9,972 results match your criteria Spinal Stenosis


Degenerative Lumbar Spine Disease: Estimating Global Incidence and Worldwide Volume.

Global Spine J 2018 Dec 24;8(8):784-794. Epub 2018 Apr 24.

Harvard Medical School, Boston, MA, USA.

Study Design: Meta-analysis-based calculation.

Objectives: Lumbar degenerative spine disease (DSD) is a common cause of disability, yet a reliable measure of its global burden does not exist. We sought to quantify the incidence of lumbar DSD to determine the overall worldwide burden of symptomatic lumbar DSD across World Health Organization regions and World Bank income groups. Read More

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http://dx.doi.org/10.1177/2192568218770769DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293435PMC
December 2018

The efficacy and safety of tranexamic acid in reducing perioperative blood loss in patients with multilevel thoracic spinal stenosis: A retrospective observational study.

Medicine (Baltimore) 2018 Dec;97(50):e13643

Honghui Hospital, Xi'an Jiaotong University, No. 76 Nanguo Road, District Beilin, Xi'an, Shaanxi, China.

Study Design: A retrospective study.

Objective: To investigate the effectiveness and safety of intravenous tranexamic acid for reducing perioperative blood loss in patients with multilevel thoracic spinal stenosis (TSS).

Methods: This is a retrospective observational study of 42 patients with multilevel TSS admitted from December 2016 to October 2017 to the spine department of Honghui Hospital who underwent posterolateral bone graft fusion with posterior laminectomy and decompression fixation. Read More

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http://dx.doi.org/10.1097/MD.0000000000013643DOI Listing
December 2018

Angiopoietin-2 promotes osteogenic differentiation of thoracic ligamentum flavum cells via modulating the Notch signaling pathway.

PLoS One 2018 17;13(12):e0209300. Epub 2018 Dec 17.

Central Laboratory, Peking University International Hospital, Beijing, China.

Thoracic ossification of the ligamentum flavum (TOLF) is heterotopic ossification of spinal ligaments, which may cause serious thoracic spinal canal stenosis and myelopathy. However, the underlying etiology remains inadequately understood. In this study, the ossification patterns of TOLF were analyzed by micro-computer tomography (micro-CT). Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0209300PLOS
December 2018

Quantification of spinal cord compression using T1 mapping in patients with cervical spinal canal stenosis - Preliminary experience.

Neuroimage Clin 2018 Dec 10:101639. Epub 2018 Dec 10.

Department of Neurology, University Medical Center Göttingen, Germany.

Background: Degenerative changes of the cervical spinal column are the most common cause of spinal cord lesions in the elderly. Conventional clinical, electrophysiological and radiological diagnostics of spinal cord compression are often inconsistent.

Materials And Methods: The feasibility and diagnostic potential of a novel T1 mapping method at 0. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22131582183038
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http://dx.doi.org/10.1016/j.nicl.2018.101639DOI Listing
December 2018
1 Read

Comparative study between Plate-Graff, Plate-Cage and peek cage in cervical spine fusion.

Acta Ortop Mex 2018 Jul-Aug;32(4):203-208

Spine Surgery Service. National Institute of Rehabilitation Luis Guillermo Ibarra Ibarra. Mexico City. Mexico.

Objective: To compare results of Plate-Graff, Plate-Cage and PEEK cage in patients with cervical stenosis.

Material And Methods: Prospective, with before and after intervention and comparative study. From January 2005 to October 2011 we included 37 patients (male: 48. Read More

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December 2018

Open Microsurgical Dorsal Root Ganglion Lead Placement.

Neuromodulation 2018 Dec 14. Epub 2018 Dec 14.

Department of Stereotactic and Functional Neurosurgery, Heinrich-Heine University, Düsseldorf, Germany.

Introduction: Dorsal root ganglion stimulation (DRG) is a new but well-established neuromodulation technique allowing new indications and superiority to pre-existing stimulation techniques such as spinal cord stimulation in selected pain etiologies. Previous surgical procedures in the implantation area pose a challenge for the percutaneous technique and are therefore considered contraindications for DRG stimulation surgery. We describe the successful open DRG electrode placement in two patients with previous surgeries suffering from severe radiculopathy due to foraminal stenosis. Read More

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http://dx.doi.org/10.1111/ner.12905DOI Listing
December 2018

Pacemaker system replacement under local anesthesia allowing MRI access 7 years after the initial surgery: Two case reports.

J Rural Med 2018 Nov 29;13(2):185-187. Epub 2018 Nov 29.

Department of Cardiovascular Surgery, Shonai Amarume Hospital, Japan.

