Search Results
Results 201 - 250 of 1521
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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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
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] ...
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 ...
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 ...
Aunoble Stephane - - 2010
Prospective study. To study the validity of Hybrid construction (Anterior Lumbar Interbody Fusion) ALIF at one level and total disc arthroplasty (TDA) at adjacent, for two levels disc disease in lumbar spine as surgical strategy. With growing evidence that fusion constructs in the treatment of degenerative disc disease (DDD) may ...
Li C-Z - - 2009
OBJECTIVE: To investigate the feasibility of focused ultrasound therapy for recurrent cervicitis with high-risk human papillomavirus (HR-HPV) infection. METHODS: This was a prospective clinical study, in which 20 patients with HR-HPV-positive recurrent cervicitis were enrolled. Focused ultrasound therapy was performed by one gynecologist. All patients were followed up for 6 ...
Siepe Christoph J - - 2009
STUDY DESIGN: Prospective clinical study of total lumbar disc replacement (TDR) with ProDisc II (Synthes, Paoli, PA). OBJECTIVES: To examine whether baseline variables VAS (Visual Analogue Scale) and ODI (Oswestry Disability Index) correspond with late and final postoperative outcome parameters and to identify early predictors of late outcome following total ...
Zhang Ho Yeol - - 2009
This study examines whether functional motion is present at one or more years after Bioflex System placement. BioFlex System is a flexible rod system which has been used to preserve motion at the area of implantation. There has not been a scientific study showing how much motion is preserved after ...
Murphy Donald R - - 2009
OBJECTIVE: This study presents the outcomes of patients with lumbar radiculopathy secondary to disk herniation treated after a diagnosis-based clinical decision rule. METHODS: A prospective observational cohort study was conducted at a multidisciplinary, integrated clinic that includes chiropractic and physical therapy health care services. Data on 49 consecutive patients were ...
Fan ShunWu - - 2010
We set out to determine whether a minimally invasive approach for one-level instrumented posterior lumbar interbody fusion reduced undesirable changes in the multifidus muscle, compared to a conventional open approach. We also investigated associations between muscle injury during surgery (creatinine kinase levels), clinical outcome and changes in the multifidus at ...
Sahin Fusun - - 2009
The aim of our study was to compare the efficacy of physical therapy alone and in combination with calcitonin in patients with neurogenic claudication (NC). In this single blind, and randomized study, patients with lumbar spinal canal stenosis who were diagnosed by clinical findings and MRI and having NC were ...
Liu Wen-Gui - - 2010
We assessed the long-term outcomes of patients with lumbar disc herniation treated with percutaneous lumbar discectomy (PLD) or microendoscopic discectomy (MED). A retrospective study was performed in consecutive patients with lumbar disc herniation treated with PLD (n = 129) or MED (n = 101) in a single hospital from January ...
Omoto Daniel - - 2010
Clinical interpretation of health services research based on administrative databases is limited by the lack of patient-reported functional outcome measures. Reoperation, as a surrogate measure for poor outcome, may be biased by preferences of patients and surgeons and may even be planned a priori. Other available administrative data outcomes, such ...
Carragee Eugene J - - 2009
STUDY DESIGN: Prospective, match-cohort study of disc degeneration progression over 10 years with and without baseline discography. Objectives. To compare progression of common degenerative findings between lumbar discs injected 10 years earlier with those same disc levels in matched subjects not exposed to discography. Summary of Background Data. Experimental disc ...
Park Hunho - - 2009
This study examined the change of range of motion (ROM) at the segments within the dynamic posterior stabilization, segments above and below the system, the clinical course and analyzed the factors influencing them. This study included a consecutive 27 patients who underwent one-level to three-level dynamic stabilization with Bioflex system ...
Papadakis N C - - 2009
The objective of this study is to compare the gait variability of patients with lumbar spinal stenosis (experimental group) with healthy individuals (control group). The hypothesis is that the preoperative gait variability of the experimental group is higher than the control group. The experimental group consisted of 35 adults (18 ...
Mascarenhas Amrithlal A - - 2009
Post-surgical lumbar instability is an established complication but there is limited evidence in the literature regarding the incidence of lumbar instability following fenestration and discectomy. We analyzed our results following fenestration discectomy with a special focus on instability. Eighty-three patients between the age of 17 and 52 years who had ...
