2,470 results match your criteria bilateral decompression

Combination of hyperbaric oxygen and core decompression therapies improve outcomes in the treatment of hip osteonecrosis.

Hip Int 2021 Apr 12:11207000211003285. Epub 2021 Apr 12.

Fora Hyperbaric Centre, Balgat, Ankara, Turkey.

Introduction: To investigate whether combined treatment of hyperbaric oxygen (HBO) and core decompression (CD) result with better outcomes and have an additional influence on health quality scores when compared with HBO alone.

Methods: 63 consecutive patients' 80 hips (43 male, 20 female, 17 bilateral), diagnosed with Stage II Osteonecrosis of the femoral head were included in our study. The mean age at presentation in the HBO and CD + HBO groups were 39. Read More

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Spinal subdural hematoma after interlaminar full-endoscopic decompression of lumbar spinal stenosis: a case report and literature review.

J Spine Surg 2021 Mar;7(1):118-123

Department of Neurosurgery, Chungdam Wooridul Spine Hospital, Seoul, South Korea.

The use of full-endoscopic decompression for lumbar spinal stenosis has been increasing recently. It is a minimally invasive surgical procedure that has few complications. Spinal subdural hematoma (SSH) following endoscopic surgery has never been reported. Read More

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Core Decompression with Non Vascularized Fibular Graft as Modern Surgical Treatment of Early Hip Avascular Necrosis.

Mymensingh Med J 2021 Apr;30(2):323-328

Dr Mohammad Tariqul Alam, Assistant Professor, Paediatric Orthopaedics, Mymensingh Medical College (MMC), Mymensingh, Bangladesh; E-mail:

Cellular death of bone due to impairment of the blood supply leading to collapse resulting in pain, and loss of joint function is known as avascular necrosis (AVN). The head of femur is the most common bone affected by avascular necrosis followed by talus and scaphoid. We evaluate the results of core decompression with non-vascularized fibular graft in avascular necrosis of femoral head. Read More

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Prognostic Factors for Pediatric Acute Encephalopathy Associated with Severe Brain Edema.

Pediatr Neurosurg 2021 Apr 7:1-8. Epub 2021 Apr 7.

Division of Pediatric Neurosurgery, Ibaraki Children's Hospital, Mito, Japan.

Background And Objective: Acute encephalopathy is a life-threatening brain dysfunction in children, often associated with a preceding infection and diffuse noninflammatory brain edema. At present, the role of decompressive craniectomy (DC) over the swollen area of the brain is unclear. The risk factors for predicting clinical deterioration also need clarification. Read More

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Clinical Characteristics of Patients Undergoing Needle Thoracostomy in a Canadian Helicopter Emergency Medical Service.

Prehosp Emerg Care 2021 Apr 5:1-9. Epub 2021 Apr 5.

Faculty of Nursing, University of Calgary, Calgary, Canada.

Objective: Needle thoracostomy (NT) can be a life-saving procedure when used to treat tension pneumothorax. However, there is some question regarding the efficacy of NT in the prehospital setting. Failure to treat tension pneumothorax in a helicopter emergency medical service (HEMS) setting may prove especially deleterious to the patient due to gas expansion with increasing altitude. Read More

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Non-Dolichoectatic Vertebral Artery Compression of the Medulla: A Comprehensive Literature Review.

J Stroke Cerebrovasc Dis 2021 Mar 31;30(6):105750. Epub 2021 Mar 31.

Undergraduate Student at Dartmouth College, 5130 Duke Street Suite 9, Alexandria, VA 22304, USA. Electronic address:

Objective: Vertebral artery compression of the medulla is a rare vascular finding that causes a variety of clinical presentations, from asymptomatic to neurological disability. This article presents the largest literature review to date on medullary compression of the vertebral arteries.

Methods: An English literature search was performed using the PubMed database and the keywords vertebral artery tortuosity, vertebral artery compression, and medullary compression. Read More

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Endoscopic Bilateral Optic Nerve Decompression for Treatment of Idiopathic Intracranial Hypertension.

Brain Sci 2021 Mar 4;11(3). Epub 2021 Mar 4.

Department of Neurosurgery, University of Virginia, Charlottesville, VA 22903, USA.

Objective: To evaluate the results of bilateral endoscopic optic nerve decompression (EOND) with the opening nerve sheath (ONS) technique in patients with idiopathic intracranial hypertension (IIH).

Methods: Between the years of 2017 and 2019, we retrospectively evaluated nine IIH patients with progressive visual impairment despite medical treatment and who were treated with the EOND and ONS techniques. We also demonstrated our surgical technique recipe on postmortem human heads in a stepwise manner. Read More

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Is unilateral MIS-TLIF sufficient in patients with claudication?: A comparative matched cohort study.