Older pacemaker systems, which are magnetic resonance imaging (MRI) incompatible, require replacement with compatible systems when patients are in need of MRI. Replacement involves extraction of the pacing lead, which is usually done with a laser sheath under general anesthesia. We report two cases of complete pacing system replacements allowing patient access to MRI. Read More

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http://dx.doi.org/10.2185/jrm.2969DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288728PMC
November 2018

To fuse or not to fuse: a survey among members of the German Spine Society (DWG) regarding lumbar degenerative spondylolisthesis and spinal stenosis.

Arch Orthop Trauma Surg 2018 Dec 12. Epub 2018 Dec 12.

Orthopedic Department, University Hospital Jena, Campus Waldkliniken Eisenberg, Klosterlausnitzer Str. 81, 07607, Eisenberg, Germany.

Introduction: Surgical treatment methods for degenerative spondylolisthesis (decompression versus decompression and fusion) have been critically debated. The medical care situation is almost unknown for either treatment. Therefore, the aim of the present study was to provide information regarding the use of parameters for decision-making and the employment of surgical techniques. Read More

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http://link.springer.com/10.1007/s00402-018-3096-5
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http://dx.doi.org/10.1007/s00402-018-3096-5DOI Listing
December 2018
1 Read

Nonsurgical Intervention in a Preeclamptic Patient with Spontaneous Spinal Epidural Hematoma.

Case Rep Obstet Gynecol 2018 7;2018:5879481. Epub 2018 Nov 7.

Department of Neurology, White Memorial Medical Center, Los Angeles, CA 90033, USA.

Background: Spontaneous epidural hematoma (SEH) is a rare finding in pregnancy, especially since most pregnant women do not have risk factors for developing SEH. The presence of epidural anesthesia can delay the diagnosis of SEH in pregnant patients. Immediate surgical decompression is the current standard of care for treating SEH. Read More

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http://dx.doi.org/10.1155/2018/5879481DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247676PMC
November 2018

Minimally invasive transforaminal lumbar interbody fusion for dual-segment lower lumbar degenerative disease.

Wideochir Inne Tech Maloinwazyjne 2018 Dec 1;13(4):525-532. Epub 2018 Jun 1.

Department of Orthopedics, Taizhou Hospital, Zhejiang, China.

Introduction: Transforaminal lumbar interbody fusion (TLIF) has been widely used to treat degenerative lumbar diseases. The PIPELINE Access minimally invasive system allows reduction of the trauma to the patient during TLIF.

Aim: To present our preliminary experience with the minimally invasive TLIF (mTLIF) technique performed on the first 7 patients with dual-segment lower lumbar degenerative disease (DS-LLDD). Read More

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http://dx.doi.org/10.5114/wiitm.2018.76151DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280081PMC
December 2018

Interspinous process decompression is associated with a reduction in opioid analgesia in patients with lumbar spinal stenosis.

J Pain Res 2018 20;11:2943-2948. Epub 2018 Nov 20.

Jon Block, San Francisco, CA 94115, USA,

Background: Lumbar spinal stenosis (LSS) causes significant pain and functional impairment, and medical management has increasingly included the prescription of opioid-based analgesics. Interspinous process decompression (IPD) provides a minimally-invasive treatment option for LSS.

Methods: This study estimated the type, dosage, and duration of opioid medications through 5 years of follow-up after IPD with the Superion Indirect Decompression System (Vertiflex Inc. Read More

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http://dx.doi.org/10.2147/JPR.S182322DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251434PMC
November 2018

[The trend towards full-endoscopic decompression : Current possibilities and limitations in disc herniation and spinal stenosis].

Authors:
S Ruetten M Komp

Orthopade 2018 Dec 7. Epub 2018 Dec 7.

Zentrum für Wirbelsäulenchirurgie und Schmerztherapie, Zentrum für Orthopädie und Unfallchirurgie der St. Elisabeth Gruppe - Katholische Kliniken Rhein-Ruhr, St. Anna Hospital Herne/Universitätsklinikum, Marien Hospital Herne/Marien Hospital Witten, Hospitalstr. 19, 44649, Herne, Deutschland.

Background: The most frequent causes of degenerative constrictions of the spinal canal are disk herniations and spinal stenoses. The lumbar and cervical spine is the most affected.

Surgical Procedures: After conservative treatments have been exhausted, surgical intervention may be necessary. Read More

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http://dx.doi.org/10.1007/s00132-018-03669-3DOI Listing
December 2018
1 Read

Lumbar Schmorl's Nodes and Their Correlation with Spine Configuration and Degeneration.

Biomed Res Int 2018 7;2018:1574020. Epub 2018 Nov 7.

Department of Anatomy and Anthropology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 6997801, Israel.

The aim of this study was to reveal whether demographic aspect, vertebral morphometry, and spine degeneration are associated with lumbar Schmorl's nodes (SNs). A retrospective cross-sectional study was performed using data from the Department of Radiology (Carmel, Medical Center, Israel) for 180 individuals: age range between 40 and 99 years; 90 males and 90 females. All participants had undergone high-resolution CT scans for abdominal diagnostic purposes in the same supine position prior to our study, which enabled the processing of the scans in all planes and allowed a 3D reconstruction of the lower lumbar region. Read More

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http://dx.doi.org/10.1155/2018/1574020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247654PMC
November 2018
5 Reads

Reoperations Following Lumbar Spinal Canal Stenosis.

