11,893 results match your criteria Spinal Stenosis

The effect of minimally invasive lumbar decompression surgery on sagittal spinopelvic alignment in patients with lumbar spinal stenosis: a 5-year follow-up study.

J Neurosurg Spine 2021 Jun 11:1-8. Epub 2021 Jun 11.

1Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka; and.

Objective: Several studies have examined the relationship between sagittal spinopelvic alignment and clinical outcomes after spinal surgery. However, the long-term reciprocal changes in sagittal spinopelvic alignment in patients with lumbar spinal stenosis after decompression surgery remain unclear. The aim of this study was to investigate radiographic changes in sagittal spinopelvic alignment and clinical outcomes at the 2-year and 5-year follow-ups after minimally invasive lumbar decompression surgery. Read More

View Article and Full-Text PDF

Changes in kinematics, kinetics, and muscle activity in patients with lumbar spinal stenosis during gait: systematic review.

Spine J 2021 Jun 8. Epub 2021 Jun 8.

Department of Orthopaedic Surgery, University of Arkansas for Medical Science, Little Rock, AR; Mechanical and Biomedical Engineering Department, College of Engineering, Boise State University, Boise, ID.

Background Context: Lumbar spinal stenosis (LSS) is one of the most common orthopaedic conditions and affects more than half a million people over the age of 65 in the US. Patients with LSS have gait dysfunction and movement deficits due to pain and symptoms caused by compression of the nerve roots within a narrowed spinal canal.

Purpose: The purpose of the current systematic review was to summarize existing literature reporting biomechanical changes in gait function that occur with LSS, and identify knowledge gaps that merit future investigation in this important patient population. Read More

View Article and Full-Text PDF

Lumbar Thecal Sac Dimensions and Axial Spinal Cord Areas on Magnetic Resosnace Imaging in 626 Healthy Subjects.

Spine (Phila Pa 1976) 2021 Jun 10. Epub 2021 Jun 10.

Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Showa-ku, Nagoya, Aichi, Japan Department of Orthopedics Surgery, Chubu Rosai Hospital, Minato-ku, Nagoya, Japan.

Study Design: A cross-sectional study.

Objective: The aim of this study was to investigate the lumbar thecal sac dimensions and spinal cord area on magnetic resonance (MR) imaging in healthy volunteers.

Summary Of Background Data: There are few reports regarding lumbar spine MRI in healthy subjects, and the difference in spinal canal dimensions by age remains unclear. Read More

View Article and Full-Text PDF

[Back pain: a phenomenon of age? : Degenerative alterations of the spine are normal with increasing age. But how is this "normal" in old age defined, does it compulsorily lead to more complaints and a relevant impairment of the quality of life?]

Z Gerontol Geriatr 2021 Jun 11. Epub 2021 Jun 11.

Faculty of Health, University Witten/Herdecke, Witten, Deutschland.

Background: Under the assumption that a certain degree of degeneration is normal in old age, the changes that significantly lead to discomfort should be identified. Care should be taken to ensure that the geriatric patient receives adequate treatment and can quickly return to a normal pain-free life.

Material And Methods: A prospective study was performed on symptomatic outpatients who came for a magnetic resonance (MR) examination of the spine. Read More

View Article and Full-Text PDF

Comparison of different predicting models to assist the diagnosis of spinal lesions.

Inform Health Soc Care 2021 Jun 11:1-11. Epub 2021 Jun 11.

School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.

In neurosurgical or orthopedic clinics, the differential diagnosis of lower back pain is often time-consuming and costly. This is especially true when there are several candidate diagnoses with similar symptoms that might confuse clinic physicians. Therefore, methods for the efficient differential diagnosis can help physicians to implement the most appropriate treatment and achieve the goal of pain reduction for their patients. Read More

View Article and Full-Text PDF

Imaging Assessment of the Postoperative Spine: An Updated Pictorial Review of Selected Complications.

Biomed Res Int 2021 18;2021:9940001. Epub 2021 May 18.

Directorate of Research, Hospital General de Mexico "Dr. Eduardo Liceaga", Mexico City, Mexico.

Imaging of the postoperative spine requires the identification of several critical points by the radiologist to be written in the medical report: condition of the underlying cortical and cancellous bone, intervertebral disc, and musculoskeletal tissues; location and integrity of surgical implants; evaluation of the success of decompression procedures; delineation of fusion status; and identification of complications. This article presents a pictorial narrative review of the most common findings observed in and postoperative spines. Complications in the spine were grouped in (hematomas, pseudomeningocele, and postoperative spine infection) and findings (arachnoiditis, radiculitis, recurrent disc herniation, spinal stenosis, and textiloma). Read More

View Article and Full-Text PDF

Gender differences in multifidus fatty infiltration and sarcopenia and association with preoperative pain and functional disability in patients with lumbar spinal stenosis.

