716 results match your criteria Spinal Stenosis and Neurogenic Claudication

Evaluating the Academic Influence of Orthopedic Surgeons in Spinal Literature Through Relative Citation Ratio.

Cureus 2022 May 19;14(5):e25147. Epub 2022 May 19.

Orthopaedics, Rothman Orthopaedics, Paramus, USA.

Introduction:  The innovative iCite tool applies the relative citation ratio (RCR) to gauge the time and field-adjusted scientific influence of a publication. This study examines scholarly effects on spine surgery to distinguish the impact made by orthopedic surgeons, neurosurgeons, and several other specialists.

Materials And Methods:  From 2013 to 2017, 100 of the highest RCR-rated articles were gathered for each of the following terms: cervical disc herniation (CDH), lumbar disc herniation (LDH), lumbar spinal stenosis (LSS), neurogenic claudication (NC), radiculopathy (RAD), and sciatica (SC). Read More

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Changes in pain scores and walking distance after epidural steroid injection in patients with lumbar central spinal stenosis.

Medicine (Baltimore) 2022 Jun 17;101(24):e29302. Epub 2022 Jun 17.

Department of Anesthesiology and Pain Medicine, Kangwon National University Hospital, School of Medicine, Kangwon National University, Republic of Korea.

Abstract: Lumbar spinal stenosis is a common degenerative disorder that is characterized by pain and neurogenic claudication. Previous studies have evaluated the effects of an epidural steroid injection (ESI) on spinal stenosis, based on changes to the spinal canal diameter.This study aimed to examine the impact of the ESI on pain scores and walking distance in patients with lumbar central spinal stenosis, stratified based on disease severity, which was graded according to the degree of cauda equina separation. Read More

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Plexiform neurofibroma of the cauda equina with follow-up of 10 years: A case report.

World J Clin Cases 2022 May;10(14):4519-4527

Department of Neurology and Neurosurgery, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius 03104, Lithuania.

Background: Plexiform neurofibromas are extremely rarely found in the region of cauda equina and can pose a significant challenge in the diagnostic and management sense. To our knowledge, only 7 cases of cauda equina neurofibromatosis (CENF) have been reported up-to-date.

Case Summary: We describe a case of a 55-year-old man with a 10 years history of progressive lower extremities weakness and bladder dysfunction. Read More

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Spinal canal stenosis in children with achondroplasia: the role of augmentation laminoplasty-a 15-year single institution experience.

Childs Nerv Syst 2022 Jun 2. Epub 2022 Jun 2.

Department of Neurosurgery, Birmingham Children's Hospital, Steelhouse Lane, Birmingham, B4 6NH, UK.

Purpose: Achondroplasia typically results in compressive spinal canal stenosis in one-third of children, but rare under the age of 15 years. Laminectomy is the mainstay of treatment but this leads to instability and progressive deformity requiring complex fixation. In order to reduce that risk, we developed a novel modified augmented laminoplasty that increases spinal canal diameter while preserving the posterior column stability. 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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Outcome Domain and Measurement Instrument Reporting in Randomized Controlled Trials of Interventions for Lumbar Spinal Stenosis: A Systematic Review.

J Orthop Sports Phys Ther 2022 Jul 18;52(7):446-A2. Epub 2022 May 18.

Objective: To describe outcome measurement instruments and outcome domains in randomized controlled trials of any interventions for lumbar spinal stenosis (LSS).

Design: Systematic review.

Literature Search: The Cochrane Central Register of Controlled Trials (CENTRAL) and PubMed were searched from inception to May 2020. Read More

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Lumbar spinal stenosis in a patient with complex spinal dysraphism caused by a supplementary midline muscle: A case report.

Surg Neurol Int 2022 31;13:121. Epub 2022 Mar 31.

Department of Neurosurgery, Maastricht University Medical Center, Maastricht, Netherlands.

Background: The clinical tethered cord syndrome (TCS) can become symptomatic during adulthood, known as adult tethered cord syndrome (ATCS). Distinguishing ATCS from neurogenic claudication attributed to lumbar spinal stenosis may pose a clinical challenge.

