560 results match your criteria Spinal Stenosis and Neurogenic Claudication


Is cervical instability the cause of lumbar canal stenosis?

J Craniovertebr Junction Spine 2019 Jan-Mar;10(1):19-23

Resident Doctor, K.E.M. Hospital, Mumbai, Maharashtra, India.

Aim: On the basis of an experience with 12 cases, the validity and rationale of cervical spinal stabilization for cases having both cervical and lumbar spinal canal stenosis is analyzed.

Materials And Methods: From March 2017 to May 2018, 12 patients presented with a major symptom of neurogenic claudication pain generally related to lumbar canal stenosis in addition to other symptoms related to cervical myelopathy. The average age was 57 years. Read More

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http://www.jcvjs.com/text.asp?2019/10/1/19/255728
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http://dx.doi.org/10.4103/jcvjs.JCVJS_17_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6469324PMC
April 2019
1 Read

Nonsurgical integrative inpatient treatments for symptomatic lumbar spinal stenosis: a multi-arm randomized controlled pilot trial.

J Pain Res 2019 28;12:1103-1113. Epub 2019 Mar 28.

Department of Anesthesiology, Division of Pain Medicine, Mayo Clinic, Rochester, MN, USA,

Background: Lumbar spinal stenosis (LSS) is a chronic condition that causes low back pain and neurogenic claudication, often resulting in significant limitation of daily activities. In this open-label randomized controlled pilot study, we assessed the safety and feasibility of 4-week novel integrative inpatient treatments for LSS.

Methods: Thirty-six symptomatic LSS patients were randomly and equally allocated to one of the three groups: Mokhuri Chuna treatment 1 (MT1) group, Mokhuri Chuna treatment 2 (MT2) group, or conventional management treatment (CMT) group. Read More

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https://www.dovepress.com/nonsurgical-integrative-inpatient-
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http://dx.doi.org/10.2147/JPR.S173178DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6445233PMC
March 2019
2 Reads

Measurement properties of walking outcome measures for neurogenic claudication: a systematic review.

Spine J 2019 Apr 12. Epub 2019 Apr 12.

Institute of Bone and Joint Research, the Kolling Institute, Faculty of Medicine and Health, The University of Sydney, Australia.

Background Context: Selecting a walking outcome measure for neurogenic claudication requires knowledge of its measurement properties.

Purpose: To systematically review and appraise the literature on the measurement properties of walking outcome measures for patients with neurogenic claudication.

Study Design: A systematic review and meta-analysis. Read More

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http://dx.doi.org/10.1016/j.spinee.2019.04.004DOI Listing

Clinical outcome of percutaneous lumbar foraminoplasty using a safety-improved device in patients with lumbar foraminal spinal stenosis.

Medicine (Baltimore) 2019 Apr;98(15):e15169

Department of Anesthesiology and Pain Medicine, The Catholic University of Korea, Seoul ST. Mary's Hospital, Seoul, Republic of Korea.

Lumbar foraminal spinal stenosis (LFSS) is defined as the narrowing of the nerve root exit associated with a herniated intervertebral disc, osteoarthritic changes in the facet joints, or a hypertrophied ligamentum flavum, which can provoke neurogenic claudication. To achieve effective and safe decompression of the lumbar spinal foramen, a specially designed instrument (Claudicare, SEAWON Meditech, Bucheon-si, Gyeonggi-do, Republic of Korea) for percutaneous lumbar foraminoplasty (PLF) was invented. The purpose of this study was to evaluate the clinical efficacy and safety of the newly devised instrument in patients with LFSS. Read More

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http://dx.doi.org/10.1097/MD.0000000000015169DOI Listing

Prospective Analysis of Functional Outcome of Single-Stage Surgical Treatment for Symptomatic Tandem Spinal Stenosis.

Indian J Orthop 2019 Mar-Apr;53(2):315-323

Department of Anaesthesia, Shanta Spine Institute, Nagpur, Maharashtra, India.

Background: Tandem spinal stenosis (TSS) is a rare presentation leading to combined clinical features of upper motor neuron and lower motor neuron lesion which includes intermittent neurogenic claudication with or without neurological deficit, progressive gait imbalance and gait disturbances. In literature, there is controversy whether stage surgery or single-stage surgery should be done.

Materials And Methods: From June 2009 to November 2016 in a series of 1381 patients who underwent surgery for various degenerative spinal conditions, 82 patients were diagnosed with having symptomatic TSS with an incidence of 5. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_316_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6415552PMC
April 2019
2 Reads

Interlaminar stabilization and decompression for the treatment of bilateral juxtafacet cysts: Case report and literature review.

Int J Surg Case Rep 2019 Mar 30;57:155-159. Epub 2019 Mar 30.

Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.

Introduction: Lumbar juxtafacet cysts (JFCs) are a common cause of lumbar radiculopathy which tend to occur in areas of increased facet mobility. While resection alone is a possible treatment, recent publications suggest that laminectomy alone for JFCs may not yield as favorable an outcome as laminotomies reinforced with posterior dynamic hardware. The Coflex is a novel interlaminar stabilization device that has been shown to achieve comparable results to rigid fusion in the management of lumbar stenosis in patients with no more than grade one anterolisthesis, and superior performance compared to laminectomy alone when a combined outcome score was used. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.03.047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453832PMC
March 2019
1 Read

Biportal Endoscopic Spinal Surgery for Bilateral Lumbar Foraminal Decompression by Switching Surgeon's Position and Primary 2 Portals: A Report of 2 Cases With Technical Note.

