5,835 results match your criteria Spinal Stenosis Imaging

Full-endoscopic Lumbar Interbody Fusion Versus Minimally Invasive Transforaminal Lumbar Interbody Fusion with Tubular Retractor System: A Retrospective Controlled Study.

World Neurosurg 2022 Jun 22. Epub 2022 Jun 22.

Department of Orthopedic Surgery, the Fourth Medical Center of Chinese PLA General Hospital, Beijing 100048, China.

Objectives: To compare the safety and clinical efficacy of full-endoscopic lumbar interbody fusion (FE-LIF) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF).

Methods: A total of 70 patients with single-level lumbar degenerative diseases underwent FE-LIF or MIS-TLIF with a tubular retractor system from August 2018 to August 2020. Postoperatively, the efficacy and safety were compared using several clinical and radiological indices. Read More

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Influence of cross-sectional area and fat infiltration of paraspinal muscles on analgesic efficacy of epidural steroid injection in elderly patients.

Pain Pract 2022 Jun 23. Epub 2022 Jun 23.

Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, Seoul, Republic of Korea.

Background: An assessment of paraspinal muscle degeneration based on magnetic resonance imaging has been used to investigate both sarcopenia and myosteatosis. The morphologic changes in cross-sectional area and fat infiltration of the paraspinal muscles can affect pain outcomes after epidural steroid injection.

Methods: Patients ≥ 65 years of age who underwent fluoroscopy-guided lumbar epidural steroid injections were enrolled. Read More

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Automatic Grading of Disc Herniation, Central Canal Stenosis and Nerve Roots Compression in Lumbar Magnetic Resonance Image Diagnosis.

Front Endocrinol (Lausanne) 2022 6;13:890371. Epub 2022 Jun 6.

Department of Spinal Surgery, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai, China.

Aim: Accurate severity grading of lumbar spine disease by magnetic resonance images (MRIs) plays an important role in selecting appropriate treatment for the disease. However, interpreting these complex MRIs is a repetitive and time-consuming workload for clinicians, especially radiologists. Here, we aim to develop a multi-task classification model based on artificial intelligence for automated grading of lumbar disc herniation (LDH), lumbar central canal stenosis (LCCS) and lumbar nerve roots compression (LNRC) at lumbar axial MRIs. Read More

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Mobility-Maintaining Facet Arthroplasty of the Lumbar Spine With the Second-Generation TOPS System: A Case Series.

Oper Neurosurg (Hagerstown) 2022 Jul 20;23(1):14-21. Epub 2022 Apr 20.

Arbeitsgemeinschaft Freier Wirbelsäulenchirurgen, Vienna, Austria.

Background: Lumbar spinal stenosis results from spinal canal narrowing and can lead to pain and dysfunction. Until recently, surgical treatment for lumbar spinal stenosis requiring an extensive decompression, with or without spondylolisthesis, had to balance pain relief with the long-term risks of spinal instability after decompression and adjacent segment disease (ASD) after spinal fusion. Spinal motion-preserving devices aim to reduce the incidence of ASD after posterolateral fusion and consequent need for revision surgery. Read More

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Evaluation of Dynamic Foraminal Stenosis with Positional MRI in Patients with C6 Radiculopathy-Mimicking Pain: A Prospective Radiologic Cohort Study.

Biomed Res Int 2022 9;2022:1385387. Epub 2022 Jun 9.

Medicana Health Group Istanbul Bahçelievler Hospital Orthopedics and Traumatology Bahçelievler, Istanbul, Turkey.

Objective: Patients with a C6 radiculopathy-mimicking complaint are always in the gray zone if the diagnosis is not clear. The aim of the study is to make the diagnosis clear if the neck and shoulder pain is caused by a dynamic stenosis of the neural foramen at the C5-C6 level.

Methods: Patients with a C6 radiculopathy-mimicking complaint were included in the study. Read More

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Biomechanical comparison of different interspinous process devices in the treatment of lumbar spinal stenosis: a finite element analysis.

BMC Musculoskelet Disord 2022 Jun 17;23(1):585. Epub 2022 Jun 17.

Department of Orthopaedics, Beijing Friendship Hospital, Capital Medical University, Xicheng District, Beijing, 101100, China.

Background: Lumbar spinal stenosis (LSS) is a common disease among elderly individuals, and surgery is an effective treatment. The development of minimally invasive surgical techniques, such as the lumbar interspinous process device (IPD), has provided patients with more surgical options.