Spine J 2021 Jun 7. Epub 2021 Jun 7.

Spine Surgery Unit, Neurosurgical Department, Tel Aviv Medical Center, Tel Aviv, Israel. Electronic address:

Background: In patients with lumbar spinal stenosis, female gender has been associated with higher pain and functional disability. Sarcopenia and multifidus atrophy have also been associated with symptomatic severity.

Purpose: The purpose of this study was to determine if gender differences in sarcopenia and multifidus atrophy are associated with gender disparities in disease symptomatology. Read More

View Article and Full-Text PDF

Multicenter Retrospective Review of Safety and Efficacy of a Novel Minimally Invasive Lumbar Interspinous Fusion Device.

J Pain Res 2021 31;14:1525-1531. Epub 2021 May 31.

Center for Interventional Pain and Spine, Lancaster, PA, USA.

Introduction: Several treatment options exist for those with spinal stenosis, as well as degenerative changes. This series evaluates the use of an interspinous fixation (ISF) device as performed by interventional pain physicians.

Methods: This is a retrospective analysis identifying 32 patients with the diagnosis of lumbar degenerative disc disease with secondary diagnosis of lumbar spinal stenosis being treated with ISF with Aurora Spine Zip Interspinous Spacer. Read More

View Article and Full-Text PDF

Return to Play Guidelines After Cervical Spine Injuries in American Football Athletes: A Literature-Based Review.

Spine (Phila Pa 1976) 2021 Jul;46(13):886-892

Department of Orthopaedic Surgery and Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.

Study Design: Literature-based review.

Objective: We sought to evaluate clinical and case studies related to return to play (RTP) after cervical spine injuries in elite American football athletes and to formulate guidelines to help health care practitioners manage these conditions.

Summary Of Background Data: American football athletes are at unique risk of cervical spine injury and appropriate case-by-case management of cervical spine injuries is necessary for these athletes. Read More

View Article and Full-Text PDF

Relationship between Scheuermann disease and symptomatic thoracic spinal stenosis: A retrospective study.

Acta Orthop Traumatol Turc 2021 May;55(3):253-257

Department of Spine, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, China.

Objective: This study aimed to investigate the possible relationship between Scheuermann disease (SD) and the pathophysiological factors of thoracic spinal stenosis (TSS), including ossification of the ligamentum flavum (OLF), ossification of the posterior longitudinal ligament (OPLL), and thoracic disc herniation (TDH) in patients with symptomatic TSS.

Methods: Demographic and radiological data from 66 consecutive patients diagnosed with symptomatic TSS from 2013 to 2018 were retrospectively collected and divided into 3 groups depending on the underlying pathomechanism of TSS: TDH group (18 patients; 6 women; mean age ± standard deviation [Sd] = 59.89 ± 11. Read More

View Article and Full-Text PDF

Diagnosing Systemic Amyloidosis Presenting as Carpal Tunnel Syndrome: A Risk Nomogram to Guide Biopsy at Time of Carpal Tunnel Release.

J Bone Joint Surg Am 2021 Jun 7. Epub 2021 Jun 7.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Oregon Health & Science University, Portland, Oregon.

Background: As carpal tunnel syndrome often precedes other signs of systemic amyloidosis, tenosynovial biopsy at the time of carpal tunnel release may facilitate early diagnosis and treatment. However, evidence-based guidelines for amyloidosis screening during carpal tunnel release have not been established. We sought to develop a predictive model for amyloidosis after carpal tunnel release to inform screening efforts. Read More

View Article and Full-Text PDF

What is the Comparison in Robot Time per Screw, Radiation Exposure, Robot Abandonment, Screw Accuracy, and Clinical Outcomes Between Percutaneous and Open Robot-Assisted Short Lumbar Fusion? A Multicenter, Propensity-Matched Analysis of 310 Patients.

Spine (Phila Pa 1976) 2021 Jun 4. Epub 2021 Jun 4.

Department of Orthopaedics, Columbia University Medical Center, The Och Spine Hospital at New York-Presbyterian, New York, NY, USA New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA Department of Neurosurgery, University of Virginia Health System, Charlottesville, VA, USA Department of Neurosurgery, State University of New York, Buffalo, NY, USA Department of Orthopaedics, Virginia Spine Institute, Reston, VA, USA.

Study Design: Multicenter cohort.