Neurospine 2019 Mar 31;16(1):138-147. Epub 2019 Mar 31.

Department of Neurosurgery, Hallym University Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.

Total facetectomy with/without fusion and facet-preserving microforaminotomy have been performed as conventional surgical treatments for lumbar foraminal stenosis (LFS). Recently, endoscopic spinal surgery has been introduced as a minimally invasive therapeutic modality of LFS by several authors. We report two cases of bilateral LFS at lumbosacral junction level successfully treated with a novel biportal endoscopic spine surgery (BES) technique using primary 2 portals. Read More

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http://dx.doi.org/10.14245/ns.1836330.165DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449833PMC

Step-by-Step Sublaminar Approach With a Newly-Designed Spinal Endoscope for Unilateral-Approach Bilateral Decompression in Spinal Stenosis.

Neurospine 2019 Mar 31;16(1):41-51. Epub 2019 Mar 31.

Tokyo Spine Clinic, Tokyo, Japan.

Objective: Spinal stenosis is increasingly common due to population aging. In elderly patients with lumbar central canal stenosis (LCCS), minimizing muscle damage and bone resection is particularly important. We performed a step-by-step operation with a newly designed spinal endoscope to obtain adequate decompression in patients with spinal stenosis. Read More

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http://dx.doi.org/10.14245/ns.1836320.160DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6449824PMC
March 2019
2 Reads

Development and delivery of the BOOST (Better Outcomes for Older adults with Spinal Trouble) intervention for older adults with neurogenic claudication.

Physiotherapy 2019 Feb 7. Epub 2019 Feb 7.

Nuffield Department of Rheumatology, Orthopaedics and Musculoskeletal Sciences, University of Oxford, Botnar Research Centre, Windmill Road, Oxford OX3 7LD, UK. Electronic address:

Neurogenic claudication due to spinal stenosis is a common cause of disability in older adults. Conservative treatments are a favourable treatment option. This paper describes the development and delivery of the BOOST (Better Outcomes for Older adults with Spinal Trouble) intervention, a physiotherapist-delivered physical and psychological intervention for the management of neurogenic claudication in older adults. Read More

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http://dx.doi.org/10.1016/j.physio.2019.01.019DOI Listing
February 2019
2 Reads

Neurogenic Claudication: a Review of Current Understanding and Treatment Options.

Curr Pain Headache Rep 2019 Mar 19;23(5):32. Epub 2019 Mar 19.

Department of Anesthesiology, Advocate Illinois Masonic Medical Center, 836 W. Wellington Ave. Suite 4815, Chicago, IL, 60657, USA.

Purpose Of Review: With an aging population and increased prevalence of the disease, we set out to evaluate the validity of current diagnostic criteria for neurogenic claudication as well as the efficacy of the treatment options for the main cause, lumbar spinal stenosis (LSS).

Recent Findings: Epidural steroid injections (ESI) were most efficacious when the injectate is a steroid combined with lidocaine or lidocaine only. There are promising results regarding the efficacy of the minimally invasive lumbar decompression (MILD) procedure as well as interspinous process spacers (IPS) compared to surgical alternatives. Read More

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http://link.springer.com/10.1007/s11916-019-0769-x
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http://dx.doi.org/10.1007/s11916-019-0769-xDOI Listing
March 2019
7 Reads

Diagnostic importance of axial loaded magnetic resonance imaging in patients with suspected lumbar spinal canal stenosis.

World Neurosurg 2019 Mar 8. Epub 2019 Mar 8.

Koc University, School of Medicine, Neurosurgery Department.

Objective: To study the efficacy of lumbar axial loading (AL) MRI in the suspected patients with lumbar spinal stenosis (LSS), with and without AL compression.

Summary Of Background Data: Supine MRI is used in the assessment of patients with lumbar spinal stenosis (LSS). However, MRI findings may poorly correlate with neurological findings due to the morphological changes of the lumbar spinal canal between upright standing and supine positions. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.02.091DOI Listing
March 2019
2 Reads
2.417 Impact Factor

Incidence, Management, and Cost of Complications After Transforaminal Endoscopic Decompression Surgery for Lumbar Foraminal and Lateral Recess Stenosis: A Value Proposition for Outpatient Ambulatory Surgery.

Int J Spine Surg 2019 Jan 22;13(1):53-67. Epub 2019 Feb 22.

Center for Advanced Spine Care of Southern Arizona, Tucson, Arizona.

Objective: The objective of this study is to analyze incidence, estimate cost savings, and evaluate best management practices of complications resulting from outpatient transforaminal endoscopic decompression surgery for lumbar foraminal and lateral recess stenosis performed in an ambulatory surgery center.

Background: Endoscopic spinal surgery is gaining popularity for the treatment of lumbar disc herniations. Recent advances in surgical techniques allow for endoscopically assisted bony decompression for neurogenic claudication symptoms due to spinal stenosis. Read More

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http://dx.doi.org/10.14444/6008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383464PMC
January 2019
2 Reads

Current concepts and recent advances in understanding and managing lumbar spine stenosis.