Objective: To investigate the biomechanical properties of different IPDs, including BacFuse, X-Stop and Coflex, in the treatment of LSS. Read More

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[Clinical study on real-time three-dimensional CT navigation-guided full-endoscopic lumbar interbody fusion].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 Jun;36(6):665-671

Department of Spine Surgery, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou Guangdong, 510630, P. R. China.

Objective: To analyze the technical notes, effectiveness, and current issues of real-time three-dimensional CT navigation-guided full-endoscopic lumbar interbody fusion.

Methods: Between April 2020 and October 2021, a total of 27 patients received real-time three-dimensional CT navigation-guided full-endoscopic lumbar interbody fusion. There were 18 males and 9 females with an average age of 63. Read More

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Efficacy of the Dynesys Hybrid Surgery for Patients with Multi-Segmental Lumbar Spinal Stenosis.

Front Surg 2022 26;9:849679. Epub 2022 May 26.

Department of Spine Surgery, The First Affiliated Hospital (Shenzhen People's Hospital), Southern University of Science and Technology, Shenzhen, China.

Objective: The efficacy of hybrid (Dynesys and fusion) surgery and the traditional transforaminal lumbar interbody fusion surgery was compared in patients with multi-segmental lumbar spinal stenosis.

Methods: A total of 68 patients with multi-segmental lumbar spinal stenosis subjected to surgery were recruited between January 2013 and October 2020 in the First Affiliated Hospital of Southern University of Science and Technology. The patients were divided into a hybrid group ( = 33) and a TLIF group ( = 35) by surgery. Read More

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Efficacy of Nerve Root Block for the Treatment of Lumbar Spinal Canal Stenosis in Adults Older Than 80 Years of Age.

Cureus 2022 May 9;14(5):e24863. Epub 2022 May 9.

Department of Orthopaedic Surgery, Kyushu Central Hospital of the Mutual Aid Association of Public School Teachers, Fukuoka, JPN.

Background: Patients with advanced lumbar spinal canal stenosis (LCS) often prefer non-operative treatment owing to decreased physiological function and comorbidities. Although the therapeutic value of selective nerve root block (SNRB) for LCS is confirmed, there are few reports of its effectiveness in the elderly. We investigated the efficacy of SNRB for LCS in patients over 80 years of age. Read More

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Facet overhang: A novel parameter in the pathophysiology of multifidus muscle atrophy.

Clin Anat 2022 Jun 14. Epub 2022 Jun 14.

Department of Neurosurgery, Tel-Aviv Sourasky Medical Center, Tel-Aviv.

The relationship between degenerative zygapophysial joint (facet) arthropathy and multifidus muscle atrophy has not been rigorously evaluated. The purpose of this study was to determine if specific morphological features of degenerative facet arthropathy are correlated with multifidus muscle atrophy. We retrospectively reviewed medical records and imaging studies of patients with lumbar spinal stenosis. Read More

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Probability for surgical treatment in patients with lumbar spinal stenosis according to the stenotic lesion severity: a 5-10-year follow-up study.

BMC Musculoskelet Disord 2022 Jun 14;23(1):573. Epub 2022 Jun 14.

Spine Center and Department of Orthopaedic Surgery, Seoul National University College of Medicine and Seoul National University Bundang Hospital, 166 Gumiro, Bundang-gu, Seongnam, 463-707, Republic of Korea.

Background: We aimed (1) to clarify difference in the natural history of lumbar spinal stenosis (LSS) with respect to surgical treatment according to severity of stenosis on magnetic resonance imaging (MRI) using qualitative grading system and (2) to estimate surgical probabilities depending on radiological severity.

Methods: With the design of retrospective observational study, a total of 1,248 patients diagnosed with LSS between 2011 and 2014 at our hospital were followed up for the mean duration of 7.7 years (5. Read More

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Improved Productivity Using Deep Learning-assisted Reporting for Lumbar Spine MRI.

Radiology 2022 Jun 14:220076. Epub 2022 Jun 14.

