11,742 results match your criteria spinal stenosis


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

J Pain 2021 Apr 12. Epub 2021 Apr 12.

Health Systems Management, Rush University, Chicago, Illinois, USA; Director of Research, American Hip Institute. Electronic address:

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

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Surgical outcomes of single stage surgery for Tandem spinal stenosis (TSS) in elderly and younger patients: A comparative study.

J Clin Orthop Trauma 2021 Jun 18;17:157-162. Epub 2021 Mar 18.

Mumbai Institute of Spine Surgery, Bombay Hospital and Medical Research Centre, Marine Lines, Mumbai, 400020, India.

Study Design: Retrospective study.

Objective: To evaluate and compare the outcomes of single stage surgery for Tandem Spinal Stenosis (TSS) in elderly (Age ≥65 years) and younger patients (Age <65 years).

Summary Of Background Data: Tandem spinal stenosis among elderly is common and often missed diagnosed with delayed presentation. Read More

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Transverse myelitis masquerading as cauda equina syndrome, stroke and cervical myelopathy.

Biomedicine (Taipei) 2020 28;10(1):45-50. Epub 2020 Mar 28.

Division of Spine, Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.

Transverse myelitis is an uncommon but well-defined neurological syndrome. However, a high index of suspicion is needed to diagnose this condition, especially when it occurs in concomitance with preexisting spinal canal stenosis. We report our patient, a 48 year old male, who initially presented to our spine clinic with acute onset unilateral lower limb weakness associated with urinary retention, which was suspected to be cauda equina syndrome due to a prolapsed intervertebral disc. Read More

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Efficacy and Safety of Escherichia coli-derived recombinant human bone morphogenetic protein-2 in additional lumbar posterolateral fusion: minimum 1 year follow-up.

Spine J 2021 Apr 10. Epub 2021 Apr 10.

Department of Orthopaedic Surgery, Hanyang University College of Medicine, Seoul, Republic of Korea. Electronic address:

Background Context: Recombinant human bone morphogenetic protein-2 (BMP-2) is the growth factor with the most striking osteoinductive performance in orthopedic operations; it is also able to induce heterotopic bone formation. However, there has been little clinical research on Escherichia coli-derived BMP-2 (E.BMP-2). Read More

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Criteria for failure and worsening after surgery for lumbar spinal stenosis. A prospective national spine registry observational study.

Spine J 2021 Apr 10. Epub 2021 Apr 10.

Innlandet Hospital Trust, The Research Center for Age-Related Functional Decline and Disease, PO Box 68, N-2313, Ottestad, Norway.

Background Context: Criteria for success after surgical treatment of lumbar spinal stenosis (LSS) have been defined previously; however, there are no clear criteria for failure and worsening after surgery as assessed by patient-reported outcome measures (PROMs).

Purpose: We aimed to quantify changes in standard PROMs that most accurately identified failure and worsening after surgery for LSS.

Study Design /setting: Retrospective analysis of prospective national spine registry data with 12-months follow-up. Read More

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

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

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

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

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

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Epidural hematoma treated by aspiration after transforaminal epidural steroid injection - A case report.

Anesth Pain Med (Seoul) 2021 Apr 9. Epub 2021 Apr 9.

Department of Anesthesiology and Pain Medicine, Kangdong Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea.

Background: Spinal epidural hematoma is rare condition that can rapidly develop into severe neurologic deficits. The pathophysiology of this development remains unclear. There are several case reports of emergency hematoma evacuations after epidural steroid injection. Read More

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Alloplastic or Autologous? Bone Chips versus PEEK Cage for Lumbar Interbody Fusion in Degenerative Spondylolisthesis.

J Neurol Surg A Cent Eur Neurosurg 2021 Apr 12. Epub 2021 Apr 12.

Department of Neurosurgery, University Hospital Würzburg, Würzburg, Germany.

Introduction:  This study was conducted to compare bone-filled intervertebral cages with autologous bone chips for instrumented lumbar interbody fusion in patients with spinal stenosis and degenerative spondylolisthesis.

