Search Results
Results 451 - 500 of 1511
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Sokolowski Mark J - - 2008
STUDY DESIGN: Prospective clinical series with comparison to retrospectively collected data. OBJECTIVE: To compare direct measures of postoperative hematoma volume against a new measure of hematoma effect on the thecal sac: the critical ratio. SUMMARY OF BACKGROUND DATA: Asymptomatic epidural hematoma is common after lumbar surgery. Symptomatic patients demonstrate a ...
Abdel-Meguid Eiman M - - 2008
A detailed investigation of the gross and microscopic anatomy of ligamentum flavum. Material included 14 lumbar vertebral columns obtained from the Anatomy Department, King Faisal University, Dammam during the period between January 2005 and January 2006. Height, width, and thickness of ligamenta flava were measured. A microscopic study was also ...
Kapural Leonardo - - 2008
OBJECTIVE: Intradiscal biacuplasty (IDB) is a novel bipolar cooled radiofrequency system for the treatment of degenerative disk disease. We present the results of a pilot trial with 6-month follow-up. DESIGN, SETTING, PATIENTS, AND INTERVENTIONS: Fifteen patients, 22-55 years old, underwent one- or two-level IDB treatment of their painful lumbar discs. ...
Errico Thomas J - - 2008
Degenerative disc disease is one of the leading causes of pain and disability. Various surgical treatments are available, but the literature does not provide a comparative overview of their long-term outcomes. This article synthesizes the available long-term evidence on the treatment of degenerative disc disease. Fusion for degenerative disc disease ...
Ryang Yu-Mi - - 2008
OBJECTIVE: Minimal access surgery as a less invasive alternative to standard macro- and microsurgical approaches is becoming increasingly popular in the management of traumatic and degenerative spine diseases. However, data is lacking if minimal access spine surgery is indeed beneficial. This prospective randomized study was conducted to compare efficiency, safety, ...
Macario Alex - - 2008
BACKGROUND: This study's goal was a retrospective chart audit of 100 outpatients with discogenic low back pain (LBP) lasting more than 12 weeks treated with a 2-month course of motorized spinal decompression via the DRX9000 (Axiom Worldwide, Tampa, FL, U.S.A.). METHODS: Patients at a convenience sample of four clinics received ...
Wera Glenn D - - 2008
BACKGROUND: Reherniation within the first year following subtotal lumbar discectomy is a rare but noteworthy event. We performed a retrospective, case-controlled study to evaluate the clinical outcomes after early recurrent lumbar disc reherniation. METHODS: The records of 1320 patients who had undergone primary subtotal lumbar discectomy were analyzed retrospectively by ...
Chi John H - - 2008
OBJECT: Thoracic disc herniations can be surgically treated with a number of different techniques and approaches. However, surgical outcomes comparing the various techniques are rarely reported in the literature. The authors describe a minimally invasive technique to approach thoracic disc herniations via a transpedicular route with the use of tubular ...
Shin Dong Ah DA Department of Neurosurgery, Spine and Spinal Cord Institute, Yonsei University College of Medicine, Seoul, Republic of - - 2008
The objective of this study was to evaluate the invasiveness of microendoscopic discectomy (MED) in comparison with microscopic discectomy (MD) by measuring serum levels of creatine phosphokinase (CPK)-MM and lactate dehydrogenase (LDH)-5, and by comparing visual analog scale (VAS) scores of postoperative pain. This study included a group of 15 ...
Duman Iltekin - - 2008
A 21-year-old male patient with low back pain and marked forward bending was presented. The exaggerated lumbar flexion was preventing him to stand in erect posture but disappeared while lying. The symptoms had begun after he had lifted a heavy object. Straight-leg-raising test could not be performed properly because of ...
Petersen Tom - - 2007
STUDY DESIGN: A randomized controlled trial with multivariable analyses of prognostic factors. OBJECTIVE: To report the long-term outcome of McKenzie treatment compared with strengthening training. Further, to determine patient-related factors associated with poor outcome 14 months after completion of treatment. SUMMARY OF BACKGROUND DATA: Exercise therapy is widely recommended for ...
Buchner Matthias - - 2007
STUDY DESIGN: Prospective longitudinal clinical study. OBJECTIVE: The objective of the study was to analyze the outcome of different stages of chronicity in patients with chronic low back pain treated with a multidisciplinary therapy. SUMMARY OF BACKGROUND DATA: Results of studies comparing different grades of chronicity in therapy for chronic ...