From the Department of Diagnostic Imaging, National University Hospital, 5 Lower Kent Ridge Rd, Singapore 119074 (D.S.W.L., A.M., A.J.L.C., D.S.Y.S., S.E.E., H.Y.O., P.J., W.C.T., V.M.K., Y.M.W., Y.L.T., S.B., E.C.T., S.T.Q., J.T.P.D.H.); Department of Diagnostic Radiology (A.M., S.E.E., P.J., Y.L.T., S.T.Q., J.T.P.D.H.), NUS Graduate School, Integrative Sciences and Engineering Programme (L.Z.), Department of Computer Science, School of Computing (W.Z., B.C.O.), and Biostatistics Unit, Yong Loo Lin School of Medicine (Q.V.Y., Y.H.C.), National University of Singapore, Singapore; Department of Radiology, Qatif Central Hospital, Qatif, Saudi Arabia (D.A.R.A.); Department of Orthopaedic Surgery, National University Health System, Singapore (J.H.T., N.K.); and Department of Radiological Sciences, University of California, Irvine, Orange, Calif (H.Y.).

Background Lumbar spine MRI studies are widely used for back pain assessment. Interpretation involves grading lumbar spinal stenosis, which is repetitive and time consuming. Deep learning (DL) could provide faster and more consistent interpretation. Read More

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Percutaneous Endoscopic Posterior Lumbar Interbody Fusion with Unilateral Laminotomy for Bilateral Decompression Vs. Open Posterior Lumbar Interbody Fusion for the Treatment of Lumbar Spondylolisthesis.

Front Surg 2022 25;9:915522. Epub 2022 May 25.

Department of Orthopaedic Surgery, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Taiyuan, China.

Background: Endoscopic lumbar interbody fusion is a new technology that is mostly used for single-segment and unilateral lumbar spine surgery. The purpose of this study is to introduce percutaneous endoscopic posterior lumbar interbody fusion (PE-PLIF) with unilateral laminotomy for bilateral decompression (ULBD) for lumbar spondylolisthesis and evaluate the efficacy by comparing it with open posterior lumbar interbody fusion (PLIF).

Methods: Twenty-eight patients were enrolled in PE-PLIF with the ULBD group and the open PLIF group. Read More

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Thoracolumbar stenosis and neurologic symptoms: Quantitative MRI in achondroplasia.

J Neuroimaging 2022 Jun 12. Epub 2022 Jun 12.

Institute of Radiology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.

Background And Purpose: Whole-spine magnetic resonance imaging (MRI) studies, to identify structural abnormalities associated with the development of symptomatic spinal stenosis in achondroplasia.

Methods: Forty-two subjects with achondroplasia were grouped into four age-related categories. Congenital spinal deformities (vertebral body and disc height, interpedicular distance), acquired spinal degenerative changes, thoracic kyphotic (TK) angle, thoracolumbar kyphotic (TLK) angle, spinal canal widths were evaluated by MRI. Read More

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Factors associated with low back pain in patients with lumbar spinal stenosis: a cross-sectional study.

BMC Musculoskelet Disord 2022 Jun 8;23(1):552. Epub 2022 Jun 8.

Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, 291, South-1, West-16, Chuo-ku, Sapporo, 060-8543, Japan.

Background: Low back pain (LBP) is a major symptom of symptomatic lumbar spinal stenosis (SLSS). It is important to assess LBP in patients with SLSS to develop better treatment. This study aimed to analyse the factors associated with LBP in patients with SLSS. Read More

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Phase I 270° single-incision percutaneous spinal endoscopy for decompression treatment of thoracic spinal stenosis.

Sci Rep 2022 Jun 8;12(1):9448. Epub 2022 Jun 8.

Department of Spine, Binzhou Medical University Hospital, No. 661 Huanghe 2nd Road, Binzhou City, Shandong Province, China.

This study aimed to explore the feasibility of Phase I percutaneous spinal endoscopy with a 270° single incision in the ventral and dorsal dura mater for decompression treatment of thoracic spinal stenosis (TSS). Phase I percutaneous spinal endoscopy with a two-path (posterior and posterolateral approaches) single incision with a 270° decompression was performed in four cases of TSS with compression in the ventral and dorsal dura mater. The affected intervertebral space was located during the surgery, and the ossified ligamentum flavum in the ventral and dorsal dura mater was removed via laminectomy, which formed a decompression space in the thoracic cord. Read More

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Imaging of Paget's Disease of Bone.

Radiol Clin North Am 2022 Jul;60(4):561-573

Department of Radiology, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL 33136, USA.

Paget's disease is a metabolic bone disorder affecting the elderly and characterized by bone resorption followed by compensatory bone formation. Radiography is the imaging modality of choice for the diagnosis whereas bone scintigraphy helps stage the extent of the disease and assess response to treatment. MRI and CT are important imaging methods in the assessment of complications and surgical planning. Read More

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Case series on the Charcot neuroarthropathy in hands after cervical central cord syndrome.