F1000Res 2019 31;8. Epub 2019 Jan 31.

Neurosurgery, University of Texas Southwestern Medical Center at Dallas, Dallas, TX, USA.

Lumbar spinal stenosis is a degenerative process that is extremely frequent in today's aging population. It can result in impingement on the nerves of the cauda equina or on the thecal sac itself, and lead to debilitating symptoms such as severe leg pain, or restriction in the perimeter of ambulation, both resulting in dependency in daily activities. The impact of the disease is global and includes financial repercussions because of its involvement in the active work force group. Read More

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https://f1000research.com/articles/8-137/v1
Publisher Site
http://dx.doi.org/10.12688/f1000research.16082.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357993PMC
January 2019
7 Reads

SUcceSS, SUrgery for Spinal Stenosis: protocol of a randomised, placebo-controlled trial.

BMJ Open 2019 Feb 13;9(2):e024944. Epub 2019 Feb 13.

Monash Department of Clinical Epidemiology, Cabrini Institute, Melbourne, Victoria, Australia.

Introduction: Central lumbar spinal stenosis (LSS) is a common cause of pain, reduced function and quality of life in older adults. Current management of LSS includes surgery to decompress the spinal canal and alleviate symptoms. However, evidence supporting surgical decompression derives from unblinded randomised trials with high cross-over rates or cohort studies showing modest benefits. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02494
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http://dx.doi.org/10.1136/bmjopen-2018-024944DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6398750PMC
February 2019
15 Reads
2.063 Impact Factor

[Lumbar spinal stenosis : From the diagnosis to the correct treatment].

Authors:
A Benditz J Grifka

Orthopade 2019 Feb;48(2):179-192

Orthopädische Klinik für die Universität Regensburg im Asklepios Klinikum Bad Abbach, Universität Regensburg, Kaiser-Karl-V-Allee 3, 93077, Bad Abbach, Deutschland.

The number of patients with the diagnosis of lumbar spinal stenosis (LSS) is steadily increasing and simultaneously, the patients' expectations are also increasing. Nevertheless, evidence from studies for the appropriate treatment is still lacking. Treatment options mainly result from the practitioner 's experience and the clinical focus. Read More

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http://dx.doi.org/10.1007/s00132-018-03685-3DOI Listing
February 2019
1 Read

Clinical outcome after surgery for lumbar spinal stenosis in patients with insignificant lower extremity pain. A prospective cohort study from the Norwegian registry for spine surgery.

BMC Musculoskelet Disord 2019 Jan 22;20(1):36. Epub 2019 Jan 22.

Kysthospitalet in Hagevik, Orthopedic Clinic, Haukeland University Hospital, Bergen, Norway.

Background: Spinal stenosis is a clinical diagnosis in which the main symptom is pain radiating to the lower extremities, or neurogenic claudication. Radiological spinal stenosis is commonly observed in the population and it is debated whether patients with no lower extremity pain should be labelled as having spinal stenosis. However, these patients is found in the Norwegian Registry for Spine Surgery, the main object of the present study was to compare the clinical outcomes after decompressive surgery in patients with insignificant lower extremity pain, with those with more severe pain. Read More

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http://dx.doi.org/10.1186/s12891-019-2407-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343340PMC
January 2019
2 Reads

Effect of spinal decompression on back pain in lumbar spinal stenosis: a Canadian Spine Outcomes Research Network (CSORN) study.

Spine J 2019 Jan 19. Epub 2019 Jan 19.

Vancouver Spine Surgery Institute, 10th Avenue West, Vancouver V5Z 1MZ, Canada.

Background Context: Surgical decompression is usually offered for improvement of neurogenic claudication in patients with symptomatic lumbar canal stenosis. These patients often have associated low back pain (LBP) and little is known about the effect of decompression on this symptom.

Purpose: The goal of the present study is to specifically quantify the improvement in LBP following surgical decompression for lumbar canal stenosis and to identify factors associated with changes in LBP in this population. Read More

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http://dx.doi.org/10.1016/j.spinee.2019.01.003DOI Listing
January 2019
5 Reads

Comparative Clinical Effectiveness of Nonsurgical Treatment Methods in Patients With Lumbar Spinal Stenosis: A Randomized Clinical Trial.

JAMA Netw Open 2019 Jan 4;2(1):e186828. Epub 2019 Jan 4.

Department of Physical Therapy, University of Pittsburgh, Pittsburgh, Pennsylvania.

Importance: Lumbar spinal stenosis (LSS) is the most common reason for spine surgery in older US adults. There is an evidence gap about nonsurgical LSS treatment options.

Objective: To explore the comparative clinical effectiveness of 3 nonsurgical interventions for patients with LSS. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2018.6828DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324321PMC
January 2019
6 Reads

Interspinous process decompression is associated with a reduction in opioid analgesia in patients with lumbar spinal stenosis.

J Pain Res 2018 20;11:2943-2948. Epub 2018 Nov 20.

