Search Results
Results 151 - 200 of 1509
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Shigematsu Hideki - - 2010
The objective of the study was to investigate the comorbidity of degenerative spondylolisthesis (DS), in elderly cervical spondylotic myelopathy (CSM) patients in our hospital, and the correlation between surgical results and preoperative DS. There are few studies on the outcome of laminoplasty for CSM with DS. A total of 49 ...
Steppan Jim - - 2010
PURPOSE: To determine statistically significant effects of oxygen/ozone treatment of herniated discs with respect to pain, function, and complication rate. MATERIALS AND METHODS: Random-effects metaanalyses were used to estimate outcomes for oxygen/ozone treatment of herniated discs. A literature search provided relevant studies that were weighted by a study quality score. ...
Park Daniel K - - 2010
A subanalysis study. The purpose of this study was to determine the impact of multilevel lumbar stenosis with or without degenerative spondylolisthesis compared to single level disease on patients' baseline symptoms and clinical outcomes over time. Previous studies have demonstrated better clinical outcomes with surgery than nonoperative treatment in patients ...
Teli Marco - - 2010
Existing studies on micro-endoscopic lumbar discectomy report similar outcomes to those of open and microdiscectomy and conflicting results on complications. We designed a randomised controlled trial to investigate the hypothesis of different outcomes and complications obtainable with the three techniques. 240 patients aged 18-65 years affected by posterior lumbar disc ...
Miller Jimmy D - - 2010
Interspinous process spacers have recently become available for treatment of symptomatic lumbar spinal stenosis. To date, there have been few data regarding the causes of failure. The authors present 2 cases in which there was erosion of the spinous processes adjacent to the interspinous process spacers. In 1 patient, the ...
Pearson Adam - - 2010
As-treated analysis of the Spine Patient Outcomes Research Trial. To compare baseline characteristics and surgical and nonoperative outcomes between degenerative spondylolisthesis (DS) and spinal stenosis (SPS) patients. DS and SPS patients are often combined in clinical studies despite differences in underlying pathology and treatment. The DS cohort included 601 patients ...
Fleming Karen L KL Division of Neurosurgery, Childrens Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, California 90027, USA. - - 2010
Intramedullary spinal cord lipomas not associated with dysraphism are infrequently reported. When present, they typically occur in children and have a predilection for the cervical and thoracic spinal cord. The authors review the presentation, treatment, and disease course in 5 pediatric patients, and compare the outcomes with previously reported cases. ...
Ryu Jong-Seon - - 2010
This article describes a retrospective study on myelopathy, induced by monosegmental prolapsed disc and spondylosis. To assess pre- and postoperative clinical and radiological findings related to myelopathy, and factors influencing the outcome, 20 disc herniation (group A) and 11 spondylosis patients (group B) were studied. Average duration of myelopathy in ...
Stoffel Michael - - 2010
OBJECT: The objective of the study was to generate prospective data to assess the clinical results after dynamic stabilization with the Cosmic system (Ulrich Medical). PATIENTS AND METHODS: Between April 2006 and December 2007, 103 consecutive patients were treated with Cosmic for painful degenerative segmental instability +/- spinal stenosis. The ...
Martirosian Tovia Elizabeth - - 2010
OBJECTIVES: In our anecdotal experience and sporadically in the literature, gynecologists have observed a connection between patient's use of depot medroxyprogesterone acetate (DMPA) and increased occurrence of cervical stenosis during follow-up after loop electrosurgical excisional procedure (LEEP). We decided to formally examine this association in our clinic population. MATERIALS AND ...
Arts Mark P - - 2010
Patients with cervical radicular syndrome due to disc herniation refractory to conservative treatment are offered surgical treatment. Anterior cervical discectomy is the standard procedure, often in combination with interbody fusion. Accelerated adjacent disc degeneration is a known entity on the long term. Recently, cervical disc prostheses are developed to maintain ...
Rohida Neeraj S - - 2010
Internal derangement of the temporomandibular joint (TMJ) is characterized by an abnormal disc-condyle relationship. Of all the various treatment modalities used in the management of disc displacements, flat occlusal and anterior repositioning splints are the most commonly used. Myofunctional appliances (such as bite-jumping appliances) are also advocated to treat anterior ...
Gelalis Ioannis D - - 2010
The aim of this study was to evaluate the outcome of wide surgical decompression and concomitant posterior instrumentation in patients with degenerative lumbar spinal stenosis. Thirty-seven consecutive patients (14 men, 23 women; mean age 64 years; range 36 to 82 years) with degenerative lumbar spinal stenosis were prospectively evaluated following ...