BMC Musculoskelet Disord 2022 Jun 6;23(1):545. Epub 2022 Jun 6.

Department of Rehabilitation Medicine, Beijing Haidian Hospital, Beijing, China.

Background: Charcot neuroarthropathy (CNA) of the upper extremity occurs most frequently in shoulders. However, CNA in the hands is uncommon and seldom be reported. The onset of CNA is usually insidious. Read More

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Lumbar Spine Posttherapeutic Imaging.

Semin Musculoskelet Radiol 2022 Jun 2;26(3):314-328. Epub 2022 Jun 2.

Department of Musculoskeletal Radiology, Hôpital Cochin, AP-HP Centre, Université de Paris, Paris, France.

Management of patients after lumbar spine surgery or interventional radiology can be complex, and postoperative imaging patterns are often poorly understood by nonspecialized radiologists. This article focuses on postoperative imaging features of the lumbar spine in five clinical settings (with corresponding interventions): vertebral osteoporotic fractures (percutaneous vertebroplasty and vertebral augmentation), lumbar disk herniation (surgical diskectomy and percutaneous interventional radiology), lumbar spinal stenosis (surgical decompression), lumbar spondylolisthesis (surgical decompression and fusion), and degenerative scoliosis (techniques of osteotomies).For each intervention, we discuss imaging indications, depending if the patient is asymptomatic or if there are suspected complications, describe normal and pathologic imaging features, and present key points. Read More

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Comparison between Dynamic Stabilization and Instrumented Fusion in the Treatment of Spinal Stenosis with Degenerative Lumbar Scoliosis.

Pain Res Manag 2022 18;2022:9367106. Epub 2022 May 18.

Department of Orthopedics, Southwest Hospital, Army Medical University, Chongqing, China.

Objective: Posterior instrumented fusion is the most widely accepted surgical treatment for spinal stenosis with degenerative lumbar scoliosis (DLS). However, long fusion can affect daily activities due to lumbar stiffness. Dynamic stabilization has been introduced to overcome the drawbacks of fusion in recent years. Read More

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MRI and Anatomical Determinants Affecting Neuroforaminal Stenosis Evaluation: A Descriptive Observational Study.

J Pain Res 2022 24;15:1515-1526. Epub 2022 May 24.

Montefiore Medical Center, Bronx, NY, USA.

Purpose: Neuroforaminal stenosis (NFS), a narrowing of the intervertebral foramen, is a cause of disability in the aging population. Formal magnetic resonance imaging (MRI) classification of NSF has been developed recently and contradictory findings have been reported. This study aims to assess whether in-plane, anatomically conformed two-dimensional (2D) views of the neuroforamen characterize NFS more accurately than traditional axial, coronal, and sagittal views in healthy individuals with and without simulated scoliosis. Read More

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Mean Canal-body Ratio among Specimens of Dried Lumbar Vertebrae in the Department of Anatomy of a Medical College: A Descriptive Cross-sectional Study.

Iju Shrestha

JNMA J Nepal Med Assoc 2022 Apr 15;60(248):389-392. Epub 2022 Apr 15.

Department of Anatomy, Kathmandu Medical College and Teaching Hospital, Duwakot, Bhaktapur, Nepal.

Introduction: Lumbar spinal canal stenosis is assumed to be one of the chief causative factors for low back pain. The measurement of lumbar canal and body dimensions has thus become an important tool for the diagnosis and treatment of spinal stenosis. This study aims to find out the mean canal-body ratio among specimens of dried lumbar vertebrae in a medical college. Read More

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The effectiveness of percutaneous endoscopic decompression compared with open decompression and fusion for lumbar spinal stenosis: protocol for a multicenter, prospective, cohort study.

BMC Musculoskelet Disord 2022 May 27;23(1):502. Epub 2022 May 27.

Department of Orthopedics, Peking University Third Hospital, Beijing, China.

Background: Lumbar spinal stenosis (LSS) is one of the most frequent indications for spine surgery. Open decompression and fusion surgery was the most common treatment and used to be regarded as the golden standard treatment for LSS. In recent years, percutaneous endoscopic decompression surgery was also used for LSS. Read More

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Vertical split fracture of the vertebral body following oblique lumbar interbody fusion: A case report.

Medicine (Baltimore) 2022 May 27;101(21):e29423. Epub 2022 May 27.

Department of Neurosurgery, Chonnam National University Hospital and Medical School, Gwangju, Republic of Korea.