Indian J Orthop 2018 Nov-Dec;52(6):578-583

Department of Orthopaedics and Spine Surgery, Zydus Hospitals and Healthcare Research Pvt. Ltd., Ahmedabad, Gujarat, India.

In the current clinical scenario, restenosis following the primary surgical procedure for lumbar canal stenosis is being frequently noticed. A number of studies have evaluated the reoperation rates following different surgical procedures for lumbar canal stenosis. However, a dilemma still exists about the surgical procedures, associated comorbidities and reoperation rates. Read More

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http://www.ijoonline.com/text.asp?2018/52/6/578/244977
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http://dx.doi.org/10.4103/ortho.IJOrtho_380_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241061PMC
December 2018
1 Read

The effect of multiple lesions in patients with ossification of the posterior longitudinal ligament of the cervical spine.

J Orthop Sci 2018 Dec 8. Epub 2018 Dec 8.

Department of Orthopaedic Surgery, University of Toyama, Toyama, Japan.

Purpose: Ossification of the posterior longitudinal ligament of the cervical spine (cervical OPLL) is associated with the lesions at the thoracic and/or lumbar spine. Multiple spinal lesions cause additional neurological deficit, affecting the outcomes of cervical laminoplasty. This study aimed to clarify the effect of multiple lesions on the outcomes of cervical laminoplasty and to compare the results with data from patients without them. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09492658183033
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http://dx.doi.org/10.1016/j.jos.2018.11.012DOI Listing
December 2018
4 Reads

MR Imaging of the Spine: Urgent and Emergent Indications.

Semin Ultrasound CT MR 2018 Dec 19;39(6):551-569. Epub 2018 Oct 19.

Department of radiology, University of Miami Miller School of Medicine, Miami, FL.

Spinal emergencies and urgent conditions must be recognized early so that the diagnosis can be quickly confirmed and treatment can be instituted to possibly prevent permanent loss of function. The American College of Radiology provides guidelines for recognition of patients presenting with myelopathy or acute low back pain who require further evaluation for suspicion of more serious problems and contribute to appropriate imaging utilization. Spinal emergencies include spinal cord compression secondary to vertebral fracture or space occupying lesion, spinal infection or abscess, vascular or hematologic damage, severe disc herniation, and spinal stenosis. Read More

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http://dx.doi.org/10.1053/j.sult.2018.10.006DOI Listing
December 2018
1 Read

[Percutaneous endoscopic transforaminal lumbar interbody fusion for lumbar spinal stenosis].

Zhonghua Yi Xue Za Zhi 2018 Dec;98(45):3711-3715

Department of Orthopaedics, Beijing Chaoyang Hospital, Beijing 100020, China.

To evaluate the clinical effects of percutaneous endoscopic transforaminal lumbar interbody fusion (PE-TLIF) for L(4/5) single-segment lumbar spinal stenosis. From September 2016 to March 2018, 7 patients with L(4/5) single-segment lumbar spinal stenosis were treated by PE-TLIF in the Department of Orthopedics, Beijing Chaoyang Hospital. There were 1 male and 6 females, with a mean age of (57±13) years(43-77 years). Read More

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December 2018
1 Read

Radicular Pain Syndromes: Cervical, Lumbar, and Spinal Stenosis.

Semin Neurol 2018 Dec 6;38(6):634-639. Epub 2018 Dec 6.

Department of Neurology, Boston University School of Medicine, Boston University Medical Center, Boston, Massachusetts.

Back pain is a top primary and urgent care complaint; radicular pain can be caused by herniation of the nucleus pulposus (intervertebral disc), spinal stenosis, or degenerative changes to the vertebrae. The focus of this clinical review will be the clinical approach and treatment of lumbar radicular pain, cervical radicular pain, and spinal stenosis. Usually localized through neurological history, exam, and imaging, specific signs and symptoms for lumbar radicular, spinal stenosis, and cervical radicular pain can help determine etiology. Read More

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http://dx.doi.org/10.1055/s-0038-1673680DOI Listing
December 2018
6 Reads

The Wrong Turn to Tijuana: Dry Beriberi after Gastric Bypass Surgery with Incidental Spinal Stenosis.

Case Rep Neurol 2018 Sep-Dec;10(3):309-313. Epub 2018 Nov 8.

Internal Medicine, Mount Carmel West Hospital, Columbus, Ohio, USA.

