Search Results
Results 251 - 300 of 1509
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Kouyoumdjian Pascal - - 2009
STUDY DESIGN: This is a prospective randomized computed tomographic scan study on the centering of cervical disc prosthesis (Discocerv; Scient'X) with and without anteroposterior (AP) fluoroscopic guidance. OBJECTIVE: Analyze interest of AP fluoroscopic guidance for coronal positioning in cervical disc replacements. SUMMARY OF BACKGROUND DATA: This series consisted of 20 ...
Dimar John R JR - - 2009
Treatment of multilevel cervical myelopathy remains a challenge. We report on a large series of cervical myelopathy patients treated with instrumented open-door laminoplasty. We retrospectively examined the medical records of 104 patients who had undergone instrumented open-door laminoplasty (titanium plate) for cervical myelopathy (minimum follow-up, 24 months). All patients had ...
Yilmaz Cem - - 2009
AIM: This experimental biomechanical study was performed to determine the effects of multilevel anterior cervical discectomy and excision of posterior longitudinal ligament (PLL) to stabilize the cervical spine using an in vitro animal model. MATERIALS AND METHODS: Fifty fresh cadaveric C3-C6 sheep spine specimens were divided into five experimental groups: ...
Liu Xinyu - - 2009
OBJECT: The aim of this retrospective study was to evaluate the clinical usefulness of assessing lumbar somatosensory evoked potentials (SSEPs) in central lumbar spinal stenosis (LSS). METHODS: The latencies of lumbar SSEPs were recorded in 40 patients with central LSS, including 16 men and 24 women. The mean age of ...
Reddy Kotipi R Madhusudan - - 2009
Deterioration of pulmonary function after surgery for congenital atlantoaxial dislocation (AAD) has been documented in a few studies. We proposed that this deterioration in AAD is much higher than what can be expected after a surgical procedure under general anesthesia or what occurs after any surgery on the cervical spine. ...
Kobayashi T - - 2009
BACKGROUND: The safety and efficacy of percutaneous vertebroplasty (PVP), a new treatment modality for painful malignant vertebral compression fractures (PMVCF) using interventional radiology techniques, were evaluated prospectively. MATERIALS AND METHODS: After confirming the absence of safety issues in phase 1, a total of 33 cases were registered up to and ...
Al-Holou Wajd N - - 2009
OBJECT: After primary repair of a myelomeningocele or a lipomyelomeningocele, patients can present with symptoms of secondary tethered cord syndrome (TCS). After surgical untethering, a small percentage of these patients can present with multiple repeat TCS. In patients presenting with secondary or multiple repeat TCS, the role as well the ...
Shen Hong-Xing - - 2009
BACKGROUND: Increased signal intensity (ISI) in the spinal cord on T2-weighted MR images has been reported in some previous researches, however no study focused on the position of the ISI in the spinal cord and its potential value. The aim of this study was to investigate the correlation between ISI ...
Marquardt G - - 2009
BACKGROUND: Predicting functional outcome following surgery performed for spinal cord compression is still a considerable problem. Recent observations, though, strongly suggest that with serial measurements of serum S100b, this might be possible in patients with subacute spinal cord compression. The aim of this study was to examine whether this potential ...
Chauhan Balwantray C - - 2009
OBJECTIVE: To determine whether glaucoma patients with progressive optic disc change have subsequent visual field progression earlier and at a faster rate compared with those without disc change. DESIGN: Prospective, longitudinal, cohort study. PARTICIPANTS AND CONTROLS: Eighty-one patients with open-angle glaucoma. METHODS: Patients underwent confocal scanning laser tomography and standard ...
Ahn Yong - - 2009
OBJECT: The purpose of this study was to demonstrate the clinical characteristics of postoperative retroperitoneal hematoma (RPH) following transforaminal percutaneous endoscopic lumbar discectomy (PELD) and to discuss how to prevent the complication of unintended hemorrhage. METHODS: The medical records of 412 consecutive patients treated with transforaminal PELD between January 2005 ...
Weinstein James N - - 2009
BACKGROUND: The management of degenerative spondylolisthesis associated with spinal stenosis remains controversial. Surgery is widely used and has recently been shown to be more effective than nonoperative treatment when the results were followed over two years. Questions remain regarding the long-term effects of surgical treatment compared with those of nonoperative ...
Wang Xinwei - - 2009
STUDY DESIGN: A retrospective clinical study of 64 patients who underwent anterior cervical discectomy and fusion (ACDF) with BAK/C for disc degenerative disorders. OBJECTIVE: To evaluate the long-term outcome of BAK/C in the treatment of cervical disc degenerative disorders. SUMMARY OF BACKGROUND DATA: ACDF has been demonstrated to be effective ...