Jon Block, San Francisco, CA 94115, USA,

Background: Lumbar spinal stenosis (LSS) causes significant pain and functional impairment, and medical management has increasingly included the prescription of opioid-based analgesics. Interspinous process decompression (IPD) provides a minimally-invasive treatment option for LSS.

Methods: This study estimated the type, dosage, and duration of opioid medications through 5 years of follow-up after IPD with the Superion Indirect Decompression System (Vertiflex Inc. Read More

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http://dx.doi.org/10.2147/JPR.S182322DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251434PMC
November 2018
3 Reads

Percutaneous Epidural Adhesiolysis Using Inflatable Balloon Catheter and Balloon-less Catheter in Central Lumbar Spinal Stenosis with Neurogenic Claudication: A Randomized Controlled Trial.

Pain Physician 2018 11;21(6):593-606

Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Background: When conventional interventional procedures fail, percutaneous epidural adhesiolysis (PEA), which has moderate evidence for successful treatment of lumbar spinal stenosis (LSS), has been recommended over surgical treatments. In a previous study, we demonstrated the efficacy of a newly developed inflatable balloon catheter for overcoming the access limitations of pre-existing catheters for patients with severe stenosis or adhesions.

Objectives: This study compared the treatment response of combined PEA with balloon decompression and PEA only in patients with central LSS over 6 months of follow-up. Read More

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November 2018
3 Reads

Does sagittal imbalance impact the surgical outcomes of short-segment fusion for lumbar spinal stenosis associated with degenerative lumbar scoliosis?

J Orthop Sci 2019 Mar 2;24(2):224-229. Epub 2018 Nov 2.

Department of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.

Background: The degenerative lumbar scoliosis (DLS) patients who mainly complained about neurogenic claudication due to spinal canal stenosis are well-indicated for short segment fusion (SSF) at the affecting levels. However, it is unclear whether we should consider global sagittal balance or not. The aim of this study was to evaluate the impact of sagittal balance on the surgical outcomes of degenerative lumbar scoliosis (DLS) patients who underwent SSF. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S09492658183029
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http://dx.doi.org/10.1016/j.jos.2018.10.005DOI Listing
March 2019
16 Reads

Better Outcomes for Older people with Spinal Trouble (BOOST) Trial: a randomised controlled trial of a combined physical and psychological intervention for older adults with neurogenic claudication, a protocol.

BMJ Open 2018 Oct 18;8(10):e022205. Epub 2018 Oct 18.

Centre for Rehabilitation Research, Nuffield Department of Rhuematology, Orthopaedics and Musculskeletal Sciences, University of Oxford, Oxford, UK.

Introduction: Neurogenic claudication due to spinal stenosis is common in older adults. The effectiveness of conservative interventions is not known. The aim of the study is to estimate the clinical and cost-effectiveness of a physiotherapist-delivered, combined physical and psychological intervention. Read More

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http://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2018-02220
Publisher Site
http://dx.doi.org/10.1136/bmjopen-2018-022205DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6196848PMC
October 2018
11 Reads

Spinal epidural lipomatosis presenting to a U.S. Veterans Affairs pain and rehabilitation department: a report of two cases.

Chiropr Man Therap 2018 2;26:33. Epub 2018 Oct 2.

Veterans Affairs Saint Louis Health Care System, St. Louis, MO USA.

Background: Spinal epidural lipomatosis is an uncommon source of neurogenic claudication. We present two cases of spinal epidural lipomatosis as it relates to diagnosis, management, and a possible association with common medical intervention.

Case Presentation: Case 1: 63-year old male patient presented with neurogenic claudication symptoms, but without evidence of bony central canal stenosis on lumbar computed tomography. Read More

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http://dx.doi.org/10.1186/s12998-018-0203-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6167793PMC
October 2018
4 Reads

Readmissions After Outpatient Transforaminal Decompression for Lumbar Foraminal and Lateral Recess Stenosis.

Int J Spine Surg 2018 Jun 15;12(3):342-351. Epub 2018 Aug 15.

Center for Advanced Spine Care of Southern Arizona, Tucson, Arizona; University of Arizona, Tucson, Arizona; Department of Neurosurgery, Universidade Federal do Estado do Rio de Janeiro-UNIRIO, Rio de Janeiro, Brazil.

Background: The objective of this study was to analyze readmission rates after outpatient transforaminal endoscopic decompression surgery for lumbar foraminal and lateral recess stenosis done in an ambulatory surgery center. Endoscopic lumbar spinal surgery is gaining popularity for the treatment of lumbar disc herniations. Recent advances in surgical techniques allow for percutaneous endoscopically assisted bony decompression for neurogenic claudication symptoms due to spinal stenosis. Read More

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http://dx.doi.org/10.14444/5040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159758PMC
June 2018
3 Reads

Paget's disease of the lumbar spine: decompressive surgery following 17 years of bisphosphonate treatment.

Eur Spine J 2018 Dec 21;27(12):3066-3070. Epub 2018 Sep 21.

Department of Orthopaedic, Trauma and Plastic Surgery, University Hospital Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.

Background: We present a rare case of Paget's disease (PD) with involvement of the lumbar spine over a period of 19 years. We discuss the diagnostic process to rule out alternative diagnoses and medical and surgical treatment strategies.