Case Description: A 66-year-old male with an underlying complex occult spinal dysraphism (OSD) presented with new onset of lower back and bilateral leg pain plus neurogenic claudication. Read More

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Comparison of Lumbar Fusion With and Without Interbody Fusion for Lumbar Stenosis Using Patient-Reported Outcomes Measurement Information System (PROMIS) Computer Adaptive Testing (CAT).

Cureus 2022 Mar 24;14(3):e23467. Epub 2022 Mar 24.

Orthopaedic Surgery, Northwestern Memorial Hospital, Chicago, USA.

Study design This was a retrospective analysis of patient-reported outcomes across a two-year period. Summary of background data Patients suffering from lumbar stenosis may experience low back pain, neurogenic claudication, and weakness. Patients can benefit from surgical intervention, including decompression with or without fusion. Read More

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Update on Spinal Fusion.

Neurol Clin 2022 05 31;40(2):261-268. Epub 2022 Mar 31.

Department of Neurosurgery, University of Wisconsin Hospital and Clinics, 600 Highland Avenue, Madison, WI 53792, USA.

Spinal fusion is frequently performed for a variety of indications. It is performed to treat instability due to trauma, infection, or neoplasm. It may be used to treat regional or global spinal deformity. Read More

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Decompression and Interlaminar Stabilization for Lumbar Spinal Stenosis: A Cohort Study and Two-Dimensional Operative Video.

Medicina (Kaunas) 2022 Apr 5;58(4). Epub 2022 Apr 5.

Department of Neurosurgery, Louisiana State University Health Sciences Center, New Orleans, LA 70112, USA.

: Lumbar spinal stenosis is one of the most common causes of disability in the elderly and often necessitates surgical intervention in patients over the age of 65. Our study aimed to evaluate the clinical efficacy of interlaminar stabilization following decompressive laminectomy in patients with lumbar stenosis without instability. : Twenty patients with lumbar stenosis underwent decompressive laminectomy and interlaminar stabilization at our academic institution. Read More

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Tracking the disease progression of lumbar spinal stenosis using objective gait metrics: a case report.

J Spine Surg 2022 Mar;8(1):163-169

Faculty of Medicine, University of New South Wales, Sydney, Australia.

We present the case of an 85-year-old woman who presented to our clinic with neurogenic claudication due to lumbar spinal stenosis (LSS) over a period of two years. During this time a series of walking metrics were monitored including daily step count, walking speed, and step length. All metrics showed a deterioration over time and objectively document the disease progression of LSS (initial: walking speed =1. Read More

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The clinical effectiveness of a physiotherapy delivered physical and psychological group intervention for older adults with neurogenic claudication: the BOOST randomised controlled trial.

J Gerontol A Biol Sci Med Sci 2022 Mar 12. Epub 2022 Mar 12.

College of Medicine and Health, University of Exeter.

Background: Neurogenic claudication (NC) is a debilitating spinal condition affecting older adults' mobility and quality of life.

Methods: A randomised controlled trial of 438 participants evaluated the effectiveness of a physical and psychological group intervention (BOOST programme) compared to physiotherapy assessment and tailored advice (best practice advice [BPA]) for older adults with NC. Participants were identified from spinal clinics (community and secondary care) and general practice records and randomised 2:1 to the BOOST programme or BPA. Read More

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Quantitative Gait Analysis of Patients with Severe Symptomatic Spinal Stenosis Utilizing the Gait Profile Score: An Observational Clinical Study.

Sensors (Basel) 2022 Feb 19;22(4). Epub 2022 Feb 19.

Neurosurgical Department, J. E. Purkyně University, Masaryk Hospital of Krajská Zdravotní a.s., Sociální Péče 3316/12A, 400 11 Ústí nad Labem, Czech Republic.

Lumbar spine stenosis (LSS) typically manifests with neurogenic claudication, altering patients' gait. The use of optoelectronic systems has allowed clinicians to perform 3D quantitative gait analysis to quantify and understand these alterations. Although several authors have presented analysis of spatiotemporal gait parameters, data concerning kinematic parameters is lacking. Read More

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February 2022

The MOTION Study: A Randomized Controlled Trial with Objective Real-World Outcomes for Lumbar Spinal Stenosis Patients Treated with the mild® Procedure: One-Year Results.

