5,460 results match your criteria Spinal Stenosis Imaging

Diagnostic Implication and Clinical Relevance of Dermatomal Somatosensory Evoked Potentials in Patients with Radiculopathy: A Retrospective Study.

Pain Res Manag 2021 1;2021:8850281. Epub 2021 Jun 1.

Department of Physical Medicine & Rehabilitation, Jeonbuk National University Medical School, Jeonju 54907, Republic of Korea.

Objective: Dermatomal somatosensory evoked potentials (DSEPs) are used to evaluate abnormalities of the somatosensory tract. There have been some studies on the diagnostic value of DSEP in radiculopathy, but it is still controversial. The purpose of our study is to evaluate the diagnostic implication and clinical relevance of DSEPs in patients with radiculopathy by comparing DSEP findings to radiculopathy symptoms and intervertebral foramen (IVF) or spinal canal stenosis in lumbar magnetic resonance imaging (MRI). Read More

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Intraneural ganglion cyst of the lumbosacral plexus mimicking L5 radiculopathy: A case report.

World J Clin Cases 2021 Jun;9(17):4433-4440

Department of Physical Medicine and Rehabilitation, College of Medicine, Chung-Ang University, Seoul 06973, South Korea.

Background: Intraneural ganglion cysts are benign gelatinous masses that form within the epineurium of a peripheral nerve. Only few cases of intraneural ganglion cyst arising from the hip joint have been reported.

Case Summary: A previously healthy 65-year-old woman who had been experiencing left buttock pain radiating to the dorsum of the foot for 2 years visited our clinic. Read More

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[Electrodiagnosis of Lumbar Spine Disorders and Cauda Equina Syndrome].

Masahiro Sonoo

Brain Nerve 2021 Jun;73(6):715-724

Department of Neurology, Teikyo University School of Medicine.

Magnetic resonance imaging (MRI) is widely employed in the diagnosis of lumbar spine disorders, such as lumbar spinal stenosis or lumbar disc herniation. However, incomplete specificity is a definite drawback, given that MRI abnormalities are frequently identified in aged control subjects. Relying solely on MRI without considering clinical symptoms/signs or electrodiagnosis may lead to misdiagnosis. Read More

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[Early Diagnosis of Spinal Dural Arteriovenous Fistula].

Brain Nerve 2021 Jun;73(6):685-696

Department of Neurology, Anjo Kosei Hospital.

Spinal dural arteriovenous fistulas (SDAVF) are rare and most commonly affect men aged >50 years. Patients with SDAVF develop an abnormal vascular dural shunt between the dural branch of a segmental artery and a subdural radicular vein that drains the perimedullary venous system, leading to venous hypertension and secondary congestive myelopathy. Most SDAVFs are located in the thoracolumbar region, and usually patients present with slowly progressive paraparesis and urinary disturbances. Read More

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Correlation between severity of spinal stenosis and multifidus atrophy in degenerative lumbar spinal stenosis.

BMC Musculoskelet Disord 2021 Jun 12;22(1):536. Epub 2021 Jun 12.

Orthopedics, Medical Experiment Center, General Hospital of Ningxia Medical University, Yinchuan, China.

Background: Degenerative lumbar spinal stenosis (DLSS) is a common degenerative condition in older adults. Muscle atrophy (MA) is a leading cause of muscle weakness and disability commonly reported in individuals with spinal stenosis. The purpose of this study was to investigate if the MA correlates with the grade of spinal stenosis in patients with DLSS. Read More

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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

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[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

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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

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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

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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

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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

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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

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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

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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

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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

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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, Otawara, Japan; Department of Orthopaedic Surgery, Spine and Spinal Cord Center, International University of Health and Welfare - Mita Hospital, Tokyo, Japan; Department of Orthopaedic Surgery, International University of Health and Welfare - Narita Hospital, Narita City, Japan. Electronic address:

Objective: We assessed the sequential magnetic resonance imaging changes of indirect neural decompression after minimally invasive lumbar lateral 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: A total of 43 patients (mean age, 68.7 years; 16 men and 27 women) with DS who had undergone LIF and closed reduction with PPS fixation were enrolled. Read More

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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

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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

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Full-Endoscopic Lumbar Decompression versus Open Decompression and Fusion Surgery for the Lumbar Spinal Stenosis: A 3-Year Follow-Up Study.

J Pain Res 2021 20;14:1331-1338. Epub 2021 May 20.

Department of Orthopaedics, Peking University Third Hospital, Beijing, People's Republic of China.

