669 results match your criteria Spinal Stenosis and Neurogenic Claudication


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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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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Elevated Mitochondrial Reactive Oxygen Species within Cerebrospinal Fluid as New Index in the Early Detection of Lumbar Spinal Stenosis.

Diagnostics (Basel) 2021 Apr 22;11(5). Epub 2021 Apr 22.

Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul 135-896, Korea.

Lumbar spinal stenosis (LSS) is a common neurodegenerative condition. However, how neurogenic claudication develops with severe leg pain has not yet been clearly elucidated. Moreover, cerebrospinal fluid (CSF) physiology at the lumbosacral level is poorly understood because of the difficulties involved in quantification and visualization. Read More

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Rare iatrogenic iliac artery injury during lumbar disc surgery - a case report.

Pol Merkur Lekarski 2021 Apr;49(290):150-152

Department of Neurosurgery, Institute of Psychiatry and Neurology, Warsaw, Poland.

Damage to large abdominal vessels during lumbar discectomy surgery is a rare but life-threatening complication.

A Case Report: The authors present the case of a 57-year-old patient who received surgery for critical degenerative lumbal spinal stenosis on the L4-L5 level. The diagnosis was based on strong right sciatica and neurogenic claudication. Read More

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Real world adverse events of interspinous spacers using Manufacturer and User Facility Device Experience data.

Anesth Pain Med (Seoul) 2021 Apr 19;16(2):177-183. Epub 2021 Apr 19.

Department of Anesthesiology, Yale New Haven Hospital, New Haven, CT, USA.

Background: Lumbar spinal stenosis is a condition of progressive neurogenic claudication that can be managed with lumbar decompression surgery or less invasive interspinous process devices after failed conservative therapy. Popular interspinous process spacers include X-Stop, Vertiflex and Coflex, with X-Stop being taken off market due to its adverse events profile.

Methods: A disproportionality analysis was conducted to determine whether a statistically significant signal exists in the three interspinous spacers and the reported adverse events using the Manufacturer and User Facility Device Experience (MAUDE) database maintained by the US Food and Drug Administration. Read More

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Non-Surgical Interventions for Lumbar Spinal Stenosis Leading To Neurogenic Claudication: A Clinical Practice Guideline.

J Pain 2021 Apr 12. Epub 2021 Apr 12.

American Hip Institute, Des Plaines, Illinois; Clinical and Translational Science Institute, University of Pittsburgh, Pennsylvania.

Lumbar spinal stenosis (LSS) causing neurogenic claudication (NC) is increasingly common with an aging population and can be associated with significant symptoms and functional limitations. We developed this guideline to present the evidence and provide clinical recommendations on nonsurgical management of patients with LSS causing NC. Using the GRADE approach, a multidisciplinary guidelines panel based recommendations on evidence from a systematic review of randomized controlled trials and systematic reviews published through June 2019, or expert consensus. Read More

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Therapeutic effects of full endoscopic spine surgery via transforaminal approach in elderly patients with lumbar spinal stenosis: A retrospective clinical study.

Acta Orthop Traumatol Turc 2021 Mar;55(2):166-170

Department of orthopedic Surgery, 923nd Hospital of People's Liberation Army, Guangxi Province, China.

Objective: This study aimed to investigate the therapeutic effects of full endoscopic spine surgery on clinical and radiological outcomes in elderly patients over 70 years with lumbar spinal stenosis, without any obvious segmental instability.

Methods: A total of 47 patients (27 males, 20 females; the mean age=74.23±5. Read More

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Lumbar facet distraction and fixation in patients with lumbar spinal stenosis: Long-term clinical outcome and reoperation rates.

J Craniovertebr Junction Spine 2020 Oct-Dec;11(4):262-268. Epub 2020 Nov 26.

Department of Neurosurgery, K.E.M. Hospital and Seth G.S. Medical College, Mumbai, Maharashtra, India.

Objective: Symptomatic lumbar spinal stenosis (LSS) unresponsive to conservative therapy is commonly treated by surgical decompression. In this study, we compared clinical outcomes after decompressive surgery for LSS in patients implanted with interarticular spacers along with microdecompression (MD) with those receiving only MD.

Methods: A retrospective study was analyzed 40 patients (Group A) affected by LSS treated by MD and implant of interarticular spacers comparing the outcome with a homogeneous group of 40 patients with LSS treated with MD alone (Group B). Read More

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November 2020

The Scoliosis Research Society adult spinal deformity standard outcome set.

Spine Deform 2021 Apr 6. Epub 2021 Apr 6.