Pain Med 2022 04;23(4):625-634

The University of Kansas Medical Center, Kansas City, Kansas, USA.

Objective: The purpose of this study is to provide Level-1 objective, real-world outcome data for patients with lumbar spinal stenosis suffering from neurogenic claudication secondary to hypertrophic ligamentum flavum.

Design: The MOTION Study is a prospective, multicenter, randomized controlled trial comparing the mild® Procedure (minimally invasive lumbar decompression; Vertos Medical, Aliso Viejo, CA, USA) as a first-line therapy in combination with nonsurgical conventional medical management (CMM) vs CMM alone as the active control.

Methods: Patients in the test group received the mild Procedure at baseline. Read More

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Bilateral ganglion cysts at L4/5 causing central canal stenosis and producing sciatica and neurogenic claudication: a case report.

Ann R Coll Surg Engl 2022 Feb;104(2):41-43

James Cook University Hospital, Middlesbrough, UK.

Symptomatic bilateral juxtafacet ganglion cysts are relatively uncommon in the degenerated spine. The literature describes 16 cases of bilateral ganglion or synovial cysts, none reported sciatica and neurogenic claudication simultaneously. We present a case of a 60-year-old woman who presented with symptoms of bilateral sciatica and neurogenic claudication. Read More

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February 2022

Degenerative Spondylolisthesis: A Narrative Review.

Acta Biomed 2022 01 19;92(6):e2021313. Epub 2022 Jan 19.

Ludes Lugano Campus, Lugano, Switzerland.

Degenerative spondylolisthesis (DS) is a condition leading to the slippage of one vertebral body over the one below due to degenerative changes resulting in spinal stenosis and producing neurogenic claudication, with or without low back pain. DS prevalence is age and gender specific. Other risk factors mainly include a history of occupational driving, intense manual activity and sedentary work. Read More

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January 2022

Non-operative treatment for lumbar spinal stenosis with neurogenic claudication: an updated systematic review.

BMJ Open 2022 Jan 19;12(1):e057724. Epub 2022 Jan 19.

Health Systems Management, Rush University, Chicago, Illinois, USA.

Objectives: Neurogenic claudication due to lumbar spinal stenosis (LSS) is a growing health problem in older adults. We updated our previous Cochrane review (2013) to determine the effectiveness of non-operative treatment of LSS with neurogenic claudication.

Design: A systematic review. Read More

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January 2022

Inter Spinal Fixation and Stabilization Device for Lumbar Radiculopathy and Back Pain.

Cureus 2021 Nov 28;13(11):e19956. Epub 2021 Nov 28.

Surgery, Creighton University School of Medicine, Omaha, USA.

Introduction: Generally, interspinal distractor fixation devices are used for severe low back pain associated with neurogenic claudication, and radiculopathy with central or lateral recess stenosis and/or foraminal narrowing. In this paper, the authors result in cases of severe low back pain and lumbar radiculopathy in whom this device was used with excellent results.

Method: This is a retrospective study. Read More

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November 2021

Spinous Process Splitting Laminectomy for Lumbar Spinal Stenosis: 2D Operative Video.

World Neurosurg 2022 Mar 29;159:107. Epub 2021 Dec 29.

The Paley Orthopedic and Spine Institute at Saint Mary's Medical Center, West Palm Beach, Florida, USA.

Degenerative lumbar spinal stenosis involves an acquired reduction in the spinal canal diameter due to osteoarthritic changes on the disk, facet joints, and ligaments and may result in spinal cord or cauda equina compression. This process may lead to pain radiating to the legs, neurogenic claudication, and neurologic deficit. First-line treatment includes conservative care such as physical therapy, spinal injections, and lifestyle changes. Read More

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High Prevalence of Metabolic Syndrome in Patients with Lumbar Spinal Stenosis: Association with Diabetes and Elevated Body Mass Index.

Isr Med Assoc J 2021 Dec;23(12):766-772

University of Fortaleza (Unifor), Fortaleza, Brazil.