Methods:  Surgery consisted of posterior instrumentation and decompression, diskectomy, and intervertebral fusion using a polyetheretherketone (PEEK) cage surrounded and filled with spongious bone chips (group 1,  = 57) or spongious bone chips alone (group 2,  = 37). The choice of method was left to the discretion of the surgeon. Read More

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Effect of lumbar laminectomy on spinal sagittal alignment: a systematic review.

Eur Spine J 2021 Apr 12. Epub 2021 Apr 12.

University of Turku, Turku, Finland.

Purpose: Positive spinal sagittal alignment is known to correlate with pain and disability. The association between lumbar spinal stenosis and spinal sagittal alignment is less known, as is the effect of lumbar decompressive surgery on the change in that alignment. The objective was to study the evidence on the effect of lumbar decompressive surgery on sagittal spinopelvic alignment. Read More

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Semi-Circumferential Decompression: Total En-Bloc Ligamentum Flavectomy to Treat Lumbar Spinal Stenosis with Two-Level Degenerative Spondylolisthesis.

Spine Surg Relat Res 2021 9;5(2):91-97. Epub 2020 Oct 9.

Department of Orthopaedic Surgery, Capital Corps of Republic of Korea Army, Yongin, Korea.

Introduction: Despite technical developments in decompression without fusion, many studies still assert that instability could be increased in patients with spinal stenosis and lumbar degenerative spondylolisthesis after spinal decompression surgery without fusion. Thus, this study aimed to describe and assess the clinical outcomes of the semi-circumferential decompression (SCD) technique used for microsurgical en-bloc total ligamentum flavectomy with preservation of the facet joint in treating patients who have lumbar spinal stenosis with two-level degenerative spondylolisthesis.

Methods: We retrospectively analyzed the clinical and radiologic outcomes of 14 patients who had spinal stenosis with two-level Meyerding grade I degenerative spondylolisthesis. Read More

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October 2020

Lumbar Spinal Canal Stenosis from the Perspective of Locomotive Syndrome and Metabolic Syndrome: A Narrative Review.

Authors:
Nobuyuki Fujita

Spine Surg Relat Res 2021 20;5(2):61-67. Epub 2020 Aug 20.

Department of Orthopaedic Surgery, School of Medicine, Fujita Health University, Aichi, Japan.

Patients with lumbar spinal canal stenosis (LSS) have impaired activities of daily living because of pain or motor paralysis, but no effective preventive treatment is currently available. The number of patients with LSS is predicted to continually increase as the average age of the global population increases. To provide a conceptual framework for improving healthy life expectancy, the Japanese Orthopaedic Association introduced the concept of locomotive syndrome, to which LSS is related. Read More

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Safety and Feasibility of Lumbar Cerebrospinal Fluid Pressure and Intraspinal Pressure Studies in Cervical Stenosis: A Case Series.

Acta Neurochir Suppl 2021 ;131:367-372

Department of Neurology and Neurophysiology, Balgrist University Hospital, Zurich, Switzerland.

Introduction: Degenerative cervical myelopathy (DCM) leads to functional impairment by compression of the spinal cord and nerve roots. In DCM, the dynamics of cerebrospinal fluid pressure (CSFP) and intraspinal pressure (ISP), as well as spinal cord perfusion pressure (SCPP) remain not investigated yet. Recent technical advances have enabled investigation of these parameters in acute spinal cord injury (SCI). Read More

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January 2021

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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Minimally invasive tubular laminectomies in multilevel spine surgery-an illustrative case-based review of techniques and combined approaches.

J Spine Surg 2021 Mar;7(1):83-99

Section of Neurosurgery, Cleveland Clinic Indian River Hospital, Vero Beach, FL, USA.

Minimally invasive techniques have become part of the spine surgeons' armamentarium and are currently utilized to treat many conditions involving the cervical, thoracic, lumbar and sacral spine. Surgical treatment of severe degenerative conditions such as multilevel spinal stenosis, tandem stenosis, combination of stenosis or disk herniation and spondylolisthesis at adjacent spinal levels, as well as extensive infections or hematomas, may require a multilevel tailored approach with all the challenges that such surgical planning entails. Although the use of minimally invasive tubular decompressive procedures has gained widespread popularity in the recent years, the adoption of such techniques during multilevel spine surgery can be at times challenging. Read More

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A Technical Nuance to Avoid Lumbar Five Radiculopathy with Anterior Lumbar Fusion and Posterior Instrumentation.