Thiamine deficiency is a condition characterized by several different presentations, but one of the most devastating is dry beriberi. It is associated with polyneuropathy and muscle weakness which typically affects the lower extremities and progressively involves the upper extremities. This case outlines a case of a 41-year-old man that presented to the hospital with diffuse weakness and decreased sensation in his legs and hands over a 3-day period. Read More

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https://www.karger.com/Article/FullText/493422
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http://dx.doi.org/10.1159/000493422DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276741PMC
November 2018
7 Reads

A review of the role of epidural percutaneous neuroplasty.

Pain Manag 2018 Dec 3. Epub 2018 Dec 3.

Vice Chair for Research & Education, Department of Anesthesiology & Pain Management, Advocate Illinois Masonic Medical Center, Chicago, IL 60657, USA.

Degeneration, whether from age or postsurgical, in the ventral and lateral epidural space can lead to irritation of both the nerve roots and of the nerves present in the epidural space, the peridural membrane and the posterior longitudinal ligament. This irritation is often accompanied by mild scarring. Neuroplasty is a specific procedure designed to relieve this irritation. Read More

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http://dx.doi.org/10.2217/pmt-2018-0042DOI Listing
December 2018
1 Read

Unilateral Biportal Endoscopic Spinal Surgery Using a 30° Arthroscope for L5-S1 Foraminal Decompression.

Clin Orthop Surg 2018 Dec 21;10(4):508-512. Epub 2018 Nov 21.

Department of Spine Surgery, Barun Hospital, Jinju, Korea.

Foraminal decompression using a minimally invasive technique to preserve facet joint stability and function without fusion reportedly improves the radicular symptoms in approximately 80% of patients and is considered one of the good surgical treatment choices for lumbar foraminal or extraforaminal stenosis. However, proper decompression was not possible because of the inability to access the foramen at the L5-S1 level due to prominence of the iliac crest. To overcome this challenge, endoscopy-based minimally invasive spine surgery has recently gained attention. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.4055/cios.2018.1
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http://dx.doi.org/10.4055/cios.2018.10.4.508DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250961PMC
December 2018
3 Reads

Clinical and Radiological Outcomes of Foraminal Decompression Using Unilateral Biportal Endoscopic Spine Surgery for Lumbar Foraminal Stenosis.

Clin Orthop Surg 2018 Dec 21;10(4):439-447. Epub 2018 Nov 21.

Department of Orthopedic Surgery, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea.

Background: Since open Wiltse approach allows limited visualization for foraminal stenosis leading to an incomplete decompression, we report the short-term clinical and radiological results of unilateral biportal endoscopic foraminal decompression using 0° or 30° endoscopy with better visualization.

Methods: We examined 31 patients that underwent surgery for neurological symptoms due to lumbar foraminal stenosis which was refractory to 6 weeks of conservative treatment. All 31 patients underwent unilateral biportal endoscopic far-lateral decompression (UBEFLD). Read More

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https://synapse.koreamed.org/DOIx.php?id=10.4055/cios.2018.1
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http://dx.doi.org/10.4055/cios.2018.10.4.439DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250968PMC
December 2018
3 Reads

The Prevalence of Cervical Foraminal Stenosis on Computed Tomography of a Selected Community-Based Korean Population.

Clin Orthop Surg 2018 Dec 21;10(4):433-438. Epub 2018 Nov 21.

Department of Orthopaedic Surgery, Daegu Catholic University Medical Center, Daegu, Korea.

Background: Cervical foraminal stenosis (CFS) is one of the degenerative changes of the cervical spine; however, correlations between the severity of stenosis and that of symptoms are not consistent in the literature. Studies to date on the prevalence of stenosis are based on images obtained from the departments treating cervical lesions, and thus patient selection bias may have occurred. The purpose of this study was to investigate the prevalence of CFS according to the site, extent, and morphology of stenosis using cervical computed tomography (CT) images obtained from patients who were visiting not because of symptoms related to the cervical spine, cervical pain, or upper limb pain. Read More

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http://dx.doi.org/10.4055/cios.2018.10.4.433DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250963PMC
December 2018
1 Read

Improvement of Back and Leg Pain after Lumbar Spinal Decompression without Fusion.

J Neurol Surg A Cent Eur Neurosurg 2018 Dec 5. Epub 2018 Dec 5.

Department of Neurosurgery, Medical Center University of Aachen, RWTH University, Aachen, NRW, Germany.

Background:  To evaluate whether decompression in lumbar spinal stenosis without fusion leads to sufficient improvement of back pain and leg pain and whether re-decompression alone is sufficient for recurrent lumbar spinal stenosis for patients without signs of instability.

Material And Methods:  A successive series of 102 patients with lumbar spinal stenosis (with and without previous lumbar surgery) were treated with decompression alone during a 3-year period. Data on pre- and postoperative back pain and leg pain (numerical rating scale [NRS] scale) were retrospectively collected from questionnaires with a return rate of 65% ( = 66). Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1669473
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http://dx.doi.org/10.1055/s-0038-1669473DOI Listing
December 2018
3 Reads

[Analysis of influencing factors the postoperative axial symptoms of cervical single open-door laminoplasty].