World Neurosurg 2021 Mar 30. Epub 2021 Mar 30.

Department of Orthopedics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. Electronic address:

Objective: To evaluate clinical and radiological outcomes between bilateral decompression using over-the- top technique (Group 1) and unilateral decompression (Group 2) in patients with claudication who underwent minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF).

Methods: We enrolled patients with claudication who underwent MIS-TLIF from January 2017 to June 2019. Visual analog scale (VAS), Oswestry Disability Index (ODI) scores, walking distance and perioperative outcomes were compared between groups. Read More

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Extraocular Muscle Enlargement and Proptosis Associated with Chronic Inflammatory Demyelinating Polyradiculoneuropathy.

Ophthalmic Plast Reconstr Surg 2021 Mar 31. Epub 2021 Mar 31.

Orbital Plastics and Lacrimal Unit, Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria, Australia Centre for Eye Research, University of Melbourne, Melbourne, Australia Department of Surgery, Royal Melbourne Hospital, University of Melbourne, Parkville, Victoria, Australia.

Chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) is an inflammatory neuropathy, which commonly causes peripheral neuropathy. It has rarely been associated with cranial nerve hypertrophy and neuro-ophthalmic manifestations. Proptosis secondary to cranial nerve hypertrophy has been reported in association with CIDP. Read More

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Primary bilateral tuberculous otitis media with peripheral facial paralysis: a case report and literature review.

Int J Clin Exp Pathol 2021 1;14(3):304-313. Epub 2021 Mar 1.

Department of Otolaryngology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine Hangzhou 310006, Zhejiang, China.

Tuberculous otitis media (TOM) is a rare disease. This study presents our experience in the diagnosis and treatment of TOM. A 49-year-old female had repeated ear discharge, vertigo, and severe hearing loss for six years, and underwent mastoid surgery four times because she was misdiagnosed with chronic suppurative otitis media. Read More

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Predictors of stent dysfunction in patients with bilateral metal stents for malignant hilar obstruction.

PLoS One 2021 29;16(3):e0249096. Epub 2021 Mar 29.

Division of Gastroenterology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.

Introduction: For unresectable hilar obstruction, restoring and maintaining biliary ductal patency are crucial for improved survival and quality of life. The endoscopic placement of stents is now a mainstay of its treatment, and bilateral stenting is effective for biliary decompression. This study aimed to determine the clinical outcomes of bilateral metal stent placement using large cell-type stents and the clinical predictors of stent dysfunction in patients with malignant hilar obstruction. Read More

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Surgical treatment and outcomes of intramedullary tumors by minimally invasive approach.

J Clin Neurosci 2021 Apr 25;86:26-31. Epub 2021 Jan 25.

Acıbadem Healthcare Group, Fulya Hospital, Dikilitaş Mahallesi, Hakkı Yeten Cd. No.: 23, Beşiktaş, İstanbul, Turkey.

Intramedullary tumors are uncommon neoplasms which, without treatment, can cause neurologic morbidity or mortality. The goal of the treatment is complete surgical resection with a minimally invasive approach while preserving neurological status and also spinal stability. Out of 1972 patients with tumors of the spinal canal treated between 1994 and 2017, 168 intramedullary tumors of 417 intradural tumors have been presented. Read More

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Lower eyelid entropion in thyroid eye disease.

Orbit 2021 Mar 29:1-6. Epub 2021 Mar 29.

Ophthalmic Plastic Surgery Service, L.V. Prasad Eye Institute, Hyderabad, India.

: To report the clinical features, ultrasound biomicroscopic features, and management outcome in patients presenting with thyroid eye disease (TED) and lower eyelid entropion. Retrospective interventional case review of patients with TED presenting with lower eyelid entropion over a 12-year period.: Five patients (eight eyes) of a total of 1211 presented with lower eyelid entropion as one of the presenting signs of TED (0. Read More

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Comparison of Clinical Outcomes Following Lumbar Endoscopic Unilateral Laminotomy Bilateral Decompression and Minimally Invasive Transforaminal Lumbar Interbody Fusion for One-Level Lumbar Spinal Stenosis With Degenerative Spondylolisthesis.

Front Surg 2020 26;7:596327. Epub 2021 Feb 26.

Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Both lumbar endoscopic unilateral laminotomy bilateral decompression (LE-ULBD) and minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) have been used to treat one-level lumbar spinal stenosis (LSS) with degenerative spondylolisthesis, while the differences of the clinical outcomes are still uncertain. Among 60 consecutive patients included, 24 surgeries were performed by LE-ULBD and 36 surgeries were performed by MI-TLIF. Patient demographics, operation characteristics and complications were recorded. Read More

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February 2021

A Systematic Literature Review on Traumatic Optic Neuropathy.

