterior interbody fusion (STALIF) with poly-ether-ether-ketone (PEEK) cages could offer a treatment option in olisthesis cases. The fixation of the PEEK-cage at the L5/S1 inferior endplate with long divergent screws however might endanger neural sacral structures, especially the S1 nerve root. If shorter screws are used, the achieved bony purchase might not be sufficient to resist the pull out and shear forces at the lumbosacral junction. Read More

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http://dx.doi.org/10.1080/02688697.2018.1432750DOI Listing
February 2018
5 Reads

Full Endoscopic Interlaminar Approach for Nerve Root Decompression of Sacral Metastatic Tumor.

World Neurosurg 2018 Apr 31;112:57-63. Epub 2018 Jan 31.

Division of Neurosurgery, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan; School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address:

Background: Endoscopic surgery has been successfully applied in treatment of degenerative spinal disease, but few studies have assessed its use in treating sacral metastasis. We report a successful full endoscopic interlaminar approach for sacral nerve root decompression of a sacral metastatic tumor.

Case Description: An 80-year-old man with a history of hepatocellular carcinoma presented with buttock pain with radiation to the right lower leg for 1 week. Read More

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http://dx.doi.org/10.1016/j.wneu.2018.01.075DOI Listing
April 2018
4 Reads