Objective: To compare the robot time/screw, radiation exposure, robot abandonment, screw accuracy, and 90-day outcomes between robot-assisted percutaneous and robot-assisted open approach for short lumbar fusion (1-and 2-level).

Summary Of Background Data: There is conflicting literature on the superiority of robot-assisted minimally invasive spine surgery to open techniques. Read More

View Article and Full-Text PDF

Immediate postoperative MRI findings after lumbar decompression surgery: Correlation of imaging features with clinical outcome.

J Clin Neurosci 2021 Jul 2;89:365-374. Epub 2021 Jun 2.

Department of Radiology, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, South Korea.

An understanding of the common MRI findings observed after decompression surgery is important. However, to date, no study addressing this has been published. The aim of this study was to analyze and describe the immediate postoperative MRI findings after lumbar decompression surgery. Read More

View Article and Full-Text PDF

Cervical Fusion for Treatment of Degenerative Conditions: Development of Appropriate Use Criteria.

Spine J 2021 Jun 1. Epub 2021 Jun 1.

Lahey Hospital & Medical Center, 41 Mall Road Charles A, Fager Chairman, Department of Neurosurgery, Associate Professor, Tufts University School of Medicine, Burlington, MA 01805-0105.

Background Context: High quality evidence is difficult to generate, leaving substantial knowledge gaps in the treatment of spinal conditions. Appropriate use criteria (AUC) is a means of determining appropriate recommendations when high quality evidence is lacking.

Purpose: Define appropriate use criteria (AUC) of cervical fusion for treatment of degenerative conditions of the cervical spine. Read More

View Article and Full-Text PDF

The use of telemedicine to support interventional pain care: case series and commentary.

Pain Med 2021 Jun 4. Epub 2021 Jun 4.

Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.

Incorporating indicated interventions in a multimodal approach to manage musculoskeletal pain has become standard of care. For example, in patients with radicular pain associated with intervertebral disc herniation or lumbar spinal stenosis, epidural steroid injections (ESI) are commonly used and often improve pain and function while avoiding more invasive surgical approaches. Recently, the coronavirus disease 2019 (COVID-19) pandemic has allowed remote evaluations to mitigate COVID-19 transmission using telemedicine. Read More

View Article and Full-Text PDF

Role of redundant nerve roots in clinical manifestations of lumbar spine stenosis.

Surg Neurol Int 2021 10;12:218. Epub 2021 May 10.

Department of Neurosurgery, Aga Khan University, Karachi, Sindh, Pakistan.

Background: Redundant nerve roots (RNRs) are defined as elongated, thickened, and tortious appearing roots of the cauda equina secondary to lumbar spinal canal stenosis (LSCS). The study compared the clinical and radiological features of patients with LSCS with versus without RNR.

Methods: This retrospective study was performed on 55 patients who underwent decompressive surgery for degenerative LSCS. Read More

View Article and Full-Text PDF

Acute-onset paraplegia as an unexpected complication under general anesthesia in supine position during abdominal endovascular aneurysm repair: a case report.

JA Clin Rep 2021 Jun 2;7(1):44. Epub 2021 Jun 2.

Department of Anesthesiology and Critical Care, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.

Background: Acute onset paraplegia after endovascular aneurysm repair (EVAR) is a rare but well-known complication. We here show a 79-year-old woman with paraplegia caused by static and dynamic spinal cord insult not by ischemia after EVAR.

Case Presentation: The patient underwent EVAR for abdominal aortic aneurism under general anesthesia in the supine position. Read More

View Article and Full-Text PDF

Mid Thoracic intra-spinal facet cyst with lumbar canal stenosis: A rare "double crush".

Int J Neurosci 2021 Jun 1:1-6. Epub 2021 Jun 1.

Department of Spine Services, Indian Spinal Injuries Centre, Vasant kunj, Sector C, 110070 New Delhi.

Introduction: Intraspinal synovial cysts occurrence causing spinal canal occlusion are mostly seen in mobile segments of the spine (lumbar and cervical). An appearance of the cyst in thoracic spine is a relatively rare occurrence. We present an interesting case of "double crush" caused by Lumbar canal stenosis with a mid-dorsal Facet cyst. Read More

View Article and Full-Text PDF

Advantages and Disadvantages of Different Treatment Methods in Achondroplasia: A Review.

Int J Mol Sci 2021 May 25;22(11). Epub 2021 May 25.

Metabolic Laboratory, Department of Paediatric Endocrinology and Diabetology with Endocrine, Medical University in Lublin, Prof. A. Gebala Street 6, 20-093 Lublin, Poland.