Department of Orthopedic Surgery, Norton Leatherman Spine Center, University of Louisville, Louisville, KY, USA.

Purpose: Symptomatic adult spinal deformity (ASD) with an extremely variable presentation with pain, with and without neurogenic leg pain, and/or disturbed sagittal and coronal balance, causes a significant societal burden of disease. It is an important consequence of the aging adult population, generating a plethora of spine-related interventions with variable treatment efficacy and consistently high costs. Recent years have witnessed more than a threefold increase in the prevalence and treatment of ASD, and further increases over the coming decades are expected with the growing elderly population worldwide. Read More

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Low Back Pain in Adolescent and Geriatric Populations.

Rheum Dis Clin North Am 2021 May 12;47(2):149-163. Epub 2021 Mar 12.

Rheumatology Department, HFR Fribourg-hôpital Cantonal, Fribourg 1708, Switzerland.

Spinal pain is the most common form of musculoskeletal pain. Chronic low back pain may contain nociceptive, neuropathic, and central components. Children are at risk of developing spinal pain. Read More

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MIS-TLIF versus O-TLIF for single-level degenerative stenosis: study protocol for randomised controlled trial.

BMJ Open 2021 03 5;11(3):e041134. Epub 2021 Mar 5.

Neurosurgery Department, Priorov National Medical Research Center of Traumatology and Orthopedics, Mosсow, Russian Federation.

Introduction: Patients with symptomatic single-level combination of degenerative stenosis and low-grade spondylolisthesis are often treated by nerve root decompression and spinal fusion. The gold standard is traditional open decompression and fusion, but minimally invasive method is more and more prevailing. However, there is lack of high-quality studies comparing these two techniques in order to obtain the advantages and certain indications to use one of these methods. Read More

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Three region spinal decompression in the same session: a case report.

Br J Neurosurg 2021 Feb 25:1-2. Epub 2021 Feb 25.

Department of Neurosurgery, Okan University, Istanbul, Turkey.

Background And Importance: Multiregional spinal stenosis [tandem spinal stenosis (TSS)] is not rare but operating on multiple regions at the same sitting is. Decompression of cervical and lumbar spine in the same session has a frequency of 5-25% all TSS cases, the most frequent one is TSS. Decompression in three different regions is so rare that there is only one case in the literature. Read More

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February 2021

Direct Visualization of the Dural Puncture Site During Lumbar Spine Surgery Performed Under Spinal Anesthesia: A Case Report.

A A Pract 2021 Feb 11;15(2):e01397. Epub 2021 Feb 11.

From the Department of Anesthesia, Critical Care and Pain Medicine and.

Spinal anesthesia (SA) has been utilized for lumbar surgical procedures; however, postdural puncture headache (PDPH) and subdural hemorrhage (SDH) are potential consequences. We present the case of a 76-year-old with progressive neurogenic claudication secondary to lumbar spinal stenosis who received SA for a 2-level lumbar posterior decompression. After decompression, the site of dural puncture from a 24-gauge Sprotte spinal needle was identified. Read More

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February 2021

Lumbar Extradural Angiolipoma: Clinical Presentation and Management.

Cureus 2020 Dec 30;12(12):e12380. Epub 2020 Dec 30.

Orthopaedics and Rehabilitation, University of Rochester Medical Center, Rochester, USA.

Angiolipomas are rare primary benign tumors that can arise in the epidural canal and cause stenosis. Of the few cases of spinal angiolipomas described, most lesions have been located in the thoracic spine, and presentation of angiolipoma in the lumbar spine is very rare. The surgical management of a 39-year-old morbidly obese woman with angiolipoma that caused stenosis with neurogenic claudication and urinary changes is described. Read More

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December 2020

Epidural lipomatosis in elderly patient: A rare cause of cauda equina compression.

Surg Neurol Int 2021 5;12. Epub 2021 Jan 5.

Department of Orthopaedic Surgery and Trauma, Afe Babalola University, Ado Ekiti, Nigeria.

Background: The most common cause of cauda equina compression in the elderly is lumbar spinal stenosis. Epidural lipomatosis is an additional known but rare cause of cauda equina compression readily diagnosed on MR studies. Notably, spinal canal decompression and direct excision of the epidural fat effectively manage this combined pathology. Read More

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January 2021

Gait analysis in the elderly patients with lumbar spinal stenosis.

Int Orthop 2021 03 16;45(3):673-679. Epub 2021 Jan 16.

Department of Orthopaedics & Trauma Center, Fuxing Hospital, Capital Medical University, No. 20A Fuxingmen Wai Street, Xicheng District, Beijing, 100038, China.