Sasso Rick C - - 2007
STUDY DESIGN: A total of 115 patients were randomized in a 1:1 ratio to a Bryan artificial disc replacement (56) or an anterior cervical fusion with allograft and a plate (59). OBJECTIVE: The purpose of this study is to examine the functional outcome and radiographic results of this prospective, randomized ...
Peolsson Anneli - - 2008
We conducted a prospective randomized study to investigate predictive factors for short- and long-term outcome of anterior cervical decompression and fusion (ACDF) as measured by current pain intensity on the Visual Analogue Scale (VAS) and by disability using the Neck Disability Index (NDI). Current understanding about how preoperative and short-term ...
Ibrahim Ahmed G - - 2007
OBJECT: Basilar impression (BI) secondary to osteogenesis imperfecta (OI) is a rare but debilitating condition that is often progressive unless it is halted. More recently, ventral decompression surgery has been advocated for this condition. This study is a retrospective review of the 21-year experience of ventral decompression surgery and dorsal ...
Krayenbühl Niklaus - - 2008
The use of cages of different material and shapes for cervical discectomy with fusion (ACDF) has increased during the last few years. The use of additional osteogenic material is controversial. We prospectively evaluated an empty, Plasmapore-covered titanium cage (PCTC) in 45 patients undergoing 58 ACDFs. Patients were evaluated using standard ...
Puolakka K - - 2008
The aim of this study is to explore the occurrence and the risk factors of back-related loss of working time in patients undergoing surgery for lumbar disc herniation. One hundred and fifty-two gainfully employed patients underwent surgery for lumbar disc herniation. Two months postoperatively, those patients completed a self-report questionnaire ...
Harding Ian J - - 2008
A retrospective analysis of adults treated with long instrumented fusion for scoliosis from the thoracic spine proximally to L4 or L5. To evaluate the long-term clinical outcomes as well as radiological changes in distal unfused mobile segments and to evaluate factors that may predispose to distal disc degeneration and/or poor ...
Auerbach Joshua D - - 2008
BACKGROUND CONTEXT: Although the prevalence of indications and contraindications to lumbar total disc replacement (TDR) has been evaluated, no study to date has quantified the potential candidacy for cervical disc replacement in practice. PURPOSE: To report the potential candidacy rate for cervical TDR from both an academic and private practice ...
Fish David E - - 2008
This study aimed to determine if electromyographic (EMG) diagnostic evaluation can predict functional outcome in patients undergoing transforaminal lumbar spine epidural injections. In this retrospective study, functional outcome by Oswestry Disability Index (ODI) and verbal rating scale (VRS) for current pain severity was evaluated in 39 patients undergoing lumbar transforaminal ...
Lo Yew-Long - - 2007
BACKGROUND: Cervical spondylotic myelopathy (CSM) is managed by conservative or surgical measures. While surgery is often performed in cases of longstanding or severe CSM, there is a lack of evidence concerning its efficacy. Transcranial magnetic stimulation (TMS) is a quick, safe, painless and non-invasive technique to study conduction in the ...
Lu Jun - - 2008
Retrospective study on the results of anterior corpectomy for the treatment of cervical myelopathy in patients over 70 years old. To evaluate the surgical results of anterior corpectomy in aged patients with multilevel cervical myelopathy and to investigate the probable pathomechanism by radiographic study. There are few data focused on ...
Saberi Hooshang - - 2008
To evaluate the surgical outcome in terms of functional and subjective recovery, patients who needed discectomies at L1-L2, L2-L3 and L3-L4 levels were compared with an age and sex-matched group of patients who required L4-L5 and L5-S1 discectomies. We prospectively enrolled 50 consecutive patients, referred to our center, who had ...
Shabat Shay - - 2008
The purpose of our prospective study is to evaluate the surgical outcome among patients aged 80 years and above, who underwent surgery for lumbar spinal stenosis. We assessed patients' clinical and demographic data, procedures, perioperative complications, preoperative and postoperative pain intensity, basic activities of daily living (BADL), patients' satisfaction, the ...
Safriel Yair - - 2008
INTRODUCTION: To review the safety and efficacy of gadolinium in spine pain management procedures in patients at high risk for a contrast reaction and who are not suitable candidates for the use of standard non-ionic contrast. METHODS: We reviewed records over a 61-month period of all image-guided spinal pain management ...