Case Rep Orthop 2021 24;2021:5514720. Epub 2021 Mar 24.

Department of Neurologic Surgery, Mayo Clinic College of Medicine and Science, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA.

The anterior lumbar interbody fusion (ALIF) is a well-established procedure used to treat a multitude of spinal pathologies. When performed at the L5-S1 level, the ALIF is often supplemented with posterior pedicle screw and rod fixation. Because the interbody device can restore disk and foraminal height, one benefit of the ALIF procedure is indirect neural decompression in the spinal canal and neural foramina. Read More

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The Role of Smad2 in Transforming Growth Factor-β1 Induced Hypertrophy of Ligamentum Flavum.

World Neurosurg 2021 Apr 5. Epub 2021 Apr 5.

Department of Orthopedic Surgery, Qilu Hospital of Shandong University, Jinan, Shandong 250012, P. R. China. Electronic address:

Background: Hypertrophy of ligamentum flavum (LF) contributes to the development of spinal stenosis. Smad proteins can mediate the fibrogenesis activity through transforming growth factor-β1 (TGF-β1) pathway, but which Smad protein plays a more important role in the hypertrophy process of LF remained unclear.

Methods: The LF samples were obtained from 50 patients. Read More

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Helicobacter canis bacteraemia in a rheumatoid arthritis patient treated with tofacitinib: case report and literature review.

Ann Clin Microbiol Antimicrob 2021 Apr 8;20(1):22. Epub 2021 Apr 8.

Division of Internal Medicine, Department of Rheumatology, University Medical Centre Maribor, Ljubljanska ulica 5, 2000, Maribor, Slovenia.

Background: Non-Helicobacter pylori species (NHPS) are newly emerging bacteria that naturally inhabit birds and mammals apart from humans and rarely cause diseases in humans. In recent years, a rise in the number of cases associated with NHPS infections in humans has been observed. Among them, infections with Helicobacter (H. Read More

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Magnetic resonance imaging and neurological findings in dogs with disc-associated cervical spondylomyelopathy: a case series.

BMC Vet Res 2021 Apr 7;17(1):145. Epub 2021 Apr 7.

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, 601 Vernon Tharp St, OH, 43210, Columbus, USA.

Background: Canine cervical spondylomyelopathy can be separated into osseous and disc-associated (DA-CSM) forms. Our aim was to describe the magnetic resonance imaging (using a high-field scanner) and neurological findings in dogs with DA-CSM and investigate a relationship between these findings.

Results: Sixty-three dogs were included: 60/63 (95 %) were large breeds, with Doberman Pinschers and males over-represented (70 %). Read More

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Predicting Spinal Surgery Candidacy From Imaging Data Using Machine Learning.

Neurosurgery 2021 Apr 7. Epub 2021 Apr 7.

Department of Neurosurgery, University of California, Los Angeles, Los Angeles, California, USA.

Background: The referral process for consultation with a spine surgeon remains inefficient, given a substantial proportion of referrals to spine surgeons are nonoperative.

Objective: To develop a machine-learning-based algorithm which accurately identifies patients as candidates for consultation with a spine surgeon, using only magnetic resonance imaging (MRI).

Methods: We trained a deep U-Net machine learning model to delineate spinal canals on axial slices of 100 normal lumbar MRI scans which were previously delineated by expert radiologists and neurosurgeons. Read More

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Dynamic Stabilization Surgery in Patients with Spinal Stenosis: Long-term Outcomes and the Future.

Spine (Phila Pa 1976) 2021 Apr 5. Epub 2021 Apr 5.

Department of Neurosurgery, Spine Center, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Republic of Korea Department of Neurosurgery, Spine Center, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Republic of Korea.

Study Design: Retrospective cohort study.

Objective: The purpose of this study was to analyze the long-term results for patients with lumbar spinal stenosis (LSS) treated with dynamic stabilization (DS) and to consider how we can improve the results.