Poomtavorn Yenrudee - - 2009
AIM: To determine the frequency of cervical cytologic abnormalities in patients who were diagnosed as having CIN 1 and had undergone either cryotherapy or expectant management. METHODS: A retrospective medical record review of 87 patients with colposcopic cervical biopsy-proven CIN 1, was undertaken including age, parity, menstruation status, cervical cytology ...
Liao Cheng-Chih - - 2009
OBJECT: Spontaneous spinal epidural hematoma (SSEH) is a rare disease. The goal of this study was to clarify the treatment results and management options in SSEH. METHODS: Patients with SSEH who were surgically treated in the authors' center between June 2003 and June 2008 were included in this study. Patients ...
Leach Colin Wayne - - 2009
It has been argued that the emotional pain of being outshone by a second party leads to the malicious pleasure of schadenfreude when this second party subsequently suffers a misfortune. However, direct tests of this idea are rare, especially at the intergroup level. Thus, the authors presented participants with their ...
Park Seong-Cheol - - 2009
Clinical and radiological results of posterior dynamic stabilization using interspinous U (ISU, Coflex, Paradigm Spine Inc.(R), NY, USA) were analyzed in comparison with posterior lumbar interbody fusion (PLIF) in degenerative lumbar spinal stenosis (LSS). A retrospective study was conducted for a consecutive series of 61 patients with degenerative LSS between ...
Tanaka Nobuhiro - - 2009
OBJECT: In this prospective analysis the authors describe the clinical results of surgical treatment in patients > 80 years of age in whom spinal function was evaluated with motor evoked potential (MEPs) monitoring. METHODS: The authors included 57 patients > 80 years of age who were suspected of having cervical ...
Buchowski Jacob M - - 2009
BACKGROUND: Although there have been case reports describing the use of cervical disc arthroplasty for the treatment of myelopathy, there is a concern that motion preservation may maintain microtrauma to the spinal cord, negatively affecting the clinical results. As we are not aware of any studies on the use of ...
Papadakis N C - - 2009
The objective of this study was to assess the gait variability of lumbar spinal stenosis (LSS) patients and to evaluate its postoperative progression. The hypothesis was that LSS patients' preoperative gait variability in the frequency domain was higher than the corresponding postoperative. A tri-axial accelerometer sensor was used for the ...
Xiao Lizu - - 2010
Degenerative disc disease (DDD) causes gradual intervertebral space collapse, concurrent discogenic or facet-induced pain, and possible compression radiculopathy. A new minimal invasion procedure of percutaneous posterior-lateral lumbar interbody fusion (PPLIF) using a B-Twin stand-alone expandable spinal spacer (ESS) was designed to treat this disease and evaluated by follow-up more than ...
Tait M J - - 2009
BACKGROUND: Lumbar microdiscectomy (LMD) is a commonly performed neurosurgical procedure. We set up a prospective, double blind, randomised, controlled trial to test the hypothesis that presenting the removed disc material to patients after LMD improves patient outcome. METHODS: Adult patients undergoing LMD for radiculopathy caused by a prolapsed intervertebral disc ...
Ferguson Sue A - - 2009
Repeated measures study design. Determine a meaningful change in low back functional impairment as measured with the lumbar motion monitor. A quantitative functional performance probability (P(n)) measure has been developed and is scored from 0.00 to 1.00. Previous research has shown that a 0.5 cut-off provides excellent sensitivity and specificity ...
Margetić Petra - - 2009
Cervical spondylosis is common condition rarely associated with radiculomyelopathy which surgical treatment, according to meta-analysis, is not better than nonsurgical. Our hypothesis was that neurodecompression which type is chosen according to spinal alignment should result in better functional improvement comparing with nonsurgical treatment. Between January 1, 1998 and December 31, ...
Weber J - - 2009
AIM: Lumbar discectomy is the most frequent spinal surgical procedure in Germany. Surgeons vary widely in their preferences with regard to patients' return to sports after spinal surgery. The self-reported sporting activity before and after microdiscectomy was evaluated in a prospective observational study with 5 year follow-up. METHOD: One hundred ...
Wajanavisit Wiwat - - 2009
BACKGROUND: The typical oriental life style in Thailand involves significant time spent on activities on the floor. This introduces an abnormal load against the spine and can cause the low back pain leading to the degenerative change of the lumbosacral region. OBJECTIVE: To determine whether various floor activities in the ...