Koakutsu Tomoaki - - 2010
BACKGROUND: Anterior decompression and fusion (ADF) has conventionally been used, with stable outcomes, for cervical myelopathy caused by soft disc herniation. However, complications related to bone grafting and recurrence of myelopathy due to adjacent segment degeneration are its drawbacks. The efficacy of laminoplasty as an alternative has been sporadically reported, ...
Toll Douglas Edward - - 2010
AIM: Occasionally, undesirable post-surgical symptoms of temporomandibular disorder (TMD) and pain have been observed. The aim of this paper is to show how often and to which degree TMJ pathologies occur in orthognathic surgery candidates before surgery, making it recommendable to consider these TMJ pathologies during treatment planning. PATIENTS AND ...
Fallah Aria - - 2010
OBJECTIVE: Specialization is generally independently associated with improved outcomes for most types of surgery. This is the first study comparing the immediate success of outpatient lumbar microdiscectomy with respect to acute complication and conversion to inpatient rate. Long-term pain relief is not examined in this study. METHODS: Two separate prospective ...
Matsumoto Morio - - 2010
STUDY DESIGN: Prospective 10-year follow-up magnetic resonance imaging (MRI) study of patients who underwent anterior cervical decompression and fusion (ACDF) and healthy control subjects. OBJECTIVE: To clarify the incidence of adjacent segment degeneration during 10 years after ACDF. SUMMARY OF BACKGROUND DATA: There have been few studies which investigated incidence ...
Di Stefano L - - 2010
The objectives of this study were to evaluate the evolution of a LSIL associated with p16INK4a overexpression and on the basis of this association, identify patients who would benefit from immediate treatment rather than a later follow-up. Two hundred and forty-five cervical biopsies were studied: 199 (81.2%) were classified CIN ...
Yue James J - - 2010
The objective of this clinical study is to evaluate the safety and effectiveness of the Activ-L Artificial Disc for treatment of single-level degenerative disc disease of the lumbar spine in patients who have been unresponsive to at least six months of prior conservative care. The hypothesis of the study is ...
Ahn Kang - - 2010
This report describes the methodological approach and clinical application of a minimally invasive intervention to treat lumbar spinal stenosis (LSS). Thirty-four patients with LSS underwent fluoroscopically guided transforaminal epidural dry needling using a specially designed flexed Round Needle. The needle was inserted 8-12 cm lateral to the midline at the ...
Lindell Odd - - 2010
Non-specific spinal pain (NSP), comprising back and/or neck pain, is one of the leading disorders in long-term sick-listing. During 2000-2004, 125 Swedish primary-care patients with non-acute NSP, full-time sick-listed 6 weeks-2 years, were included in a randomized controlled trial to compare a cognitive-behavioural programme with traditional primary care. This prospective ...
Kaner Tuncay - - 2010
The objective of this article is to evaluate two-year clinical and radiological follow-up results for patients who were treated with microdiscectomy and posterior dynamic transpedicular stabilisation (PDTS) due to recurrent disc herniation. This article is a prospective clinical study. We conducted microdiscectomy and PDTS (using a cosmic dynamic screw-rod system) ...
Ozer Ali Fahir - - 2010
A lumbar pedicular dynamic stabilization system (LPDSS) is an alternative to fusion for treatment of degenerative disc disease (DDD). In this study, clinical and radiological results of one LPDSS (Saphinaz, Medikon AS, Turkey) were compared with results of rigid fixation after two-year follow-up. All patients had anteroposterior and lateral standing ...
Jakola Asgeir S - - 2010
To assess safety, risk factors and clinical outcomes in elderly patients with spinal stenosis after decompressive laminectomy. A prospective cohort of patients 70 years and older with spinal stenosis undergoing conventional laminectomy without fusion (n = 101) were consecutively enrolled from regular clinical practice and reassessed at 3 and 12 ...
Steurer Johann - - 2010
Lumbar spinal stenosis is the most frequent reason for spinal surgery in elderly people. For patients with moderate or severe symptoms different conservative and surgical treatment modalities are recommended, but knowledge about the effectiveness, in particular of the conservative treatments, is scarce. There is some evidence that surgery improves outcome ...
Atlas Steven J - - 2010
Prospective randomized and observational cohorts. To compare outcomes of patients with and without workers' compensation who had surgical and nonoperative treatment for a lumbar intervertebral disc herniation (IDH). Few studies have examined the association between worker's compensation and outcomes of surgical and nonoperative treatment. Patients with at least 6 weeks ...