Case Description: A 58-year-old man first diagnosed with PD in 1998 with solid involvement of the 4th lumbar vertebra has been undergoing periodic examinations over a period of 18 years. Read More

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http://dx.doi.org/10.1007/s00586-018-5751-5DOI Listing
December 2018
1 Read

Long-Term Safety and Efficacy of Minimally Invasive Lumbar Decompression Procedure for the Treatment of Lumbar Spinal Stenosis With Neurogenic Claudication: 2-Year Results of MiDAS ENCORE.

Reg Anesth Pain Med 2018 Oct;43(7):789-794

Millennium Pain Center, Bloomington, IL.

Background And Objectives: This study evaluated the long-term durability of the minimally invasive lumbar decompression (MILD) procedure in terms of functional improvement and pain reduction for patients with lumbar spinal stenosis and neurogenic claudication due to hypertrophic ligamentum flavum. This is a report of 2-year follow-up for MILD study patients.

Methods: This prospective, multicenter, randomized controlled clinical study compared outcomes for 143 patients treated with MILD versus 131 treated with epidural steroid injections. Read More

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http://dx.doi.org/10.1097/AAP.0000000000000868DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6319572PMC
October 2018
7 Reads
3.089 Impact Factor

The effect of facet joint injection on lumbar spinal stenosis with radiculopathy.

Pak J Med Sci 2018 Jul-Aug;34(4):968-973

Yoo Mee Bae, MD. Department of Anesthesiology and Pain Medicine, Chungbuk National University Hospital, College of Medicine, Chungbuk National University, Korea.

Objectives: Facet Joint Injection (FJI) is known to be effective in axial back pain, but the purpose of this study was to assess the effects of FJI on patients treated with it among those with Lumbar Spinal Stenosis (LSS).

Methods: We conducted a retrospective database analysis and investigated electronic medical records of 125 LSS patients treated with FJI in the pain clinic of Chungbuk National University Hospital from November 2, 2016 to July 31, 2017. Sex, age, histories of low back surgery, complaining of neurogenic claudication, symptomatic sites of patients, FJI sites, number of sites of FJI, triamcinolone dosage, Numeric Rating Scale (NRS) before and after treatment, facet joint capsule rupture during treatment, and improvement of neurogenic claudication after treatment, were examined. Read More

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http://dx.doi.org/10.12669/pjms.344.15010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6115579PMC
September 2018
13 Reads

Influence of comorbidities on patients reported outcomes in degenerative lumbar spinal stenosis.

Orthop Traumatol Surg Res 2018 Nov 1;104(7):1031-1036. Epub 2018 Sep 1.

Department of orthopedic surgery, hôpital européen Georges-Pompidou, Paris V university, 20, rue Leblanc, 75015 Paris, France.

Introduction: In degenerative lumbar spinal stenosis (DLSS) variability of symptoms according to the severity of stenosis is not well understood. Therefore, another factor that impacts functional outcomes of DLSS patients has been evoked: patient's comorbidities. The aim of this study was to investigate influence of comorbidities on clinical symptoms and functional outcomes in DLSS patients. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18770568183024
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http://dx.doi.org/10.1016/j.otsr.2018.07.012DOI Listing
November 2018
31 Reads
1.170 Impact Factor

Effect of a prototype lumbar spinal stenosis belt versus a lumbar support on walking capacity in lumbar spinal stenosis: a randomized controlled trial.

Spine J 2019 Mar 25;19(3):386-394. Epub 2018 Jul 25.

Institute of Health Policy, Management and Evaluation, University of Toronto, 4th Floor, 155 College St, Toronto, ON Canada M5T 3M6; Dalla Lana School of Public Health, University of Toronto, 155 College St, Toronto, Ontario, Canada, M5T 3M7; UOIT-CMCC Centre for Disability Prevention and Rehabilitation, Faculty of Health Sciences, University of Ontario Institute of Technology, 2000 Simcoe Street North Oshawa, Ontario, Canada L1H 7K4.

Background Context: Lumbar spinal stenosis (LSS) can impair blood flow to the spinal nerves giving rise to neurogenic claudication and limited walking ability. Reducing lumbar lordosis can increases the volume of the spinal canal and reduce neuroischemia. We developed a prototype LSS belt aimed at reducing lumbar lordosis while walking. Read More

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http://dx.doi.org/10.1016/j.spinee.2018.07.012DOI Listing
March 2019
23 Reads

Lateral Transpsoas Approach for Lumbar Indirect Lateral Recess Decompression: 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2019 Mar;16(3):391

Hospital Italiano de Buenos Aires, Capital Federal, Argentina.

Neurogenic claudication is a common symptom of lumbar spinal stenosis; its pathophysiology is thought to be ischemia of the nerve roots secondary to compression from surrounding structures. The stenosis of the lateral recesses and neuroforamen can cause these symptoms and its surgical treatment is decompression. The placement of interbody cages that restore the disc space height may indirectly decompress the neuroforamen and alleviate the nerve impingement symptoms. Read More

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http://dx.doi.org/10.1093/ons/opy156DOI Listing
March 2019
5 Reads

Is there a Correlation Between Degree of Radiologic Lumbar Spinal Stenosis and its Clinical Manifestation?