Saíz-Llamosas José R - - 2009
OBJECTIVE: The purpose of this study was to investigate if the application of a cervical myofascial induction technique targeted to the ligamentum nuchae resulted in changes in cervical range of motion and pressure pain thresholds (PPT) in asymptomatic subjects. METHODS: Thirty-five subjects, 8 men and 27 women (mean age, 21 ...
Matsudaira Ko - - 2009
The authors developed an original procedure, modified fenestration with restorative spinoplasty (MFRS) for the treatment of lumbar spinal stenosis. The first step is to cut the spinous process in an L-shape, which is caudally reflected. This procedure allows easy access to the spinal canal, including lateral recesses, and makes it ...
Ahrens Michael - - 2009
STUDY DESIGN: A prospective, nonrandomized multicenter study of lumbar disc nucleus replacement using the DASCOR Disc Arthroplasty Device. An interim analysis of clinical results is presented, obtained from European patients enrolled in 2 studies. OBJECTIVE: To determine the safety and efficacy of the DASCOR Device for the treatment of symptomatic ...
Sowa Gwendolyn - - 2009
OBJECTIVE: To examine serum markers of matrix turnover in an animal model of disk degeneration. DESIGN: Randomized prospective in vivo study. SETTING: Laboratory for Orthopaedic and Spine Research and Department of Large Animal Research. PARTICIPANTS: Twenty-one New Zealand White rabbits. INTERVENTION: Rabbits were randomly grouped into control (n = 8), ...
Choi Yongsoo - - 2009
Although there has been some enthusiasm over the early clinical results obtained using the Graf ligament, associated mid- to long-term results are controversial. We retrospectively reviewed 43 patients (67 segments) treated with the Graf ligament for degenerative lumbar stenosis. The minimum followup was 8 years (mean, 10 years; range, 8-14 ...
Peng Chan W B - - 2009
BACKGROUND CONTEXT: Cervical total disc replacement (TDR) is an emerging technology. However, the factors that influence postoperative range of motion (ROM) and patient satisfaction are not fully understood. PURPOSE: To evaluate the influence of pre- and postoperative disc height on postoperative motion and clinical outcomes. STUDY DESIGN/SETTING: Retrospective review of ...
Hyun Seung-Jae - - 2009
STUDY DESIGN: A prospective study. OBJECTIVE: To identify the time-dependent change in range of motion (ROM) after cervical laminoplasty. SUMMARY OF BACKGROUND DATA: Although numerous studies have reported on the loss of flexion/extension ROM associated with laminoplasty, few have reported on the time course of this loss of motion. METHODS: ...
Okada Motohiro - - 2009
A prospective randomized clinical study. To compare the clinical outcomes of open-door and French-door laminoplasties. Expansive laminoplasty for cervical compressive myelopathy is well established and a variety of modifications procedures have been developed. The procedures are mainly classified into open-door and French-door. It has never been prospectively investigated as to ...
Van Daele Ulrike - - 2009
STUDY DESIGN: A 2-group experimental design. OBJECTIVE: To investigate differences in postural control strategies of pelvis and trunk movement between nonspecific chronic low back pain (CLBP) patients and healthy control subjects using 3-dimensional motion analysis. SUMMARY OF BACKGROUND DATA: Increased postural sway assessed by center of pressure displacements have been ...
Shin Dong Ah DA Department of Neurosurgery, CHA University, College of Medicine, Seongnam, South - - 2009
A prospective analysis. The purpose of this study was to compare the clinical and radiologic outcomes of cervical artificial disc replacement (C-ADR) combined with anterior cervical discectomy and fusion (ACDF) and 2-level ACDF in patients with 2-level cervical disc disease. Adjacent segment degeneration is a long-term complication of ACDF, and ...
Lovi Alessio - - 2009
In a prospective study, we aimed to evaluate the potential use of kyphoplasty (KP) and vertebroplasty (VP) as complementary techniques in the treatment of painful osteoporotic vertebral compression fractures (VCFs). After 1 month of conservative treatment for VCFs, patients with intractable pain were offered treatment with KP or VP according ...
Ghahreman Ali - - 2009
This retrospective study evaluated the recovery of ankle dorsiflexion (ADF) weakness following decompressive surgery in order to identify factors indicative of a better outcome. Fifty-six consecutive patients with ADF weakness secondary to nerve root compression underwent lumbar decompressive surgery. The demographic features, duration and severity of preoperative ADF weakness, associated ...
Parker Fabrice - - 2009
PURPOSE: To analyze the surgical outcome of a consecutive and single center series of medulla oblongata (MO) and spinal cord hemangioblastomas (HB). PATIENT AND METHODS: We retrospectively reviewed the medical charts of all MO and spinal HB patients operated on in our institution between 1985 and 2002. All patients had ...