Purpose: This study aims to analyze the gait characteristics of the elderly patients with lumbar spinal stenosis by an intelligent device for energy expenditure and activity (IDEEA) to assist clinical work.

Methods: A total of 98 subjects were included in this study from January 2017 to December 2018. A total of 49 elderly outpatients with symptomatic lumbar spinal stenosis in unilateral lower extremity were included as the experimental group, and another 49 healthy subjects matched with gender, age, and body mass index (BMI) were analyzed as the control group. Read More

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Motor Unit Number Index in Evaluating Patients with Lumbar Spinal Stenosis.

Am J Phys Med Rehabil 2021 Jan 8;Publish Ahead of Print. Epub 2021 Jan 8.

Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX, USA Physical Medicine and Rehabilitation Service. Dallas VA Medical Center, North Texas Health Care System, Dallas, TX, USA.

Objective: Motor Unit Number Index (MUNIX) is a quantitative electrophysiological measure that provides an index of the number of motor neurons supplying a muscle. The aim of this exploratory study is to assess the utility of MUNIX in the evaluation of patients with lumbar spinal stenosis (LSS).

Design: Participants were assigned to three groups: clinical and radiological lumbar stenosis (LSS with neurogenic intermittent claudication [NIC])-group A, radiological LSS without NIC-group B, and a control group - group C. Read More

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January 2021

Supervised physical therapy versus unsupervised exercise for patients with lumbar spinal stenosis: 1-year follow-up of a randomized controlled trial.

Clin Rehabil 2021 Jul 10;35(7):964-975. Epub 2021 Jan 10.

Spine Care Center, Wakayama Medical University Kihoku Hospital, Wakayama, Japan.

Objective: To compare the 1-year outcomes of patients with lumbar spinal stenosis treated with supervised physical therapy or unsupervised exercise.

Design: A single-center randomized controlled trial with concealed allocation, blinded assessor and intention-to-treat analysis.

Setting: Spine care center. Read More

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Effect of a Multimodal Movement Intervention in Patients With Neurogenic Claudication Based on Lumbar Spinal Stenosis and/or Degenerative Spondylolisthesis-A Pilot Study.

Front Med (Lausanne) 2020 8;7:540070. Epub 2020 Dec 8.

Department Human Science, Sport Science, Institute III, Otto von Guericke University Magdeburg, Magdeburg, Germany.

Chronic low-back pain is a major individual, social, and economic burden. The impairment ranges from deterioration of gait, limited mobility, to psychosocial distress. Due to this complexity, the demand for multimodal treatments is huge. Read More

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December 2020

Novel Application of Erector Spinae Plane Block to Interspinous Spacer Placement.

Cureus 2020 Oct 18;12(10):e11015. Epub 2020 Oct 18.

Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, USA.

Erector spinae plane block (ESPB) is a fascial plane block that targets the dorsal and ventral branches of the primary dorsal root ganglion. We report a case of a 76-year-old woman who presented for percutaneous posterior interspinous decompression spacer at the L3-L4 level in the setting of neurogenic claudication from severe spinal stenosis. We describe the novel performance of bilateral ESPBs under ultrasound guidance for postprocedural analgesia. Read More

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October 2020

Lumbosacral extradural extramedullary hematopoiesis in thalassemia major causing spinal canal stenosis.

Surg Neurol Int 2020 8;11:331. Epub 2020 Oct 8.

Department of Neurosurgery, Rutgers Robert Wood Johnson University Hospital, New Brunswick, New Jersey, United States.

Background: Extramedullary hematopoiesis (EH) is common in patients with ineffective erythropoiesis like thalassemia major (TM). EH commonly involves intra-abdominal organs (e.g. Read More

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October 2020

Clinical outcomes of MED and iLESSYS Delta for the treatment of lumbar central spinal stenosis and lateral recess stenosis: A comparison study.

Exp Ther Med 2020 Dec 23;20(6):252. Epub 2020 Oct 23.

Department of Orthopaedics, General Hospital of Central Theater Command of PLA, Wuhan, Hubei 430070, P.R. China.

Microendoscopic discectomy (MED) is an established procedure used to treat lumbar central spinal stenosis (LCSS) and lateral recess stenosis (LRS). The Interlaminar Endoscopic Surgical System iLESSYS Delta approach has been developed from the traditional interlaminar endoscopic technique for the treatment of LCSS and LRS. In the present study, MED was used as a reference to evaluate this newly developed approach. Read More

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December 2020

The effect of preoperative degenerative spondylolisthesis on postoperative outcomes of degenerative lumbar spinal stenosis: A single-center cohort study protocol.