Clin Spine Surg 2018 Oct;31(8):E403-E408

Department of Neurology, University Hospital and Masaryk University Brno, Jihlavska.

Study Design: This was an observational cross-sectional study.

Objective: The purpose of this study was to evaluate whether the degree of stenosis on magnetic resonance imaging (MRI) relates to the severity of clinical symptoms, disability, or neurological deficit in patients with symptomatic central lumbar spinal stenosis (LSS).

Summary Of Background Data: The relationship between radiologic findings and the clinical manifestations of LSS remains unclear. Read More

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http://dx.doi.org/10.1097/BSD.0000000000000681DOI Listing
October 2018
5 Reads

Comprehensive Nonsurgical Treatment Versus Self-directed Care to Improve Walking Ability in Lumbar Spinal Stenosis: A Randomized Trial.

Arch Phys Med Rehabil 2018 Dec 20;99(12):2408-2419.e2. Epub 2018 Jun 20.

Department of Orthopedics, Toronto Western Hospital, University Health Network, Toronto, Ontario, Canada.

Objectives: To compare the effectiveness of a comprehensive nonsurgical training program to a self-directed approach in improving walking ability in lumbar spinal stenosis (LSS).

Design: Randomized controlled trial.

Setting: Academic hospital outpatient clinic. Read More

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http://dx.doi.org/10.1016/j.apmr.2018.05.014DOI Listing
December 2018
67 Reads

Percutaneous Pedicle-Lengthening Osteotomy in Minimal Invasive Spinal Surgery to Treat Degenerative Lumbar Spinal Stenosis: A Single-Center Preliminary Experience.

J Neurol Surg A Cent Eur Neurosurg 2018 Sep 14;79(5):365-371. Epub 2018 Jun 14.

Department of Experimental Biomedicine and Clinical Neurosciences, AOU Policlinico Paolo Giaccone, Palermo, Italy.

Background:  Lumbar spinal stenosis (LSS) is a narrowing of the spinal canal due to spinal degeneration, and its main clinical symptom is neurogenic claudication. Surgical treatment is pursued for patients who do not improve with conservative care. Patients with symptomatic LSS who also have significant medical comorbidities, although clearly in need of intervention, are unattractive candidates for traditional open lumbar decompressive procedures. Read More

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http://dx.doi.org/10.1055/s-0038-1641148DOI Listing
September 2018
13 Reads

Five-year results of a clinical pilot study utilizing a pedicle-lengthening osteotomy for the treatment of lumbar spinal stenosis.

J Neurosurg Spine 2018 Sep 1;29(3):241-249. Epub 2018 Jun 1.

3Department of Orthopaedics, Thomas Jefferson University/Rothman Institute, Philadelphia, Pennsylvania.

OBJECTIVE Lumbar spinal stenosis (LSS) is a common condition that leads to significant disability, particularly in the elderly. Current therapeutic options have certain drawbacks. This study evaluates the 5-year clinical and radiographic results of a minimally invasive pedicle-lengthening osteotomy (PLO) for symptomatic LSS. Read More

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http://dx.doi.org/10.3171/2017.11.SPINE16664DOI Listing
September 2018
14 Reads

Efficacy and Safety of Full-endoscopic Decompression via Interlaminar Approach for Central or Lateral Recess Spinal Stenosis of the Lumbar Spine: A Meta-analysis.

Spine (Phila Pa 1976) 2018 Dec;43(24):1756-1764

Department of Neurosurgery, Ilsan Paik Hospital, Inje University College of Medicine.

Study Design: A meta-analysis of five retrospective cohort studies.

Objective: The aim of the study was to delineate the efficacy and safety of full-endoscopic decompression via the interlaminar approach for central or lateral recess spinal stenosis of the lumbar spine using a meta-analysis.

Summary Of Background Data: The paradigm of spinal endoscopy is shifting from treatment of soft disc herniation to that of lumbar spinal stenosis. Read More

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http://dx.doi.org/10.1097/BRS.0000000000002708DOI Listing
December 2018
8 Reads
2.300 Impact Factor

New Implant-Based Technologies in the Spine.

Cardiovasc Intervent Radiol 2018 Oct 22;41(10):1463-1473. Epub 2018 May 22.

2nd Radiology Department, Medical School, University General Hospital "ATTIKON", National and Kapodistrian University of Athens, 1 Rimini str, 12462, Haidari/Athens, Greece.

Vertebral compression fractures (VCFs) may result in a kyphotic deformity which can cause potential systemic complications secondary to respiratory and gastrointestinal dysfunction. The use of implants in the spine for VCF treatment represents a paradigm shift away from cement injection on its own, aiming to combine the analgesic and stabilizing effect of injecting cement into the vertebral body with vertebral height restoration and kyphotic angle correction. Spine implants which can be used for VCF treatment include stents, jacks, PEEK cages and fracture reduction systems. Read More

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http://dx.doi.org/10.1007/s00270-018-1987-zDOI Listing
October 2018
23 Reads

Which Neuromuscular Attributes Are Associated With Changes in Mobility Among Community-Dwelling Older Adults With Symptomatic Lumbar Spinal Stenosis?

Arch Phys Med Rehabil 2018 Nov 16;99(11):2190-2197. Epub 2018 May 16.