Broetz D D Center of Therapy, University of Tübingen, Medical School, Tübingen, Germany. - - 2010
To evaluate the long-term effect of a specific conservative treatment method for patients with lumbar disc prolapse. Low back pain and symptoms of disc herniation have a good prognosis. Yet the rates of disability and sick-leave because of recurrences are high and cost-intensive. Fifty consecutive patients with clinically and neuroradiologically ...
Lee Joon Woo - - 2010
OBJECTIVE: To evaluate the short-term and long-term effects of fluoroscopically guided caudal epidural steroid injection (ESI) for the management of degenerative lumbar spinal stenosis (DLSS) and to analyze outcome predictors. MATERIALS AND METHODS: All patients who underwent caudal ESI in 2006 for DLSS were included in the study. Response was ...
Endo Kenji - - 2010
A retrospective cross-sectional study was designed to evaluate total sagittal spinal alignment in patients with lumbar disc herniation (LDH) and healthy subjects. Abnormal sagittal spinal alignment could cause persistent low back pain in lumbar disease. Previous studies analyzed sciatic scoliotic list in patients with lumbar disc herniation; but there is ...
Ebner Florian H - - 2010
To evaluate the impact of the longitudinal extension of intramedullary lesions on the neurological status and postoperative outcome. Forty-six patients operated in our Department between February 2004 and June 2007 have been included in this study. The patients were classified in two groups according to the longitudinal extension of the ...
Suzuki Akinobu - - 2009
STUDY DESIGN.: Prospective cohort study. OBJECTIVE.: To investigate the recovery process after laminoplasty in patients with cervical myelopathy, and the effects of patient age and duration of symptoms before surgery on the recovery process. SUMMARY OF BACKGROUND DATA.: The surgical results of laminoplasty for cervical myelopathy have been well documented, ...
Richter Alexander - - 2010
A number of interspinous process devices have recently been introduced to the lumbar spinal market as an alternative to conventional surgical procedures in the treatment of symptomatic lumbar stenosis. One of those "dynamic" devices is the Coflex device which has been already implanted worldwide more than 14,000 times. The aim ...
Fritz Julie M - - 2009
STUDY DESIGN: Prospective, longitudinal cohort study OBJECTIVE: To examine the validity of a threshold that has been used to define a successful outcome for patients with low back pain (LBP), undergoing nonsurgical rehabilitation based on a 50% improvement on the Modified Oswestry disability index (ODI). SUMMARY OF BACKGROUND DATA: Making ...
Kikuike Kenta - - 2009
STUDY DESIGN: Retrospective study of clinical outcomes of 1-staged combined cervical and lumbar decompression for patients with tandem spinal stenosis (TSS). OBJECTIVE: To describe middle-term clinical outcomes of this procedure. SUMMARY AND BACKGROUND DATA: Little is known with regard to the clinical outcomes of 1-staged combined cervical and lumbar decompression ...
Kato Yoshihiko - - 2009
STUDY DESIGN: A preliminary report of a new operative method termed selective laminoplasty after the preoperative diagnosis of the responsible level using spinal cord evoked potentials (SCEPs) in elderly patients with cervical spondylotic myelopathy. OBJECTIVE: To introduce the method and clinical results for selective laminoplasty. SUMMARY OF BACKGROUND DATA: Clinical ...
Papavero Luca - - 2009
OBJECTIVE: We describe a prospective cohort study that investigated the effectiveness of microsurgical bilateral decompression using unilateral laminotomy for lumbar spinal stenosis and assessed the factors influencing the outcome. METHODS: A total of 165 consecutive patients underwent decompression for lumbar spinal stenosis. They were divided into 3 age groups: A ...
Pang Chun-Hong - - 2009
PURPOSE: To review outcomes of laminoplasty after anterior spinal fusion (ASF) in 8 patients with cervical spondylotic myelopathy (CSM). METHODS: Records of 3 men and 5 women aged 49 to 80 (mean, 60) years who underwent laminoplasty after ASF for CSM were reviewed. Before and after ASF and laminoplasty, the ...
Strunk Richard G - - 2009
This feasibility study was conducted to further the development of a line of investigation into the potential effects of spinal manipulation/manual therapy on cervicogenic dizziness, balance, and neck pain in adults. A single-group, preexperimental, feasibility study was conducted at a chiropractic college health center and a senior fitness center with ...