J Ophthalmol 2021 26;2021:5553885. Epub 2021 Feb 26.

Ophthalmic Epidemiology Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Traumatic optic neuropathy (TON) is an uncommon vision-threatening disorder that can be caused by ocular or head trauma and is categorized into direct and indirect TON. The overall incidence of TON is 0.7-2. Read More

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February 2021

Neurological deterioration as a result of improper neck position detected by intraoperative neurophysiological monitoring in a cervical stenosis patient: A case report.

Medicine (Baltimore) 2021 Mar;100(11):e24241

Department of Spine Surgery, The Second Hospital of Jilin University.

Rationale: Intraoperative neurophysiological monitoring (IONM) is widely used in spinal surgeries to prevent iatrogenic spinal cord injury (SCI). Most surgeons focus on avoiding neurological compromise intraoperatively, while ignoring the possibility of nerve damage preoperatively, such as neck positioning. Thus, this study aims to report a case with transient neurological deterioration due to improper neck position detected by IONM during cervical surgery. Read More

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Lumbar Endoscopic Unilateral Laminotomy for Bilateral Decompression for Lumbar Spinal Stenosis Provides Comparable Clinical Outcomes in Patients with and without Degenerative Spondylolisthesis.

World Neurosurg 2021 Mar 17. Epub 2021 Mar 17.

Department of Orthopaedic Surgery, Tokyo Women's Medical University, Tokyo, Japan. Electronic address:

Objective: To investigate and compare the clinical and radiological outcomes of lumbar endoscopic unilateral laminotomy for bilateral decompression (LE-ULBD) for lumbar spinal stenosis (LSS) patients with and without degenerative spondylolisthesis (DS).

Methods: A total of 129 patients who underwent LE-ULBD for single-level LSS were retrospectively reviewed. The patients were classified into 2 groups based on the presence of DS. Read More

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Endoscopic Endonasal Odontoidectomy Preserving Atlantoaxial Stability: a Pediatric Case.

J Neurol Surg B Skull Base 2021 Feb 4;82(Suppl 1):S2-S3. Epub 2020 Mar 4.

Department of Neurosurgery, University of Insubria, Ospedale di Circolo Fondazione Macchi, Varese, Italy.

 We illustrate endoscopic endonasal odontoidectomy for the Chiari-I malformation respecting craniovertebral junction (CVJ) stability.  Case report of a 12-year-old girl affected by the Chiari-I malformation. Magnetic resonance imaging (MRI) showed tonsillar herniation, basilar invagination, and dental retroversion, causing angulation and compression of the bulbomedullary junction. Read More

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February 2021

Extended Middle Cranial Fossa Approach for Placement of Auditory Brainstem Implants.

Otol Neurotol 2021 Mar 11. Epub 2021 Mar 11.

Department of Otolaryngology-Head and Neck Surgery Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, Ohio.

Objective: Traditionally, auditory brainstem implants (ABIs) have been placed via the translabyrinthine or retrosigmoid approaches. In select patients, a modified extended middle cranial fossa (xMCF) approach with tentorial ligation may be advantageous for vestibular schwannoma (VS) resection and auditory rehabilitation. This manuscript describes the application of this modification of the MCF approach for simultaneous VS resection and ABI placement. Read More

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Correlation between different instrumentation variants and the degree of destabilization in treating cervical spondylotic spinal canal stenosis by unilateral hemilaminectomy with bilateral decompression: a biomechanical investigation.

Eur Spine J 2021 Mar 10. Epub 2021 Mar 10.

Am Aesculap Platz, Aesculap AG, 78532, Tuttlingen, Germany.

Purpose: Unilateral hemilaminectomy with bilateral decompression (BDZ) was proposed as an alternative decompressive procedure in cervical spondylotic myelopathy (CSM). Despite promising clinical results, the destabilizing effect is yet unknown. We therefore performed a biomechanical study to investigate whether lateral mass screw fixation should follow BDZ. Read More

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Combined, Rib-Sparing, Bilateral Approach to the Ventral Mid and Low Thoracic Spine: Study on Comparative Anatomy and Surgical Feasibility.

World Neurosurg 2021 Mar 4. Epub 2021 Mar 4.

Department of Neurosurgery and Gamma Knife Radiosurgery, San Raffaele Scientific Institute, Vita-Salute University, Milan, Italy.