Background: Lumbar spinal stenosis (LSS) is a narrowing of the lumbar canal causing lower back pain, gluteal pain, and neurogenic claudication. LSS has been associated with cardiovascular co-morbidities. Metabolic syndrome (MetS), a pro-inflammatory condition involving a cluster of risk factors for cardiovascular disease and diabetes, is increasingly prevalent worldwide. Read More

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December 2021

Interspinous process device versus conventional decompression for lumbar spinal stenosis: 5-year results of a randomized controlled trial.

J Neurosurg Spine 2021 Dec 24:1-9. Epub 2021 Dec 24.

1Department of Neurosurgery and.

Objective: Interspinous process distraction devices (IPDs) can be implanted to treat patients with intermittent neurogenic claudication (INC) due to lumbar spinal stenosis. Short-term results provided evidence that the outcomes of IPD implantation were comparable to those of decompressive surgery, although the reoperation rate was higher in patients who received an IPD. This study focuses on the long-term results. Read More

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December 2021

Axial loading during supine MRI for improved assessment of lumbar spine: comparison with standing MRI.

Acta Radiol 2021 Dec 23:2841851211068148. Epub 2021 Dec 23.

Department of Radiological Technology, Faculty of Medical Technology, 26685Mahidol University, Salaya, Nakhon Pathom, Thailand.

Background: There are no studies comparing the morphologic changes of lumbar spines between supine axial-loaded and 90° standing magnetic resonance imaging (MRI) examinations of patients with spinal stenosis.

Purpose: To determine whether axial-loaded MRI using a compression device demonstrated similar morphology of intervertebral disc, dural sac, and spinal curvature as those detected by 90° standing MRI in individuals with suspected spinal stenosis.

Material And Methods: A total of 54 individuals suspected of having spinal stenosis underwent both axial-loaded and standing MRI studies. Read More

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December 2021

Walking Biomechanics and Spine Loading in Patients With Symptomatic Lumbar Spinal Stenosis.

Front Bioeng Biotechnol 2021 18;9:751155. Epub 2021 Nov 18.

Department of Orthopaedic Surgery, Beth Israel Deaconess Medical Center, Boston, MA, United States.

Symptomatic lumbar spinal stenosis is a leading cause of pain and mobility limitation in older adults. It is clinically believed that patients with lumbar spinal stenosis adopt a flexed trunk posture or bend forward and alter their gait pattern to improve tolerance for walking. However, a biomechanical assessment of spine posture and motion during walking is broadly lacking in these patients. Read More

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November 2021

Spinal Cord Stimulation for Neurogenic Claudication Associated with Lumbar Spinal Stenosis.

Pain Physician 2021 12;24(8):E1247-E1253

Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA; Department of Neurosurgery, US Department of Veterans Affairs Medical Center, Milwaukee, WI, USA.

Background: There is a debate on the long-term outcomes of surgical decompression for lumbar spinal stenosis (LSS) as compared to conservative treatment, with even more limited outcomes in repeat surgeries. Hence, other less invasive treatment modalities, such as neuromodulation with a modern spinal cord stimulator (SCS), could be considered in the spectrum of management options for symptoms of neurogenic claudication (NC) related to LSS as an alternative to surgery.

Objective: Assessing the outcomes and efficacy of SCS in neurogenic claudication in patients with or without a prior lumbar surgery. Read More

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December 2021

Understanding whether chronic lower back pain patients with lumbar spinal stenosis benefit from multiple epidural steroid injections prior to the Procedure.

Pain Manag 2022 Apr 9;12(3):261-266. Epub 2021 Nov 9.

The Detroit Medical Center, 3990 John R, Box 162, Detroit, MI 48201, USA.

Originally published in , this article is a summary of a study performed to look at the benefit, if any, of more than one epidural steroid injection in the spine before the Procedure. Minimally invasive lumbar decompression (commonly known as the Procedure) and epidural steroid injections are both common treatment options for lumbar spinal stenosis (commonly referred to as LSS), a condition that causes chronic lower back pain in older adults. To determine how to best treat LSS patients, healthcare professionals use a guide to help with the decision-making process (called an algorithm) to pass through non-medical to more invasive therapies that often includes one or more epidural steroid injections. Read More

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Differentiation of pain-related functional limitations in surgical patients with lumbar spinal stenosis (LSS) using the Oswestry Disability Index: a Canadian Spine Outcomes and Research Network (CSORN) study.