Purpose: Compare the efficacy of full-endoscopic lumbar decompression surgery (FELDS) and open decompression and fusion surgery (ODFS) for lumbar spinal stenosis (LSS).

Patients And Methods: A retrospective analysis of 358 LSS patients treated by FELDS ("FELD" group) or ODFS ("open" group) was undertaken. There were 177 patients in the FELDS group with a mean age of 65. Read More

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Anterior Canal Reconstruction and Fusion for Myelopathy Caused by Degenerative Cervical Kyphosis and Stenosis With or Without Ossification of the Posterior Longitudinal Ligament.

Clin Spine Surg 2021 May 26. Epub 2021 May 26.

Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai, China.

Study Design: This was a retrospective study.

Objective: To introduce an anterior surgical technique for myelopathy caused by degenerative cervical kyphosis and stenosis (DCKS) with or without ossification of the posterior longitudinal ligament (OPLL).

Summary Of Background Data: The optimal approach in the treatment of DCKS remains a controversy because each anterior or posterior route surgery has advantages and disadvantages. Read More

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Prevalence and Predictive Factors of Asymptomatic Spondylotic Cervical Spinal Stenosis in Patients with Symptomatic Lumbar Spinal Stenosis.

World Neurosurg 2021 May 24. Epub 2021 May 24.

Department of Orthopaedics, First Affiliated Hospital of Nanjing Medical University, Nanjing, China. Electronic address:

Objective: We performed a retrospective cohort study to investigate the prevalence of and risk factors for asymptomatic spondylotic cervical spinal stenosis (ASCSS) in the setting of lumbar spinal stenosis (LSS).

Methods: A total of 114 patients with a diagnosis of LSS without cervical myelopathy and radiculopathy were grouped into ASCSS and non-ASCSS groups. The medical data and radiological parameters, including age, sex, body mass index, Charlson comorbidity index, symptom duration, redundant nerve roots, dural sac cross-sectional area (DCSA), facet joint angle, lumbar lordosis angle (LLA), pelvic incidence (PI), Torg-Pavlov ratio, and lumbosacral transitional vertebrae, were analyzed. Read More

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Prediction of the risk of C5 palsy after posterior laminectomy and fusion with cervical myelopathy using a support vector machine: an analysis of 184 consecutive patients.

J Orthop Surg Res 2021 May 21;16(1):332. Epub 2021 May 21.

Department of Orthopedics, Second Hospital of Jilin University, 218 Ziqiang Street, Changchun, Jilin, People's Republic of China.

Background: This study aimed to predict C5 palsy (C5P) after posterior laminectomy and fusion (PLF) with cervical myelopathy (CM) from routinely available variables using a support vector machine (SVM) method.

Methods: We conducted a retrospective investigation based on 184 consecutive patients with CM after PLF, and data were collected from March 2013 to December 2019. Clinical and imaging variables were obtained and imported into univariable and multivariable logistic regression analyses to identify risk factors for C5P. Read More

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Vertebral fracture during one repetition maximum testing in a breast cancer survivor: A case report.

Medicine (Baltimore) 2021 May;100(20):e25705

Working Group Exercise Oncology, Department of Medical Oncology, National Center for Tumor Diseases (NCT) Heidelberg, Heidelberg University Hospital.

Rationale: One repetition maximum (1-RM) testing is a standard strength assessment procedure in clinical exercise intervention trials. Because no adverse events (AEs) are published, expert panels usually consider it safe for patient populations. However, we here report a vertebral fracture during 1-RM testing. Read More

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Comparison of Functional and Radiological Outcomes of Transforaminal Lumbar Interbody Fusion and Posterolateral Fusion Techniques in the Treatment of Lumbar Spinal Stenosis.

Z Orthop Unfall 2021 May 18. Epub 2021 May 18.

Orthopedics and Traumatology, Bakirkoy Dr Sadi Konuk Egitim ve Arastirma Hastanesi, Istanbul, Turkey.

Background: This study aimed to compare posterolateral fusion with transforaminal lumbar interbody fusion (PLF + TLIF) and PLF only in terms of revision surgery rates and complications, as well as functional and radiological outcomes in lumbar spinal stenosis (LSS) patients.

Methods: Seventy-one patients (37 patients in the PLF + TLIF group and 34 patients in the PLF only group) who underwent surgery due to LSS between January 2013 and December 2016 were retrospectively investigated. Functional evaluation was performed by using the McGill-Melzack Pain Questionnaire (MPQ), Roland Morris Disability Questionnaire (RMDQ), and Oswestry Disability Index (ODI) scales pre-and postoperatively. Read More

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[Clinical application of three-dimensional printing technique combined with thoracic pedicle screw track detector in thoracic pedicle screw placement].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 May;35(5):586-592

Department of Orthopedics, the Second Affiliated Hospital of Bengbu Medical College, Bengbu Anhui, 233000, P.R.China.