Achondroplasia (ACH) is a disease caused by a missense mutation in the (fibroblast growth factor receptor 3) gene, which is the most common cause of short stature in humans. The treatment of ACH is necessary and urgent because untreated achondroplasia has many complications, both orthopedic and neurological, which ultimately lead to disability. This review presents the current and potential pharmacological treatments for achondroplasia, highlighting the advantages and disadvantages of all the drugs that have been demonstrated in human and animal studies in different stages of clinical trials. Read More

View Article and Full-Text PDF

Detection of Degenerative Changes on MR Images of the Lumbar Spine with a Convolutional Neural Network: A Feasibility Study.

Diagnostics (Basel) 2021 May 19;11(5). Epub 2021 May 19.

Department of Neuroradiology, University Hospital Bonn, Rheinische Friedrich-Wilhelms-Universität Bonn, 53127 Bonn, Germany.

Our objective was to evaluate the diagnostic performance of a convolutional neural network (CNN) trained on multiple MR imaging features of the lumbar spine, to detect a variety of different degenerative changes of the lumbar spine. One hundred and forty-six consecutive patients underwent routine clinical MRI of the lumbar spine including T2-weighted imaging and were retrospectively analyzed using a CNN for detection and labeling of vertebrae, disc segments, as well as presence of disc herniation, disc bulging, spinal canal stenosis, nerve root compression, and spondylolisthesis. The assessment of a radiologist served as the diagnostic reference standard. Read More

View Article and Full-Text PDF

Clinical Outcomes of Biportal Endoscopic Interlaminar Decompression with Oblique Lumbar Interbody Fusion (OLIF): Comparative Analysis with TLIF.

Brain Sci 2021 May 13;11(5). Epub 2021 May 13.

Department of Orthopaedic Surgery, Medical Battalion, The 13th Special Mission Brigade, Special Warfare Command, Chungbuk 28644, Korea.

Oblique lumbar interbody fusion (OLIF) improves the spinal canal, with favorable clinical outcomes. However, it may not be useful for treating concurrent, severe central canal stenosis (SCCS). Therefore, we added biportal endoscopic spinal surgery (BESS) after OLIF, evaluated the combined procedure for one-segment fusion with clinical outcomes, and compared it to open conventional TLIF. Read More

View Article and Full-Text PDF

The sequential MRI changes after lateral lumbar interbody fusion in spondylolisthesis with mild and severe lumbar spinal stenosis.

World Neurosurg 2021 May 29. Epub 2021 May 29.

Department of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare (IUHW); Department of Orthopaedic Surgery and Spine and Spinal Cord Center, School of Medicine, International University of Health and Welfare (IUHW) Mita Hospital; Department of Orthopaedic Surgery, School of Medicine, International University of Health and Welfare (IUHW) Narita Hospital. Electronic address:

Objectives: We assessed the sequential magnetic resonance images (MRI) changes of indirect neural decompression after minimally invasive lateral lumbar interbody fusion (LIF) combined with posterior percutaneous pedicle screw (PPS) fixation for degenerative spondylolisthesis (DS) according to the severity of preoperative lumbar spinal stenosis.

Methods: Forty-three patients (mean age: 68.7 years, male: 16, female: 27) with DS who underwent LIF and closed reduction with PPS were enrolled. Read More

View Article and Full-Text PDF

Chronic tophaceous gout mimicking widespread metastasis.

BMJ Case Rep 2021 May 31;14(5). Epub 2021 May 31.

Rheumatology Department, James Paget University Hospitals NHS Foundation Trust, Great Yarmouth, UK.

Gout is a common crystal-induced arthropathy affecting mainly the joints of the appendicular skeleton; however, rarely this condition affects the axial skeleton as well. Spinal gout can cause radiculopathy, cord compression, canal stenosis and discitis. We describe a case of a 71-year-old woman where the initial presentation of destructive arthropathy and spinal masses secondary to axial gout was mistaken for a metastatic malignancy. Read More

View Article and Full-Text PDF

Navigation and Robotic-Assisted Single-Position Prone Lateral: Technique, Feasibility, Safety, and Case Series.

World Neurosurg 2021 May 28. Epub 2021 May 28.

Department of Neurosurgery, University of Michigan, 3552 Taubman, 1500 E. Medical Center Dr., Ann Arbor, Michigan, USA. Electronic address:

Background: Single-position prone lateral interbody fusion is a recently introduced technical modification of the minimally invasive retroperitoneal transpsoas approach for lateral lumbar interbody fusion (LLIF). Several technical descriptions of single-position prone LLIF have been published with traditional fluoroscopy for guidance. However, there has been no investigation of either 3-D CT-based navigation for prone LLIF or integration with robotic assistance platforms with the prone lateral technique. Read More

View Article and Full-Text PDF

Comparison of Imaging Parameters between a New Cervical Full Lamina Back Shift Spinal Canal Enlargement Technique and Single Open-Door Laminoplasty for Multisegment Cervical Spondylotic Myelopathy.