Zhongguo Gu Shang 2018 Nov;31(11):1022-1026

Zhejiang Provincial Tongde Hospital, Hangzhou 310012, Zhejiang, China;

Objective: To explore the influencing factors and possible mechanism of axial symptoms(AS) after C₃-C₇ single open-door laminoplasty in patients with chronic compression cervical myelopathy.

Methods: The clinical data of 32 patients with multi-segment chronic compression cervical cord disease treated by C₃-C₇ single open-door laminectomy from May 2012 to July 2016 were retrospectively analyzed. Including cervical spondylotic myelopathy of 14 cases, developmental cervical stenosis complicated with cervical myelopathy of 8 cases, ossification of posterior longitudinal ligament(OPLL) of 10 cases. Read More

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November 2018

Two cases of lobectomy for lung cancer after transcatheter aortic valve implantation.

Surg Case Rep 2018 Dec 3;4(1):139. Epub 2018 Dec 3.

Department of General Thoracic Surgery, Osaka University Graduate School of Medicine, L5-2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.

Background: The age of patients with lung cancer is advancing, and the number of patients with lung cancer who have cardiac diseases is expected to increase. Recently, the rate of transcatheter aortic valve implantation (TAVI) has increased as treatment for aortic stenosis (AS). TAVI is minimally invasive compared with conventional aortic valve replacement. Read More

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http://dx.doi.org/10.1186/s40792-018-0548-7DOI Listing
December 2018
2 Reads

Predicting clinical outcome and length of sick leave after surgery for lumbar spinal stenosis in Sweden: a multi-register evaluation.

Eur Spine J 2018 Dec 3. Epub 2018 Dec 3.

Futurum Academy, Jönköping, Sweden.

Purpose: Lumbar spinal stenosis (LSS) can be surgically treated, with variable outcome. Studies have linked socioeconomic factors to outcome, but no nation-wide studies have been performed. This register-based study, including all patients surgically treated for LSS during 2008-2012 in Sweden, aimed to determine predictive factors for the outcome of surgery. Read More

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http://link.springer.com/10.1007/s00586-018-5842-3
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http://dx.doi.org/10.1007/s00586-018-5842-3DOI Listing
December 2018
3 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 Nov;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

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November 2018
1 Read

Clinics in diagnostic imaging (192). Flexion teardrop fracture.

Singapore Med J 2018 Nov;59(11):562-566

Department of Diagnostic Radiology, Singapore General Hospital, Singapore.

An 82-year-old woman presented with neck pain and bilateral upper limb paraesthesia after sustaining an unwitnessed fall at home the day before. Physical examination revealed tenderness over the C4-6 region but no evidence of step deformity or neurological deficit. Magnetic resonance imaging of the cervical spine revealed multiple small fractures at the anteroinferior endplate corners of the C3, C5 and C6 vertebrae with focal kyphosis and marrow oedema at these levels, as well as associated disruption of the anterior longitudinal ligament and central spinal canal stenosis. Read More

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http://dx.doi.org/10.11622/smedj.2018134DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250755PMC
November 2018

Spinal Endoscopy for Delayed-Onset Lumbar Radiculopathy Resulting from Foraminal Stenosis after Osteoporotic Vertebral Fracture: A Case Report of a New Surgical Strategy.

Case Rep Orthop 2018 25;2018:1593021. Epub 2018 Oct 25.

Department of Orthopedic Surgery, Wakayama Medical University, Japan.

There is little evidence regarding the optimal approach to treatment for delayed-onset lumbar radiculopathy due to foraminal stenosis after osteoporotic vertebral fracture. Here, we describe the use of spinal endoscopy for the treatment of this disabling condition, in an 80-year-old woman presenting with severe radicular pain following an osteoporotic lumbar compression fracture. Radiographic findings showed the compression of the L2 root within the foramen, and computed tomography identified a fragment of the posterior wall of the vertebral body under the pedicle. Read More

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http://dx.doi.org/10.1155/2018/1593021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6222242PMC
October 2018
1 Read

Education level as a prognostic indicator at 12 months following decompression surgery for symptomatic lumbar spinal stenosis.

Authors:

J Neurosurg Spine 2018 Oct 1:1-9. Epub 2018 Oct 1.

OBJECTIVEThe goal of this study was to analyze the effect of patient education level on functional outcomes following decompression surgery for symptomatic lumbar spinal stenosis.METHODSPatients with surgically decompressed symptomatic lumbar stenosis were collected in a prospective observational registry at a single institution between 2012 and 2014. Patient education level was compared to surgical outcomes to elucidate any relationships. Read More

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http://dx.doi.org/10.3171/2018.6.SPINE18226DOI Listing
October 2018

Association between payer status and patient-reported outcomes in adult patients with lumbar spinal stenosis treated with decompression surgery.