Spine J 2022 04 23;22(4):578-586. Epub 2021 Oct 23.

The Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, Ontario; J. Bernard Gosevitz Chair in Arthritis Resear ch at UHN, Department of Orthopaedic Surgery, Toronto Western Hospital, Schroeder Arthritis Institute, University Health Network (UHN), Toronto, ON, Canada; Professor of Surgery, University of Toronto, Toronto, ON, Canada. Electronic address:

Background Context: The Oswestry Disability Index (ODI) is the most commonly used outcome measure of functional outcome in spine surgery. The ability of the ODI to differentiate pain related functional limitation specifically related to degenerative lumbar spinal stenosis (LSS) is unclear.

Purpose: The purpose of this study was to determine the ability of the functional subsections of the ODI to differentiate the specific patient limitation(s) from symptomatic LSS and the functional impact of surgery. Read More

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Revision surgery following minimally invasive decompression for lumbar spinal stenosis with and without stable degenerative spondylolisthesis: a 5- to 15-year reoperation survival analysis.

J Neurosurg Spine 2021 Oct 22:1-7. Epub 2021 Oct 22.

2J. Bernard Gosevitz Chair in Arthritis Research at UHN, Department of Orthopaedic Surgery, Toronto Western Hospital, Schroeder Arthritis Institute, University Health Network (UHN), Toronto; and.

Objective: Minimally invasive decompression (MID) is an effective procedure for lumbar spinal stenosis (LSS). Long-term follow-up data on reoperation rates are lacking. The objective of this retrospective cohort study was to evaluate reoperation rates in patients with LSS who underwent MID, stratified for degenerative lumbar spondylolisthesis (DLS), with a follow-up between 5 and 15 years. Read More

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October 2021

Endplate defects, not the severity of spinal stenosis, contribute to low back pain in patients with lumbar spinal stenosis.

Spine J 2022 03 30;22(3):370-378. Epub 2021 Sep 30.

Spine Care Center, Wakayama Medical University Kihoku Hospital, 219 Myoji, Katsuragi-cho, Ito-gun, Wakayama, 649-7113, Japan.

Background Context: It is controversial whether lumbar spinal stenosis (LSS) itself contributes to low back pain (LBP). Lower truncal skeletal muscle mass, spinopelvic malalignment, intervertebral disc degeneration, and endplate abnormalities are thought to be related to LBP. However, whether these factors cause LBP in patients with LSS is unclear. Read More

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Examining the Association Between Self-Reported Estimates of Function and Objective Measures of Gait and Physical Capacity in Lumbar Stenosis.

Arch Rehabil Res Clin Transl 2021 Sep 24;3(3):100147. Epub 2021 Jul 24.

Division of Physical Medicine and Rehabilitation, Stanford University, Stanford, CA.

Objective: To evaluate the association of self-reported physical function with subjective and objective measures as well as temporospatial gait features in lumbar spinal stenosis (LSS).

Design: Cross-sectional pilot study.

Setting: Outpatient multispecialty clinic. Read More

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September 2021

Physical and Psychological Factors Associated With Walking Capacity in Patients With Lumbar Spinal Stenosis With Neurogenic Claudication: A Systematic Scoping Review.

Front Neurol 2021 9;12:720662. Epub 2021 Sep 9.

Department of Human Kinetics, Université du Québec à Trois-Rivières, Trois-Rivières, QC, Canada.

The purpose of this study was to evaluate the current state of scientific knowledge regarding physical and psychological factors associated with walking capacity in patients with lumbar spinal stenosis (LSS) with neurogenic claudication. Systematic scoping review. We searched CINAHL (Cumulative Index to Nursing and Allied Health Literature), MEDLINE, Cochrane, PsycINFO, and SPORTDiscus databases. Read More

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September 2021