Rationale: Oblique lumbar interbody fusion (OLIF) is an effective and safe surgical technique widely used for treating spondylolisthesis; however, its use is controversial because of several associated complications, including endplate injury. We report a rare vertebral body fracture following OLIF in a patient with poor bone quality.

Patient Concerns: A 72-year-old male patient visited our clinic for 2 years with lower back pain, leg radiating pain, and intermittent neurogenic claudication. Read More

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Can fat infiltration in the multifidus muscle be a predictor of postoperative symptoms and complications in patients undergoing lumbar fusion for degenerative lumbar spinal stenosis? A case-control study.

J Orthop Surg Res 2022 May 26;17(1):289. Epub 2022 May 26.

Department of Orthopaedics, Peking University Third Hospital, No. 49 NorthGarden Road, Haidian District, Beijing, 100191, China.

Purpose: This study aimed to explore whether 25% as the cutoff value of fat infiltration (FI) in multifidus (MF) could be a predictor of clinical outcomes of lumbar spinal stenosis (LSS) patients.

Methods: A total of 461 patients undergoing posterior lumbar interbody fusion for LSS with 1-year follow-up were identified. After sex- and age-match, 160 pairs of patients were divided into a FI < 25% group and a FI ≥ 25% group according to FI of MF at L4 on preoperative magnetic resonance imaging. Read More

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Radiological Definitions of Sagittal Plane Segmental Instability in the Degenerative Lumbar Spine - A Systematic Review.

Global Spine J 2022 May 23:21925682221099854. Epub 2022 May 23.

Center for Spine Surgery and Research, Spine Center of Southern Denmark, 371420Lillebaelt Hospital, Middelfart, Denmark.

Study Design: Systematic Review.

Objective: To collect and group definitions of segmental instability, reported in surgical studies of patients with lumbar spinal stenosis (LSS) and/or lumbar degenerative spondylolisthesis (LDS). To report the frequencies of these definitions. Read More

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The Drivers of Persistent Opioid Use and Its Impact on Healthcare Utilization After Elective Spine Surgery.

Global Spine J 2022 May 23:21925682221104731. Epub 2022 May 23.

Department of Orthopaedic Surgery, 12244Northwestern University, Chicago, IL, USA.

Study Design: Retrospective cohort study.

Objective: The aim of this study was to determine the incidence of and risk factors for persistent opioid use after elective cervical and lumbar spine procedures and to quantify postoperative healthcare utilization in this patient population.

Methods: Patients were retrospectively identified who underwent elective spine surgery for either cervical or lumbar degenerative pathology between November 1, 2013, and September 30, 2018, at a single academic center. Read More

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Clinical Significance of Redundant Nerve Roots in Patients with Lumbar Stenosis Undergoing Minimally Invasive Tubular Decompression.

World Neurosurg 2022 May 20. Epub 2022 May 20.

Department of Neurological Surgery, Weill Cornell Brain and Spine Center, New York-Presbyterian Hospital/Weill Cornell Medicine, New York, New York, USA.

Objective: Symptomatic lumbar spinal stenosis (LSS) is a common indication for surgery in the elderly. Preoperative radiographic evaluation of patients with LSS often reveals redundant nerve roots (RNRs). The clinical significance of RNRs is uncertain. Read More

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Isthmic spondylolisthesis in adults… A review of the current literature.

J Clin Neurosci 2022 Jul 18;101:124-130. Epub 2022 May 18.

Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA. Electronic address:

Isthmic spondylolisthesis can be defined as the anterior translation of a vertebral body relative to the one subjacent to it and secondary to an abnormality of the pars interarticularis. Isthmic spondylolisthesis is usually asymptomatic and discovered as an incidental radiographic finding. However, it can be symptomatic due to its biomechanical effects on the adjacent neural structures and patients may present with low back and/or radicular leg pain. Read More

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Intraoperative ultrasonography in laminectomy for degenerative cervical spondylotic myelopathy: a clinical and radiological evaluation.

Acta Neurochir (Wien) 2022 Jul 10;164(7):1873-1881. Epub 2022 May 10.

Department of Neurosurgery, Ludwig-Maximilians-University Munich, Marchioninistr. 15, 81377, Munich, Germany.

Background: The incidence of cervical myelopathy due to spinal stenosis is constantly growing in an aging population. Especially in multisegmental disease, dorsal laminectomy is the intervention of choice. Intraoperative imaging with ultrasound might provide additional information about extent and sufficiency of spinal cord decompression. Read More

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