Authors:

J Neurosurg Spine 2018 Oct 1:1-13. Epub 2018 Oct 1.

OBJECTIVEInsurance disparities can have relevant effects on outcomes after elective lumbar spinal surgery. The aim of this study was to evaluate the association between private/public payer status and patient-reported outcomes in adult patients who underwent decompression surgery for lumbar spinal stenosis.METHODSA sample of 100 patients who underwent surgery for lumbar spinal stenosis from 2012 to 2014 was evaluated as part of the prospectively collected Quality Outcomes Database at a single institution. Read More

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https://thejns.org/view/journals/j-neurosurg-spine/aop/artic
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http://dx.doi.org/10.3171/2018.7.SPINE18294DOI Listing
October 2018
5 Reads

US regional variations in rates, outcomes, and costs of spinal arthrodesis for lumbar spinal stenosis in working adults aged 40-65 years.

Authors:

J Neurosurg Spine 2018 Oct 1:1-8. Epub 2018 Oct 1.

OBJECTIVEIt is important to identify differences in the treatment of common diseases over time and across geographic regions. Several studies have reported increased use of arthrodesis to treat lumbar spinal stenosis (LSS). The purpose of this study was to investigate geographic variations in the treatment of LSS by US region. Read More

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http://dx.doi.org/10.3171/2018.5.SPINE18184DOI Listing
October 2018

Multilevel critical stenosis with minimal functional deficits: a case of cervical spondylotic myelopathy.

Spinal Cord Ser Cases 2018 19;4:104. Epub 2018 Nov 19.

St. Luke's University Health Network, 801 Ostrum Street, Bethlehem, PA 18015 USA.

Introduction: We present a case of a previously asymptomatic and highly functional individual whose critical degenerative stenosis was exacerbated by recent trauma (motor vehicle accident), resulting in cervical spondylotic myelopathy.

Case Presentation: A 57-year-old African-American man with no significant past medical history presented to the Orthopaedic Surgery outpatient clinic with mild neck discomfort, stiffness, and bilateral hand numbness 4 days after being involved in a motor vehicle accident. He ambulated without assistive devices and displayed a tandem gait pattern with normal cadence. Read More

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http://www.nature.com/articles/s41394-018-0138-8
Publisher Site
http://dx.doi.org/10.1038/s41394-018-0138-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6242883PMC
November 2018
11 Reads

Current evidence for spinal X-ray use in the chiropractic profession: a narrative review.

Chiropr Man Therap 2018 21;26:48. Epub 2018 Nov 21.

1Department of Chiropractic, Faculty of Science and Engineering, Macquarie University, Sydney, Australia.

The use of routine spinal X-rays within chiropractic has a contentious history. Elements of the profession advocate for the need for routine spinal X-rays to improve patient management, whereas other chiropractors advocate using spinal X-rays only when endorsed by current imaging guidelines. This review aims to summarise the current evidence for the use of spinal X-ray in chiropractic practice, with consideration of the related risks and benefits. Read More

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https://chiromt.biomedcentral.com/articles/10.1186/s12998-01
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http://dx.doi.org/10.1186/s12998-018-0217-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247638PMC
November 2018
5 Reads

Single-center experience with an inner branched arch endograft.

J Vasc Surg 2018 Nov 23. Epub 2018 Nov 23.

Department of Vascular Medicine, German Aortic Center, University Heart Center, Hamburg, Germany.

Objective: Whereas open repair is the "gold standard" for most aortic arch diseases, a subgroup of patients might benefit from an endovascular approach. The introduction of branched stent grafts with dedicated design to address the challenges of the ascending aorta and the aortic arch has opened an entirely new area of treatment for these patients. We investigated the early outcomes of branched thoracic endovascular aortic repair (b-TEVAR) in various types of disease of the aortic arch. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.07.076DOI Listing
November 2018
1 Read

Factors that influence neurological deficit and recovery in lumbar disc prolapse-a narrative review.

Int Orthop 2018 Nov 24. Epub 2018 Nov 24.

Department of spine surgery, Ganga Medical centre & Hospital. Pvt. Ltd, #313, Mettupalayam road, Sai baba Colony, Coimbatore, Tamilnadu, 641001, India.

Neurodeficit due to lumbar disc herniation (LDH) is a serious complication and can range from sensory hypoesthesia in a single dermatome to a debilitating condition like cauda equina syndrome (CES). Many authors have described variable clinical and radiological risk factors for neurodeficit in LDH. Similarly the prognostic factors influencing recovery have been variable across the studies. Read More

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http://link.springer.com/10.1007/s00264-018-4242-y
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http://dx.doi.org/10.1007/s00264-018-4242-yDOI Listing
November 2018
9 Reads

Anti-coagulation Drug Warfarin Contributes to Severe Adverse Outcomes in Prolonged Unsupervised Use: A Double-edged Sword.