Anakwenze Okechukwu A - - 2009
STUDY DESIGN: Radiographic results of a multicenter, prospective randomized study comparing 1-level cervical total disc replacement (TDR-C) with anterior cervical discectomy and fusion (ACDF). OBJECTIVE: To evaluate the effect on device-level lordosis, cranial and caudal adjacent level lordosis, and overall cervical sagittal alignment (C2-C6) after TDR-C or ACDF. SUMMARY OF ...
Yaşar Bariş - - 2009
OBJECT: This study was designed to evaluate the efficacy of decompressive surgery for degenerative lumbar spinal stenosis (LSS) on a functional and clinical basis. METHODS: A prospective analysis and follow-up of 125 consecutive patients with degenerative LSS between 2000 and 2006 were performed. All patients underwent surgery for lumbar stenosis. ...
McGirt Matthew J - - 2009
STUDY DESIGN: Prospective cohort study. OBJECTIVE: We performed a prospective cohort study with standardized postoperative lumbar imaging every 3 months for a year then annually to assess the incidence and factors associated with same-level recurrent disc herniation. SUMMARY OF BACKGROUND DATA: The true incidence of same-level recurrent disc herniation after ...
Cho Hanbyoul - - 2009
To examine the correlation between cervical cytology and final histological results in patients who have undergone loop electrosurgical excision procedure (LEEP) with or without colposcopy-directed biopsy. A retrospective review was performed of 829 patients who underwent LEEP for abnormal cervical cytology at Gangnam Severance Hospital between January 2004 and December ...
Masopust Vaclav - - 2009
BACKGROUND: Epidural fibrosis (EF) is defined as nonphysiologic scar formation, usually at the site of neurosurgical access into the spinal canal, in intimate vicinity to and around the origin of the radicular sheath. From the very onset, EF behaves as a reparative inflammation causing, as a rule, clinical problems of ...
Yano Keisuke - - 2009
OBJECTIVE: The aim was to investigate the relationship between the appearance of double contours on the mandibular condyle and changes in articular disc position after splint therapy. STUDY DESIGN: Panoramic radiographs and magnetic resonance images of 82 joints in 41 patients taken before and after treatment were studied. The number ...
Yoo Do-Sung - - 2010
BACKGROUND: The size of the spinal canal is a factor that contributes to the neurologic deficits associated with cervical OPLL and CSM. We investigate the development of neurologic deterioration after minor trauma and the clinical results of decompressive surgery in cervical spinal stenosis retrospectively. METHOD: We treated 200 cases (98 ...
Yoo Do-Sung - - 2009
BACKGROUND: The size of the spinal canal is a factor that contributes to the neurologic deficits associated with cervical OPLL and CSM. We investigate the development of neurologic deterioration after minor trauma and the clinical results of decompressive surgery in cervical spinal stenosis retrospectively. METHOD: We treated 200 cases (98 ...
Matz Paul G - - 2009
OBJECT: The objective of this systematic review was to use evidence-based medicine to examine the efficacy of anterior cervical surgery for the treatment of cervical spondylotic myelopathy (CSM). METHODS: The National Library of Medicine and Cochrane Database were queried using MeSH headings and key words relevant to anterior cervical surgery ...
Matz Paul G - - 2009
OBJECT: The objective of this systematic review was to use evidence-based medicine to identify the indications and utility of anterior cervical nerve root decompression. METHODS: The National Library of Medicine and Cochrane Database were queried using MeSH headings and key words relevant to surgical management of cervical radiculopathy. Abstracts were ...
Sakai Toshinori - - 2009
STUDY DESIGN: Retrospective study. OBJECTIVES: To investigate the efficacy and radiologic changes after anterior transvertebral herniotomy (ATH), in patients followed for at least 10 years after the surgery. SUMMARY OF BACKGROUND DATA: The theoretical idea of ATH is to remove an extruded herniated mass while preserving disc motion. To our ...
Schick U - - 2009
INTRODUCTION: During microsurgical disc operation, usually a sequestrectomy and a nucleotomy are performed. Whether a nucleotomy is necessary in any case is disputed. The aim of this study is to examine this question on the basis of clinical results and to compare rates of recurrence between the two groups. METHODS: ...
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