New England Geriatric Research Education and Clinical Center, VA Boston Healthcare System, GRECC, Boston, MA.

Objectives: To identify neuromuscular attributes associated with mobility and changes in mobility over 2 years of follow-up among patients with and without symptomatic lumbar spinal stenosis (SLSS).

Design: Secondary analysis of a longitudinal cohort study.

Setting: Outpatient rehabilitation center. Read More

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http://dx.doi.org/10.1016/j.apmr.2018.04.019DOI Listing
November 2018
4 Reads

Reply to "Comments on Clinical classification criteria for neurogenic claudication caused by lumbar spinal stenosis. The N-CLASS criteria".

Spine J 2018 05;18(5):913-914

Division of General Internal Medicine, Massachusetts General Hospital, 15 Parkman St, Boston MA 02114, USA.

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https://linkinghub.elsevier.com/retrieve/pii/S15299430183002
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http://dx.doi.org/10.1016/j.spinee.2018.01.021DOI Listing
May 2018
12 Reads

Comments on "Clinical classification criteria for neurogenic claudication caused by lumbar spinal stenosis. The N-CLASS criteria".

Spine J 2018 05;18(5):912-913

Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Abidar St, Sanandaj, Iran; Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Shahid Hemmat Highway, Tehran, Iran.

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http://dx.doi.org/10.1016/j.spinee.2018.01.017DOI Listing
May 2018
7 Reads

Do intra-operative neurophysiological changes predict functional outcome following decompressive surgery for lumbar spinal stenosis? A prospective study.

J Spine Surg 2018 Mar;4(1):86-92

Orthopaedic Department, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne, Lausanne, Switzerland.

Background: To analyse the relation between immediate intraoperative neurophysiological changes during decompression and clinical outcome in a series of patients with lumbar spinal stenosis (LSS) undergoing surgery.

Methods: Twenty-four patients with neurogenic intermittent claudication (NIC) due to LSS undergoing decompressive surgery were prospectively studied. Intra operative trans-cranial motor evoked potentials (tcMEPs) were recorded before and immediately after surgical decompression. Read More

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http://jss.amegroups.com/article/view/4081/4641
Publisher Site
http://dx.doi.org/10.21037/jss.2018.03.05DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5911769PMC
March 2018
10 Reads

Biopsychosocial Profiles and Functional Correlates in Older Adults with Chronic Low Back Pain: A Preliminary Study.

Pain Med 2018 Apr 16. Epub 2018 Apr 16.

Department of Medicine.

Objective: To describe key peripheral and central nervous system (CNS) conditions in a group of older adults with chronic low back pain (CLBP) and their association with pain severity and self-reported and performance-based physical function.

Design: Cross-sectional.

Setting: Outpatient VA clinics. Read More

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http://dx.doi.org/10.1093/pm/pny065DOI Listing
April 2018
3 Reads

Spinal case of the month with short perspective: How would you treat this L3-L4 synovial cyst?

Authors:
Nancy E Epstein

Surg Neurol Int 2018 7;9:56. Epub 2018 Mar 7.

Professor of Clinical Neurosurgery, School of Medicine, University of State of New York at Stony Brook, Mineola, New York, USA.

Background: In this new section, Case of the Month with Short Perspective from Surgical Neurology International, we want to see how various spine surgeons would approach different spinal pathologies. In this first case, an elderly male presented with 3 years of lower back pain and progressive neurogenic claudication with bilateral radiculopathy that had exacerbated over the prior 6 months. An outside physician performed a magnetic resonance (MR) study of the lumbar spine that showed a massive synovial cyst filling the spinal canal (e. Read More

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http://dx.doi.org/10.4103/sni.sni_27_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858046PMC
March 2018
4 Reads

Decompression with or without concomitant fusion in lumbar stenosis due to degenerative spondylolisthesis: a systematic review.

Eur Spine J 2018 07 5;27(7):1629-1643. Epub 2018 Feb 5.

Department of Neurosurgery, Leiden University Medical Centre, Albinusdreef 2, 2300 RC, Leiden, The Netherlands.

Purpose: The primary objective of this systematic review is to compare the outcome after decompression with and without concomitant instrumented fusion in patients with lumbar stenosis and degenerative spondylolisthesis. Does adding fusion to simple decompression lead to better results?

Methods: PubMed, Embase, CENTRAL, Cochrane, Web of Science, CINAHL and Academic Search Premier were searched. All studies comparing outcome of decompression alone to decompression with concomitant-instrumented fusion in patients suffering from symptomatic lumbar stenosis with degenerative spondylolisthesis were included. Read More

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http://dx.doi.org/10.1007/s00586-017-5436-5DOI Listing
July 2018
1 Read

A comparative study of 2-year follow-up outcomes in lumbar spinal stenosis patients treated with physical therapy alone and those with surgical intervention after less successful physical therapy.

J Orthop Sci 2018 May 1;23(3):470-476. Epub 2018 Feb 1.

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

Background: The efficacy of physical therapy for patients with lumbar spinal stenosis (LSS) has been reported only for the short term, and few reports have compared outcomes of surgical treatment with nonsurgical treatment after physical therapy. The purpose of this study was to assess 2-year outcomes of LSS patients treated with surgery or under follow-up observation after physical therapy for 6 weeks.