Objective: To investigate the clinical application of three-dimensional (3D) printing technique combined with a new type of thoracic pedicle screw track detector in thoracic pedicle screw placement.

Methods: According to the characteristics of thoracic pedicle and common clinical screw placement methods, a new type of thoracic pedicle screw track detector was independently developed and designed. The clinical data of 30 patients with thoracic vertebrae related diseases who underwent posterior thoracic pedicle screw fixation between March 2017 and January 2020 were retrospectively analysed. Read More

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Can T2-weighted Dixon fat-only images replace T1-weighted images in degenerative disc disease with Modic changes on lumbar spine MRI?

Eur Radiol 2021 May 15. Epub 2021 May 15.

Department of Radiology B, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris (AP-HP), 27 rue du Faubourg Saint-Jacques, 75014, Paris, France.

Objectives: To evaluate the diagnostic performance and interobserver agreement of a magnetic resonance imaging (MRI) protocol that only includes sagittal T2-weighted Dixon fat and water images as an alternative to a standard protocol that includes both sagittal T1-weighted sequence and T2-weighted Dixon water images as reference standard in lumbar degenerative disc disease with Modic changes.

Methods: From February 2017 to March 2019, 114 patients who underwent lumbar spine MRI for low back pain were included in this retrospective study. All MRI showed Modic changes at least at one vertebral level. Read More

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Lumbar Disc Herniation is a Nonnegligible Factor for the Degeneration of Sacroiliac Joints.

Pain Physician 2021 May;24(3):E357-E365

Department of Rheumatology and Immunology, Guangdong Second Provincial General Hospital, China; The Second School of Clinical Medicine, Southern Medical University, China.

Background: Sacroiliac joint (SIJ) abnormality is a potential source of low back pain (LBP), therefore numerous patients receive various treatments because of the degenerative changes of SIJ. However, the outcome is unfavorable for patients because these morphologic alterations are common but not the origins of LBP. Previous studies revealed lumbar fusion and transitional vertebra increased the prevalence of degeneration of SIJ. Read More

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T1 Mapping for Microstructural Assessment of the Cervical Spinal Cord in the Evaluation of Patients with Degenerative Cervical Myelopathy.

AJNR Am J Neuroradiol 2021 May 13. Epub 2021 May 13.

Center for Magnetic Resonance in Biology and Medicine (G.B., H.R., L.P., S.L., V.C.), Assistance Publique-Hôpitaux de Marseille, Hôpital Universitaire Timone, Marseille, France

Background And Purpose: Although current radiologic evaluation of degenerative cervical myelopathy by conventional MR imaging accurately demonstrates spondylosis or degenerative disc disease causing spinal cord dysfunction, conventional MR imaging still fails to provide satisfactory anatomic and clinical correlations. In this context, we assessed the potential value of quantitative cervical spinal cord T1 mapping regarding the evaluation of patients with degenerative cervical myelopathy.

Materials And Methods: Twenty patients diagnosed with mild and moderate-to-severe degenerative cervical myelopathy and 10 healthy subjects were enrolled in a multiparametric MR imaging protocol. Read More

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Cerebrospinal fluid dynamics correlate with neurogenic claudication in lumbar spinal stenosis.

PLoS One 2021 12;16(5):e0250742. Epub 2021 May 12.

Department of Brain and Cognitive Engineering, Korea University, Seoul, South Korea.

Neurogenic claudication is a typical manifestation of lumbar spinal stenosis (LSS). However, its pathophysiology is still unclear. The severity of clinical symptoms has been shown not to correlate with the degree of structural stenosis. Read More

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Decompression of Lumbar Central Spinal Canal Stenosis Following Minimally Invasive Transforaminal Lumbar Interbody Fusion.

Clin Spine Surg 2021 May 12. Epub 2021 May 12.

Department of Neurosurgery, The Johns Hopkins Hospital, Baltimore, MD Department of Neurological Surgery, Washington University School of Medicine, St. Louis, MO Department of Neurological Surgery, Henry Ford Health System, Detroit, MI Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO.

Study Design: This was a retrospective clinical series.

Objective: The objective of this study was to evaluate radiologic changes in central spinal canal dimensions following minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) with placement of a static or an expandable interbody device.

Summary Of Background Data: MIS-TLIF is used to treat lumbar degenerative diseases and low-grade spondylolisthesis. Read More

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