Shimomura Takatoshi - - 2007
STUDY DESIGN: A prospective study involving 56 patients with cervical spondylotic myelopathy (CSM) was conducted. OBJECTIVE: To investigate the outcomes and prognostic factors for CSM after nonsurgical treatment. SUMMARY OF BACKGROUND DATA: The superiority of surgical treatment over nonsurgical treatment has not been confirmed in mild forms of CSM. Outcomes ...
Punt Ilona M - - 2008
Artificial disc prosthesis show fair to good short- and mid-term results. Long-term results are becoming apparent now, however, the incidence of late complications with this procedure remain poorly understood. In this report we will analyse late complications and discuss our experiences with salvage operations in patients with persistent pain after ...
Hannibal Matthew - - 2007
STUDY DESIGN: This is a retrospective analysis of data that was collected prospectively from 2 concurrent FDA IDE lumbar arthroplasty clinical trials performed at a single center. OBJECTIVE: To determine if there is a clinical difference between the 1-level ProDisc patients versus the 2-level ProDisc patients at a minimum of ...
Shetty Gautam M - - 2007
BACKGROUND: Pseudoachondroplasia (PSACH) is a rare autosomal dominant skeletal dysplasia associated with os odontoideum and atlantoaxial instability. This study aims to define the characteristics of upper cervical spine instability in patients with PSACH and analyze the relation between the incidence of upper cervical instability and os odontoideum. METHODS: Fifteen patients ...
Andrews N B - - 2007
BACKGROUND: There have been previous reports describing patients with lumbar stenosis (LS) in West Africa; however, to date no such report has been published from Ghana. OBJECTIVE: To provide data on the pattern of lumbar stenosis and the effects of decompressive lumbar laminectomy (DLL) on the clinical course of LS ...
Chao Zhang - - 2007
OBJECTIVE: To investigate the change of serum levels of interleukin-6 (IL-6), C-reactive protein (CRP) and creatine kinase (CK) in patients undergoing microendoscopic discectomy (MED) and open discectomy. METHODS: Forty-four patients with single level lumbar disk herniation were treated, either by MED (Group A, n equal to 22) or open discectomy ...
Sapkas George S - - 2007
The records of 68 patients (42 men and 26 women) who underwent spine stabilization with a dynamic neutralization system were reviewed. Mean patient age at operation was 42.8 years. The primary indication for surgery was degenerative spine disease and instability with neurogenic or radicular pain and/or chronic back pain. Forty-one ...
Hanif Saquib - - 2007
BACKGROUND: Neurogenic Thoracic Outlet Syndrome (TOS) is a set of signs and symptoms existing due to compression of brachial plexus in the cervical area. We performed the study to highlight the role of therapeutic exercises on patients with neurogenic thoracic Outlet Syndrome. METHODS: This quasi-experimental study was carried out at ...
Yi S - - 2007
BACKGROUND: This report presents general information on herniated thoracic discs, their clinical manifestations as well as surgical treatment, and examines the differences in the surgical outcome based on disc characteristics. METHODS: This study includes 33 thoracic discectomies in 29 patients with a ventrally situated herniated thoracic disc reaching to the ...
Verhoof Olaf J - - 2008
The X-Stop interspinous distraction device has shown to be an attractive alternative to conventional surgical procedures in the treatment of symptomatic degenerative lumbar spinal stenosis. However, the effectiveness of the X-Stop in symptomatic degenerative lumbar spinal stenosis caused by degenerative spondylolisthesis is not known. A cohort of 12 consecutive patients ...
Qureshi Assad - - 2007
A prospective longitudinal inception cohort study of 33 patients undergoing surgery for cauda equina syndrome (CES) due to a herniated lumbar disc. To determine what factors influence spine and urinary outcome measures at 3 months and 1 year in CES specifically with regard to the timing of onset of symptoms ...
Hirabayashi Hiroki - - 2008
BACKGROUND: Ossification of the ligamentum flavum overlying the lower thoracic spine frequently produces myelopathy. This study analyzed the postoperative outcomes after decompressive laminectomy for thoracic OLF. METHODS: We retrospectively studied 13 patients (10 male, 3 female; mean age, 58 years; range, 39-69). The mean follow-up duration was 66 months (range, ...
Righesso Orlando - - 2007
OBJECTIVE: We compared the intra- and postoperative differences, as well as the final outcome of patients with herniated lumbar discs who underwent either open discectomy (OD) or microendoscopic discectomy (MED). METHODS: We performed a prospective controlled randomized study of 40 patients with sciatica caused by lumbar disc herniations nonresponsive to ...