Methods: Patients presenting with neurogenic claudication, radiologically-confirmed central LSS affecting both legs and refractory symptoms to pharmacotherapy of more than 3 months were enrolled. Read More

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http://dx.doi.org/10.1016/j.jos.2018.01.003DOI Listing
May 2018
8 Reads

Minimally Invasive Excision of Lumbar Tophaceous Gout: Case Report.

Int J Spine Surg 2017 5;11:37. Epub 2017 Dec 5.

Department of Histopathology, Addenbrooke's Hospital, Cambridge University Hospital, Cambridge, UK.

Background: Symptomatic spinal gout is relatively rare. Open laminectomy, with or without fusion, has been so far the standard treatment for symptomatic spinal gout. We describe here the first case of spinal tophaceus gout treated with minimally invasive surgery. Read More

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http://dx.doi.org/10.14444/4037DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5779265PMC
December 2017
2 Reads

Long-term results with percutaneous interspinous process devices in the treatment of neurogenic intermittent claudication.

Authors:
Patrick Fransen

J Spine Surg 2017 Dec;3(4):620-623

IM2S, Clinique Médico-Chirurgicale Orthopédique de Monaco, Monaco, Principality of Monaco.

Background: Neurogenic intermittent claudication (NIC) is the main symptom of degenerative lumbar spinal stenosis. Percutaneous interspinous process decompression devices (IPDs) have been designed as an alternative therapy to conservative treatment and to open decompressive surgery for patients suffering from NIC. Initial short-term results were encouraging. Read More

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http://dx.doi.org/10.21037/jss.2017.11.07DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5760401PMC
December 2017
2 Reads

Unilateral repetitive tibial nerve stimulation improves neurogenic claudication and bilateral F-wave conduction in central lumbar spinal stenosis.

J Orthop Sci 2018 Mar 17;23(2):282-288. Epub 2018 Jan 17.

Department of Orthopaedic Surgery, Kochi Medical School, Kochi University, Japan.

Background: Repetitive electrical nerve stimulation of the lower limb may improve neurogenic claudication in patients with lumbar spinal stenosis (LSS) as originally described by Tamaki et al. We tested if this neuromodulation technique affects the F-wave conduction on both sides to explore the underlying physiologic mechanisms.

Methods: We studied a total of 26 LSS patients, assigning 16 to a study group receiving repetitive tibial nerve stimulation at the ankle (RTNS) on one leg, and 10 to a group without RTNS. Read More

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http://dx.doi.org/10.1016/j.jos.2017.12.006DOI Listing
March 2018
7 Reads

[CME: Lumbar spinal stenosis].

Praxis (Bern 1994) 2018 01;107(1):7-15

1 Wirbelsäulenchirurgie, Universitätsklinik Balgrist.

Spinal stenosis can be found in up to 80 % of individuals aged over 70 years. However, about 20 % of asymptomatic individuals demonstrate signs of spinal stenosis on MRI. The pathomechanism of central spinal stenosis is predominantly related to degenerative changes. Read More

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http://dx.doi.org/10.1024/1661-8157/a002863DOI Listing
January 2018
6 Reads

Spondylectomy and lateral lumbar interbody fusion for thoracolumbar kyphosis in an adult with achondroplasia: A case report.

Medicine (Baltimore) 2017 Dec;96(49):e8983

Department of Orthopaedic Surgery, Oita University, Oita, Japan.

Rationale: Fixed thoracolumbar kyphosis with spinal stenosis in adult patients with achondroplasia presents a challenging issue. We describe the first case in which spondylectomy and minimally invasive lateral access interbody arthrodesis were used for the treatment of fixed severe thoracolumbar kyphosis and lumbar spinal canal stenosis in an adult with achondroplasia.

Patient Concerns: A 61-year-old man with a history of achondroplastic dwarfism presented with low back pain and radiculopathy and neurogenic claudication. Read More

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http://dx.doi.org/10.1097/MD.0000000000008983DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728885PMC
December 2017
36 Reads

Characteristics and determinants of clinical symptoms in radiographic lumbar spinal stenosis in a tertiary health care centre in sub-Saharan Africa.

BMC Musculoskelet Disord 2017 Nov 28;18(1):494. Epub 2017 Nov 28.

Faculty of medicine and Biomedical Sciences, University of Yaounde I, Yaoundé, Cameroon.

Background: Lumbar spinal stenosis (LSS) refers to narrowing of the lumbar central spinal canal, lateral recess, and/or neuro-foramina. Radiographic LSS plays an important role in clinical LSS but is not solely accountable for the presence of symptoms. We sought to characterise clinical LSS and to determine factors associated with presence of symptoms of LSS in patients with radiographic LSS in a sub Saharan Africa setting. Read More

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https://bmcmusculoskeletdisord.biomedcentral.com/track/pdf/1
Web Search
https://www.researchgate.net/publication/15779264_The_latera
Web Search
http://www.jcvjs.com/article.asp?issn=0974-8237;year=2018;vo
Web Search
https://bmcmusculoskeletdisord.biomedcentral.com/articles/10
Publisher Site
http://dx.doi.org/10.1186/s12891-017-1844-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5704579PMC
November 2017
17 Reads