Ahn Poong-Gi - - 2009
OBJECT: This was a retrospective clinical study in which the follow-up period exceeded 2 years. The authors investigated the time course of radiographic changes in the cervical range of motion (ROM) and sagittal alignment after cervical total disc replacement involving the ProDisc-C artificial disc. METHODS: Eighteen patients who underwent C5-6 ...
Setzer Matthias - - 2009
The authors examined a possible association between apolipoprotein E (APOE) gene polymorphism and the outcome after anterior microsurgical decompression in patients with cervical spondylotic myelopathy (CSM). The authors conducted a prospective study of 60 consecutive patients (40 men, 20 women) with CSM who underwent anterior microsurgical decompression. The patients ranged ...
Cheng Sze-chung - - 2009
PURPOSE: To compare outcomes of anterior spinal fusion (ASF) versus laminoplasty for cervical spondylotic myelopathy (CSM). METHODS: Records of 26 women and 37 men aged 34 to 83 (mean, 67) years who underwent ASF or laminoplasty for CSM were reviewed. Patient demographics, duration of symptoms, pre- and post-operative Japanese Orthopaedic ...
Huang Zhen-jun - - 2009
OBJECTIVE: To observe the therapeutic effect of 5-step manipulation and traction of cervical vertebrae on vertebroarterial type of cervical spondylosis and probe its mechanism. METHODS: The 120 patients were randomly divided into a treatment group (manipulation group) and a control group (traction group) with 60 cases in each. The curative ...
Cheng Boyle C - - 2009
STUDY DESIGN: Biomechanical human cadaveric cervical flexibility testing with direct load-sharing measurement. OBJECTIVE: To determine if the flexibility and load-sharing characteristics of a functional spinal unit were affected by anterior treatments for cervical pathologies. SUMMARY OF BACKGROUND DATA: With advancements in polymers, anterior cervical plates have used thermoplastics including recent ...
Kim Hong-Ki - - 2009
Recently, motion preservation has come to the forefront of emerging technologies in spine surgery. This is the important background information of the emergence of cervical arthroplasty as an alternative to arthrodesis that offers the promise of restoring normal spinal movement and reduces a kinematic strain on adjacent segments. The study ...
Lee Dong Yeob - - 2009
The purpose of this study was to compare clinical and radiological outcomes of percutaneous endoscopic lumbar discectomy (PELD) and open lumbar microdiscectomy (OLM) for recurrent disc herniation. Fifty-four patients, who underwent surgery, either PELD (25 patients) or repeated OLM (29 patients), due to recurrent disc herniation at L4-5 level, were ...
Kim Youn-Soo - - 2009
This study is a prospective, clinical study assessing the efficacy of selective decompression of the level responsible in a two-level stenosis in accordance with the neurological findings defined by the gait load test with a treadmill. To clarify the clinical features of multilevel lumbar spinal stenosis (LSS) regarding the neurological ...
Kim Kyoung-Tae - - 2009
STUDY DESIGN: Retrospective review and multivariate analysis. OBJECTIVES: Recurrent lumbar disc herniation (rLDH) is a repeated disc herniation at a previously operated disc level in patients who experienced a pain-free interval of at least 6 months after surgery. We investigated whether the preoperative radiologic biomechanical factors (disc height index [DHI] ...
Morishita Yuichiro - - 2009
STUDY DESIGN: A retrospective radiographic study. OBJECTIVE: To elucidate the kinematic relationships of the upper cervical spine. SUMMARY OF BACKGROUND DATA: To our knowledge, few reports have described the kinematic relationships of the upper cervical spine in patients with general age-related cervical spondylosis. METHODS: We performed Kinetic magnetic resonance imaging ...
Ozawa H - - 2010
Prospective multicenter study. To clarify the significance of intramedullary Gd-DTPA enhancement in cervical myelopathy, the prevalence, morphologic features, clinical relevance and postoperative change were investigated. Four hospitals in Japan. A total of 683 patients with cervical myelopathy who underwent decompressive surgery were consecutively examined. T1, 2 and Gd-DTPA-enhanced MRI were ...
Cesaroni Alessandro - - 2010
Prospective case series studies have shown that plasma disc decompression (PDD) using the COBLATION SpineWand device (ArthroCare Corporation, Austin, TX) is effective for decompressing the disc nucleus in symptomatic contained cervical disc herniations. This prospective, randomized controlled clinical trial was conducted to evaluate the clinical outcomes of percutaneous PDD as ...
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