Godlewski Bartosz - - 2007
BACKGROUND AND PURPOSE: To evaluate the efficacy of surgical treatment of cervical disc disease using a relatively novel type of cage, to assess the association between changes in cervical spine curvature and pain intensity as well as quality of life, to assess how often implants of different sizes were applied, ...
Kool Jan - - 2007
OBJECTIVE: To compare the effect of function-centered treatment (FCT) and pain-centered treatment (PCT) on the number of work days, permanent disability, and the unemployment rate. DESIGN: Randomized controlled trial. SETTING: Inpatient rehabilitation center. PARTICIPANTS: Patients (N=174; 79% male; mean age, 42 y) with previous sick leave of 6 weeks or ...
Cole John S JS - - 2007
OBJECTIVE: To assess patient outcomes and complication rates after minimally invasive lumbar microdiscectomy in an obese patient population. METHODS: A retrospective clinical review of 32 patients with a body mass index of 30 kg/m or greater undergoing lumbar minimally invasive discectomy was performed. The initial chart review was followed by ...
Wu Chun-Gen - - 2007
PURPOSE: Anterior approaches to the lumbosacral spine have become increasingly common in spine surgery, but transabdominal percutaneous lumbar discectomy (TPLD) is challenging. This study describes TPLD and evaluates safety and early clinical results in the management of L5-S1 disc herniation. MATERIALS AND METHODS: Between October 2001 and October 2006, 58 ...
Rabin Doron - - 2007
OBJECTIVE: Anterior cervical discectomy and fusion (ACDF) for the management of cervical spondylosis may contribute to further degenerative changes at adjacent levels secondary to abnormal spinal motion. Insertion of a Bryan Cervical Disc (AD) (Medtronic Sofamor Danek, Memphis, TN) may prevent this accelerated degeneration. This retrospective study compares the in ...
Kamaz Müzeyyen - - 2007
PURPOSE: The objective of this study was to determine the cross-sectional area changes of the paraspinal, isolated multifidus, quadratus lumborum, psoas, and the gluteus maximus muscles with CT in patients with chronic low back pain. MATERIALS AND METHODS: In this study, we evaluated 36 patients with chronic low back pain ...
Tsuji Takashi - - 2007
A total of 64 patients with cervical spondylotic myelopathy (CSM) were assessed in this study. Forty-two patients underwent selective expansive open-door laminoplasty (ELAP). Twenty-two patients who underwent conventional C3-7 ELAP served as controls. There were no significant differences in recovery rate of JOA scores, C2-C7 angle or cervical range of ...
Kim Seok Woo - - 2008
The object of this study is to review the early clinical results and radiographic outcomes following insertion of the Bryan Cervical Disc Prosthesis (Medtronic Sofamor Danek, Memphis, TN), together with its effect on maintaining sagittal alignment of the functional spinal unit (FSU) and overall sagittal balance of the cervical spine ...
Cavuşoğlu Halit - - 2007
The aim of our study is to evaluate the results and effectiveness of bilateral decompression via a unilateral approach in the treatment of degenerative lumbar spinal stenosis. We have conducted a prospective study to compare the midterm outcome of unilateral laminotomy with unilateral laminectomy. One hundred patients with 269 levels ...
Yukawa Yasutsugu - - 2007
STUDY DESIGN: A prospective randomized clinical trial in surgical treatment for cervical compressive myelopathy. OBJECTIVE: We prospectively compared modified laminoplasty and skip laminectomy in terms of surgical invasiveness, postoperative range of cervical motion, axial pain, and surgical outcomes. SUMMARY OF BACKGROUND DATA: Laminoplasty is an established procedure for the decompression ...
Braybrooke Jason - - 2007
A prospective observational study was conducted on patients undergoing posterior lumbar spine surgery for degenerative spinal disorders. The study purpose was to evaluate the effect of wait time to surgery on patient derived generic and disease specific functional outcome following surgery. A prolonged wait to surgery may adversely affect surgical ...
Mazanec Daniel - - 2007
The Spine Patient Outcomes Research Trial (SPORT) consisted of two parallel studies: an observational study and a randomized comparison of medical and surgical treatment of disk herniation. In the long-term, patients did well with either treatment, and an intention-to-treat analysis found no difference in outcomes. However, at 2 years 40% ...
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