Background: Pathologies of the ventral thoracic spine represent a challenge, igniting arguments about which should be the ideal surgical approach to access this area. Anterior transthoracic thoracotomy and a number of posterolateral routes have been developed. Among the latter, costotransversectomy has demonstrated to provide good ventral exposure with a lower, but not negligible, morbidity. 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 Mar 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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[Wiltse approach combined with contralateral transforaminal lumbar interbody fusion and conventional surgery for lumbar disc herniation:a case-control study].

Zhongguo Gu Shang 2021 Jan;34(1):51-7

Department of Spinal Surgery, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, China.

Objective: To compare the clinical effecty of Wiltse approach combined with contralateral transforaminal lumbar interbody fusion (TLIF) and traditional TLIF in the treatment of lumbar disc herniation and its affect on injury of multifidus muscle.

Methods: From June 2014 to September 2017, 90 patients with lumbar disc herniation combined with lumbar spine instability were divided into two groups (Wiltse approach group and traditional group) depend on the procedure of operation. Wiltse approach group was treated with Wiltse approach screw placement in one side combined with contralateral TLIF. Read More

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January 2021

[Treatment of senile lumbar spinal stenosis by unilateral approach and bilateral decompression with large channel endoscopy].

Zhongguo Gu Shang 2021 Jan;34(1):8-14

Gansu Academy of Traditional Chinese Medicine, Lanzhou 730050, Gansu, China.

Objective: To evaluate clinical effect of unilateral approach and bilateral decompression via large channel endoscopic system for the treatment of lumbar spinal stenosis.

Methods: The clinical data of 32 patients with lumbar spinal tenosis treated by unilateral approach and bilateral decompression via large channel endoscopy from February 2018 to February 2019 were retrospectively analyzed. There were 18 males and 14 females, aged 65 to 84 years old with an average of (70. Read More

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January 2021

Good recovery without decompression fasciotomy for crush syndrome caused by using a Japanese-style toilet.

Trauma Case Rep 2021 Apr 10;32:100411. Epub 2021 Feb 10.

Department of Trauma, Critical Care Medicine and Burn Center, Japan Community Healthcare Organization Chukyo Hospital, Nagoya, Japan.

We report a case of crush syndrome that developed while the patient was squatting to use a Japanese-style toilet. The patient was a 61-year-old male with an obese body. He was sitting on the toilet and couldn't stand up, and after a few hours, the landlord found him and called the emergency services. Read More

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Percutaneous spinal endoscopy with unilateral interlaminar approach to perform bilateral decompression for central lumbar spinal stenosis: radiographic and clinical assessment.

BMC Musculoskelet Disord 2021 Mar 1;22(1):236. Epub 2021 Mar 1.

Department of Spine Surgery, The First Affiliated Hospital of University of South China, Hengyang, People's Republic of China.

Background: Recently, a percutaneous spinal endoscopy unilateral posterior interlaminar approach to perform bilateral decompression has been proposed for use in treatment of lumbar spinal stenosis, As a development and supplement to traditional surgery, its advantages regarding therapeutic effects and prognosis, such as minor soft tissue damage, little intraoperative blood loss, and a quick return to daily life. However, there are few analyses of this surgery with a follow-up of more than 1 year,we conducted this study in order to quantitatively investigate radiographic and clinical efficacies of this surgery for central lumbar spinal stenosis.

Materials And Methods: Forty-six patients with central lumbar spinal stenosis were enrolled from January 2017 to July 2018. Read More

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Unilateral pulmonary hemorrhage caused by negative pressure pulmonary edema: A case report.

World J Clin Cases 2021 Feb;9(6):1408-1415

Department of Anesthesia and Pain Medicine, Hanyang University, Guri Hospital, Guri 11923, Gyeonggi-do, South Korea.

Background: Unilateral pulmonary hemorrhage is typically reported in young and healthy men with upper respiratory tract obstruction during anesthesia in special situations. Negative pressure in the lungs is created, resulting in negative pressure pulmonary edema (NPPE).

Case Summary: A 78-year-old male patient diagnosed with spinal stenosis was admitted to receive a unilateral laminectomy with bilateral decompression. Read More

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February 2021

Case report: Physiological changes due to a rapid ascent from 55 metres underwater.

J Intensive Care Soc 2021 Feb 13;22(1):88-91. Epub 2019 Dec 13.

Department of Anaesthesia and Intensive Care, St. Richards, Western Sussex Hospitals NHS Foundation Trust, Chichester, UK.

We present the case of a diver who experienced an uncontrolled ascent from 55 m and presented with a severe decompression illness. She was clinically shocked and in multi organ failure due to massive fluid shifts. She demonstrated bilateral lower limb loss of power and sensation and required multiple hyperbaric therapy sessions. Read More

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February 2021