Summary Of Background Data: Few studies have reported long-term outcomes of DS surgery for LSS with or without spondylolisthesis. Read More

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Foramen Magnum Dural Arteriovenous Fistula Presenting With Thoracic Myelopathy: Technical Case Report With 2-Dimensional Operative Video.

Oper Neurosurg (Hagerstown) 2021 Apr 7. Epub 2021 Apr 7.

Background And Importance: Dural arteriovenous fistulas (dAVFs) are vascular abnormalities of the central nervous system that can cause a wide array of neurological dysfunction depending on their location, flow, and propensity to rupture. Symptomatic dAVFs at the cranio-cervical junction usually result in hemorrhage or cervical myelopathy. Distantly located dAVFs of the foramen magnum are a rare cause of thoracic intrinsic myelopathy. Read More

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Junctional kyphosis and junctional failure after multi-segmental posterior cervicothoracic fusion - A retrospective analysis of 64 patients.

J Craniovertebr Junction Spine 2020 Oct-Dec;11(4):310-315. Epub 2020 Nov 26.

Department of Neurosurgery, Hofstra School of Medicine, North Shore University Hospital, Manhasset, NY, USA.

Introduction: Junctional kyphosis (JK) and junctional failure (JF) are known complications after thoracolumbar spinal deformity surgery. This study aims to define the incidence and possible risk factors for JK/JF following multi-segmental cervicothoracic fusion.

Methods: This is a retrospective analysis of 64 consecutive patients undergoing cervicothoracic fusion surgery, including at least five segments. Read More

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November 2020

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

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

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

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

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

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November 2020

Successful treatment of continuous ossification of the posterior longitudinal ligament in the lumbar spine using percutaneous transforaminal endoscopic spinal decompression: a case report.

J Int Med Res 2021 Apr;49(4):3000605211004774

Department of Orthopedic, Affiliated Hospital of Chengde Medical University, Chengde, Hebei, China.

Ossification of the posterior longitudinal ligament (OPLL) of the lumbar spine is rare relative to that of the cervical spine but is often associated with more severe symptoms. Continuous lumbar OPLL is extremely rare. We herein describe a 48-year-old Chinese woman with lumbar spinal stenosis caused by continuous OPLL. Read More

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Evaluation of Adjacent Segment With Pre-Existing Degeneration Using the Cerebrospinal Fluid Occlusion Sign on MRI Before Posterior Lumbar Fusion: A Multi-Center Observational Cohort Study.

Global Spine J 2021 Apr 7:21925682211007116. Epub 2021 Apr 7.

Orthopaedic Department of 105738Beijing Tiantan Hospital, Beijing, China.

Study Design: Prospective cohort study.

Objective: To evaluate whether pre-existing adjacent spinal canal stenosis (SCS) is associated with short-term outcomes after lumbar fusion surgery.

Methods: We included patients with lumbar spinal stenosis treated surgically between July 2015 and December 2017 at 4 centers. Read More

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Late-week surgery and discharge to specialty care associated with higher costs and longer lengths of stay after elective lumbar laminectomy.

J Neurosurg Spine 2021 Apr 6:1-7. Epub 2021 Apr 6.

2Department of Neurosurgery, Cleveland Clinic, Cleveland; and.

Objective: In a healthcare landscape in which costs increasingly matter, the authors sought to distinguish among the clinical and nonclinical drivers of patient length of stay (LOS) in the hospital following elective lumbar laminectomy-a common spinal surgery that may be reimbursed using bundled payments-and to understand their relationships with patient outcomes and costs.

Methods: Patients ≥ 18 years of age undergoing laminectomy surgery for degenerative lumbar spinal stenosis within the Cleveland Clinic health system between March 1, 2016, and February 1, 2019, were included in this analysis. Generalized linear modeling was used to assess the relationships between the day of surgery, patient discharge disposition, and hospital LOS, while adjusting for underlying patient health risks and other nonclinical factors, including the hospital surgery site and health insurance. Read More

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The Scoliosis Research Society adult spinal deformity standard outcome set.

Spine Deform 2021 Apr 6. Epub 2021 Apr 6.

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

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

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