Cureus 2018 Sep 22;10(9):e3347. Epub 2018 Sep 22.

Neurological Surgery, Haider Spine Center, Riverside, USA.

Anti-coagulation medications are widely used in clinical practice, especially in the United States as cardiac-related emergencies are on the rise. An overarching caveat in using anti-coagulation drugs as a long-term treatment regimen, such as warfarin, is that patients are closely monitored by their primary care provider. Routine monthly laboratory examinations are strictly required to assess the international normalized ratio (INR) which measures prothrombin time (PT), providing insight into how long it takes for blood to clot. Read More

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https://www.cureus.com/articles/14892-anti-coagulation-drug-
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http://dx.doi.org/10.7759/cureus.3347DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6248782PMC
September 2018
4 Reads

Does the Surgical Timing and Decompression Alone or Fusion Surgery in Lumbar Stenosis Influence Outcome in Cauda Equina Syndrome?

Asian Spine J 2018 Nov 27. Epub 2018 Nov 27.

Department of Spine Surgery, Stavya Spine Hospital and Research Institute, Ahmedabad, India.

Study Design: A retrospective comparative analysis of 64 patients with cauda equina syndrome (CES), who underwent either decompression alone (NF) or fusion (F) surgery.

Purpose: We compared the outcomes and timing effects.

Overview Of Literature: CES can cause loss of autonomic control of vesicular function and lower limb neurological deficits. Read More

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http://asianspinejournal.org/journal/view.php?doi=10.31616/a
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http://dx.doi.org/10.31616/asj.2018.0168DOI Listing
November 2018
6 Reads

Therapeutic Feasibility of Full Endoscopic Decompression in One- to Three-Level Lumbar Canal Stenosis via a Single Skin Port Using a New Endoscopic System, Percutaneous Stenoscopic Lumbar Decompression.

Asian Spine J 2018 Nov 27. Epub 2018 Nov 27.

Department of Neurosurgery, Good Doctor Teun Teun Hospital, Anyang, Korea.

Study Design: This retrospective study involved 450 consecutive cases of degenerative lumbar stenosis treated with percutaneous stenoscopic lumbar decompression (PSLD).

Purpose: We determined the feasibility of PSLD for lumbar stenosis at single and multiple levels (minimum 1-year follow-up) by image analysis to observe postoperative widening of the vertebral canal in the area.

Overview Of Literature: The decision not to perform an endoscopic decompression might be due to the surgeon being uncomfortable with conventional microscopic decompression or unfamiliar with endoscopic techniques or the unavailability of relevant surgical tools to completely decompress the spinal stenosis. Read More

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http://asianspinejournal.org/journal/view.php?doi=10.31616/a
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http://dx.doi.org/10.31616/asj.2018.0228DOI Listing
November 2018
4 Reads

Preliminary results of a novel pure endoscopic procedure in the treatment of degenerative lumbar spinal disorders: double endoscopic technique.

J Neurosurg Sci 2018 Nov 21. Epub 2018 Nov 21.

Neurosurgical Unit, Azienda Universitaria Integrata, Trieste, Italy.

Background: With increased experience and the availability of new technical instrumentations, the surgical endoscopic indications for lumbar spinal pathologies have moved from simple prolapsed disk to canal stenosis. The available endoscopes come in two different sizes (10 mm and 6.3 mm in diameter); however, one is too bulky to use inside the spinal canal and the other is too small to achieve a fast bone decompression. Read More

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http://dx.doi.org/10.23736/S0390-5616.18.04541-1DOI Listing
November 2018
2 Reads

Increasing the cervical and lumbar lordosis is possible despite overt osteoarthritis and spinal stenosis using extension traction to relieve low back and leg pain in a 66-year-old surgical candidate: a CBP case report.

J Phys Ther Sci 2018 Nov 6;30(11):1364-1369. Epub 2018 Nov 6.

CBP NonProfit, Inc., USA.

[Purpose] To present the case of the dramatic relief of low back pain, leg pain and disability in an older female with osteoarthritis, lumbar spinal stenosis and hypolordosis of the cervical and lumbar spine. [Participant and Methods] A 66-year-old female presented with chronic low back pain, right leg pain, numbness and weakness. Despite being recommended for surgery, the patient sought alternative treatment. Read More

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http://dx.doi.org/10.1589/jpts.30.1364DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220102PMC
November 2018
1 Read

Streptococcus pyogenes bacteremia and toxic shock syndrome related to Strongyloides stercoralis hyperinfection: a case report.

J Med Case Rep 2018 Nov 22;12(1):346. Epub 2018 Nov 22.

Reference Parasitology Laboratory, Central Laboratories, Public Health Services, Ministry of Health, Jerusalem, Israel.