Medicine (Baltimore) 2020 Nov;99(45):e22355

Department of Spine Orthopaedic, General Hospital of Ningxia Medical University, Ningxia, China.

Background: Most degenerative lumbar spinal stenosis (DLSS) patients primitively received the conservative treatment to control symptoms. In order to develop an optimal surgical treatment strategy, it is very significant to understand how the degenerative lumbar spondylolisthesis (DS) affects the effect of decompression in the DLSS. Thus, the aim of this current study was to explore whether the concomitant DS would affect the effect of decompression alone in the patients with DLSS. Read More

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November 2020

Ligamentum Flavum Cyst: Rare Presentation Report and Literature Review.

Neurol India 2020 Sep-Oct;68(5):1207-1210

Department of Spine Services, Indian Spinal Injuries Centre, Sector-C, Vasant Kunj, New Delhi, India.

Ligamentum flavum cysts (LFC) are uncommon and their differentiation from other Juxta-facetal cysts & epidural cystic lesions is difficult based on imaging techniques. We present one such rare case of ligamentum flavum cyst with relevant review of the literature. An eighty-eight years male presented with progressively worsening radicular symptom in the left lower limb. Read More

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October 2020

Lumbar Spinal Stenosis: Pathophysiology and Treatment Principle: A Narrative Review.

Asian Spine J 2020 Oct 14;14(5):682-693. Epub 2020 Oct 14.

Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.

Patients with lumbar spinal stenosis may exhibit symptoms such as back pain, radiating pain, and neurogenic claudication. Although long-term outcome of treatments manifests similar results for both nonsurgical and surgical treatments, positive effects such as short-term improvement in symptoms and decreased fall risk may be expected with surgery. Surgical treatment is basically decompression, and a combination of treatments can be added depending on the degree of decompression and the accompanying instability. Read More

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October 2020

Greater than 5-year follow-up of outpatient L4-L5 lumbar interspinous fixation for degenerative spinal stenosis using the INSPAN device.

J Spine Surg 2020 Sep;6(3):549-554

Less Exposure Surgery Specialists Institute (LESS Institute), Hollywood, FL, USA.

Background: Lumbar spinal stenosis is treated with decompression directly such as laminectomies and indirectly with an interspinous device through distraction and extension block. Interspinous devices (IPD) have also been used as an adjunct to spinal fusion. However, the design for IPD to treat spinal stenosis does not fixate the spine while the design for spinal fusion is designed to fixate the spine. Read More

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September 2020

Lumbar Spinal Stenosis and Potential Management With Prostaglandin E1 Analogs.

Am J Phys Med Rehabil 2021 03;100(3):297-302

From the Department of Physical Medicine & Rehabilitation (PM&R), UT Southwestern Medical Center, Dallas, Texas (AM, TMA); UT Southwestern Medical Center, Dallas, Texas (KV); and VA North Texas Health Care System, Dallas VA Medical Center, Dallas, Texas (TMA).

Abstract: Lumbar spinal stenosis is one of the most commonly diagnosed spinal disorders worldwide and remains a major cause for surgery in older adults. Lumbar spinal stenosis is clinically defined as a progressive degenerative disorder with low back pain and associated neurogenic intermittent claudication. Conservative and surgical management of lumbar spinal stenosis has been shown to be minimally effective on its symptoms. Read More

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External Validation of the Timed Up and Go Test as Measure of Objective Functional Impairment in Patients With Lumbar Degenerative Disc Disease.

Neurosurgery 2021 01;88(2):E142-E149

Neuro- and Spine Center, Hirslanden Clinic St. Anna, Lucerne, Switzerland.

Background: The Timed Up and Go (TUG) test is the most commonly applied objective measure of functional impairment in patients with lumbar degenerative disc disease (DDD).

Objective: To demonstrate external content validity of the TUG test.

Methods: Consecutive adult patients, scheduled for elective lumbar spine surgery, were screened for enrollment into a prospective observational study. Read More

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January 2021

SIZE study: study protocol of a multicentre, randomised controlled trial to compare the effectiveness of an interarcuair decompression versus extended decompression in patients with intermittent neurogenic claudication caused by lumbar spinal stenosis.

BMJ Open 2020 10 6;10(10):e036818. Epub 2020 Oct 6.

Neurosurgery, Erasmus Medical Center, Rotterdam, The Netherlands

Introduction: Intermittent neurogenic claudication (INC) is often caused by lumbar spinal stenosis (LSS). Laminectomy is considered a frequently used surgical technique for LSS. Previous studies have shown that laminectomy can potentially cause lumbar instability. Read More

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October 2020