Orthop Surg 2021 May 30. Epub 2021 May 30.

Department of Orthopaedics, the Second Hospital of Shanxi Medical University, Taiyuan, China.

Purpose: To provide imaging evidence of the feasibility and clinical efficacy of a new full lamina back shift spinal canal enlargement technique.

Methods: A retrospective analysis was conducted on 64 patients with multisegment cervical spondylotic myelopathy caused by cervical stenosis. Of these, 32 patients underwent the new full lamina back shift spinal canal enlargement technique (as observation group) and 32 patients underwent single open-door miniature titanium plate internal fixation (as control group). Read More

View Article and Full-Text PDF

Lumbar ligamentum flavum burden: Evaluating the role of ATTRwt amyloid deposition in ligamentum flavum thickness at all lumbar levels.

Clin Neurol Neurosurg 2021 Jul 25;206:106708. Epub 2021 May 25.

Tufts Department of Neurosurgery, Tufts Medical Center, 800 Washington St., Boston, MA 02111, USA. Electronic address:

Background: Wild-type transthyretin (ATTRwt) amyloid deposition has been found in the ligamentum flavum (LF) of patients undergoing spinal stenosis surgery. Our group previously reported that ATTRwt amyloid is associated with an increased lumbar ligamentum flavum thickness at symptomatic levels that required surgery. A comprehensive evaluation of LF thickness at asymptomatic levels in addition to symptomatic, treated levels has never been performed in ATTRwt patients. Read More

View Article and Full-Text PDF

Central Cord Syndrome Redefined.

Neurosurg Clin N Am 2021 Jul 7;32(3):353-363. Epub 2021 May 7.

Department of Neurosurgery, University of Arizona, Banner University Medical Center, PO Box 245070, 1501 North Campbell Avenue, Room 4303, Tucson, AZ 85724-5070, USA. Electronic address:

This article reviews the historical origins of central cord syndrome (CCS), the mechanism of injury, pathophysiology, and clinical implications. CCS is the most common form of incomplete spinal cord injury. CCS involves a spectrum of neurologic deficits preferentially affecting the hands and arms. Read More

View Article and Full-Text PDF

Association between lumbosacral transitional vertebrae and spinal pathologies based on T2 whole-spine sagittal magnetic resonance imaging.

Skeletal Radiol 2021 May 30. Epub 2021 May 30.

Department of Orthopedic Surgery and the Spine Unit, Shamir (Assaf Harofeh) Medical Center, 70300, Zerifin, Israel.

Purpose: To assess the association between 4, 5, or 6 lumbar spine vertebrae and the presence of lumbar spinal pathologies.

Methods: We reviewed all MRI reports and images performed between August 1st, 2018 and July 31st, 2019. Lumbar spine pathologies such as disc herniation, lytic spondylolisthesis, and spinal stenosis were recorded. Read More

View Article and Full-Text PDF

Spinal Care in the Aging Athlete.

Clin Sports Med 2021 Jul;40(3):571-584

Department of Orthopaedics, University of Virginia, 400 Ray Hunt C. Drive, Charlottesville, VA 22903, USA. Electronic address:

Aging athletes face unique, increased adversities related to increased mobility and age-related spine issues, such as spinal stenosis, osteoporosis complicated by fragility fractures, and degenerative disk disease. This article covers various spine pathologies that aging athletes experience and ideal treatment of this population to allow safe return to activity. Read More

View Article and Full-Text PDF

Return to Play for Cervical and Lumbar Spine Conditions.

Clin Sports Med 2021 Jul;40(3):555-569

Department of Orthopaedic Surgery, University of Pennsylvania School of Medicine, 3737 Market Street, 6th Floor, Philadelphia, PA 19104, USA. Electronic address:

Although the safety of contact sports has improved over the years, participation in any sport always carries a risk of injury. When cervical or lumbar spine injuries do occur, prompt diagnosis is essential, and athletes must be held out of the sport if indicated to prevent further harm and allow for recovery. This article highlights some of the most common cervical spine pathologies (stinger/burners, strain, stenosis/cord neuropraxia, disc herniation, and fracture/instability) and lumbar spine pathologies (strain, disc degeneration, disc herniation, fracture, spondylolysis/spondylolisthesis, and scoliosis) encountered in sports and reviews the associated return to play guidelines and expectations for each condition. Read More

View Article and Full-Text PDF