Background: We describe a patient with Strongyloides stercoralis hyperinfection associated with Streptococcus pyogenes and with streptococcal toxic shock syndrome. To the best of our knowledge this association has not been previously described.

Case Presentation: A 78 year-old Israeli man, who was born in Iraq but lived in Israel for 66 years, presented with multi-organ failure including acute kidney and hepatic injury, coagulopathy, and lactic acidosis. Read More

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http://dx.doi.org/10.1186/s13256-018-1885-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6249898PMC
November 2018
10 Reads

Stepping over an obstacle in patients with lumbar spinal stenosis: Trunk and lower extremities of kinematic and muscle activation normalized by double limb support. A preliminary study.

Technol Health Care 2018 Nov 9. Epub 2018 Nov 9.

Background: Patients with LSS tend to adopt a flexed lumbar posture and trunk position, particularly when stepping over an obstacle, as this activity alters the biomechanical demands placed on the trunk and lower extremities.

Objective: To investigate the effects of lumbar spinal stenosis (LSS) on patients' trunk and lower-extremity kinematics, and on activities involving the gluteus medius (GMed) and vastus lateralis (VL).

Methods: All participants (9 older adult patients with LSS and 11 control subjects) were required to negotiate an obstacle while walking. Read More

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https://www.researchgate.net/publication/263507954_Determini
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https://www.researchgate.net/publication/24197539_Different_
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http://www.medra.org/servlet/aliasResolver?alias=iospress&am
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http://dx.doi.org/10.3233/THC-171082DOI Listing
November 2018
8 Reads

Surgical Outcomes and Limitations of Decompression Surgery for Degenerative Spondylolisthesis.

Global Spine J 2018 Oct 24;8(7):733-738. Epub 2018 Apr 24.

Osaka Rosai Hospital, Osaka, Japan.

Study Design: A retrospective study.

Objectives: To investigate surgical outcomes and limitations of decompression surgery for degenerative spondylolisthesis.

Methods: One hundred patients with degenerative spondylolisthesis who underwent decompression surgery alone were included in this study. Read More

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http://journals.sagepub.com/doi/10.1177/2192568218770793
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http://dx.doi.org/10.1177/2192568218770793DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6232715PMC
October 2018
3 Reads

Combination of lumbar erector spinae plane block and transmuscular quadratus lumborum block for surgical anaesthesia in hemiarthroplasty for femoral neck fracture.

Indian J Anaesth 2018 Oct;62(10):802-805

Department of Anesthesiology and Reanimation, Maltepe University Faculty of Medicine, Istanbul, Turkey.

Femur neck fractures may occur in elderly patients with multiple co-morbidities. Spinal or general anaesthesia may not be safe in such patients, leading to a search for other safer alternatives. Herein, we report a case in which a never previously reported combination of quadratus lumborum block (QLB) and erector spinae plane block (ESPB) was successfully used as the main anaesthetic method for hemiarthroplasty. Read More

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http://dx.doi.org/10.4103/ija.IJA_230_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6190427PMC
October 2018

Orthopaedic challenges for mucopolysaccharidoses.

Ital J Pediatr 2018 Nov 16;44(Suppl 2):123. Epub 2018 Nov 16.

Institute for Maternal and Child Health IRCCS Burlo Garofolo, Via dell'Istria, 65, 34137, Trieste, Italy.

Mucopolysaccharidoses (MPS) are a group of diseases characterized by abnormal accumulation of glycosaminoglycans (GAGs). Although there are differences among the various disease types, the osteoarticular system is always involved. The aim of the present study was to establish a framework for MPS-related orthopaedic manifestations and for their treatment. Read More

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https://ijponline.biomedcentral.com/articles/10.1186/s13052-
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http://dx.doi.org/10.1186/s13052-018-0557-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6238259PMC
November 2018
2 Reads

Shear Wave Elastography of the Lumbar Multifidus Muscle in Patients With Unilateral Lumbar Disk Herniation.

J Ultrasound Med 2018 Nov 13. Epub 2018 Nov 13.

Department of Radiology, Istanbul University, Cerrahpasa Faculty of Medicine, Istanbul, Turkey.

Objectives: To assess lumbar multifidus muscle stiffness in patients with unilateral lumbar disk herniation (LDH) causing nerve root compression using shear wave elastography (SWE).

Methods: Thirty-three patients with unilateral subarticular LDH (L3-L4, L4-L5, and L5-S1) causing nerve root compression, diagnosed by magnetic resonance imaging, were enrolled in the study. Exclusion criteria were bilateral or multilevel LDH confirmed on magnetic resonance imaging, bilateral leg symptoms, and patients with a history of any spinal operation, malignancy, trauma, infection, spondylolisthesis, severe lateral recess stenosis, spinal canal stenosis, and substantial comorbidities. Read More

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http://dx.doi.org/10.1002/jum.14854DOI Listing
November 2018
2 Reads