Xu Jia-Xin - - 2009
STUDY DESIGN: A prospective, randomized study of the clinical and radiographic outcomes in patients undergoing single- and 2-level cervical arthroplasty with Bryan cervical disc (Medtronic Sofamor Danek, Memphis, TN). OBJECTIVE: This study was designed to investigate the modified techniques of cervical arthroplasty with Bryan disc and analyze the clinical and ...
Goel Atul - - 2009
Institute and personal experience (over 25 years) of basilar invagination was reviewed. The database of the department included 3300 patients with craniovertebral junction pathology from the year 1951 till date. Patients with basilar invagination were categorized into two groups based on the presence (Group A) or absence (Group B) of ...
Chibbaro Salvatore - - 2009
OBJECT: The multilevel oblique corpectomy (MOC) allows widening of the spinal canal and foramen trough via an anterolateral access to the cervical spine with control of the vertebral artery and does not require vertebral stabilization or fusion. In the present study, the authors' goal was to demonstrate the long-term efficacy ...
Di Silvestre Mario - - 2009
Total lumbar disc replacement (TDR) has been widely used as a treatment option for 2-level symptomatic degenerative disc disease. However, recent studies have presented conflicting results and some authors concluded that outcome deteriorated when disc replacement was performed bisegmentally, with an increase of complications for bisegmental replacements in comparison with ...
Tafazal Suhayl - - 2009
The objective of this study is to evaluate the efficacy of corticosteroids in patients with radicular pain due to lumbar disc herniation or lumbar spinal stenosis through a prospective randomised, double blind controlled trial, and whether there was an effect on subsequent interventions such as additional root blocks or surgery. ...
Kuchta Johannes - - 2009
The clinical outcome of patients with symptomatic lumbar spinal stenosis (LSS) was assessed during a follow-up period of 2 years after X-Stop implantation. The X-Stop is the most commonly used interspinous distraction device in patients with neurogenic intermittent claudication due to LSS. Between 2003 and 2007, more than 1,000 patients ...
Siepe Christoph J - - 2009
STUDY DESIGN: Clinical and radiologic assessment obtained from an ongoing prospective trial following total lumbar disc replacement (TDR) with ProDisc II. OBJECTIVE: To analyze the interaction between the parameters of disc space height (DSH), range of motion (ROM) and clinical outcome scores following TDR. SUMMARY OF BACKGROUND DATA: The interdependence ...
Cakir Balkan - - 2009
STUDY DESIGN: Analysis of segmental and total lumbar range of motion (ROM) before and after total lumbar disc replacement. OBJECTIVE: To examine the relationship between absolute segmental and total lumbar ROM and evolution of ROM on clinical outcome. SUMMARY OF BACKGROUND DATA: At the moment, data are scarce with regard ...
Pekmezci Murat - - 2009
STUDY DESIGN: Retrospective matched cohort. OBJECTIVE: To investigate the factors that may affect the decision-making process of adult deformity patients. SUMMARY OF BACKGROUND DATA: Adult deformity is a significant cause of morbidity in the elderly population. Despite high complication rates a significant number of patients still prefer operative treatment. Analysis ...
Jagannathan Jay - - 2009
OBJECT: This study details long-term clinical and radiographic outcomes following single-level posterior cervical foraminotomy for degenerative disc or osteophyte disease. METHODS: The authors conducted a retrospective review of 162 cases involving patients treated by a single surgeon using a posterior cervical foraminotomy. Inclusion criteria were a minimum of 5 years' ...
Glassman Steven D - - 2009
BACKGROUND: The value of lumbar spine arthrodesis in older patients is not well documented. As most of the literature regarding lumbar arthrodesis in older patients has focused on the prevalence of complications, the purpose of this study was to determine the clinical outcomes for older compared with younger patients undergoing ...
Yagi Mitsuru - - 2009
OBJECT: The object of this study was to assess the feasibility and efficacy of a novel, minimally invasive spinal surgery technique to correct degenerative lumbar spinal stenosis involving a modified unilateral-approach microendoscopic midline decompression. METHODS: In this prospective study, 41 patients with lumbar stenosis were randomly assigned to undergo either ...
Okoro T - - 2009
We compared a group of 46 somatised patients with a control group of 41 non-somatised patients who had undergone elective surgery to the lumbar spine in an attempt to identify pre-operative factors which could predict the outcome. In a prospective single-centre study, the Distress and Risk Assessment method consisting of ...
Kaner Tuncay - - 2009
OBJECTIVE: Cervical laminoplasty is an effective procedure. We describe the technique of open-door and french-door cervical laminoplasty and present our clinical results. METHODS: All patients undergoing laminoplasty at our clinic during the 1997- 2008 period were included in the study. All patients had myeloradiculopathy. Neurological functions and recovery in myelopathy ...
Sasani Mehdi - - 2009
BACKGROUND: Biomechanical benefits of Total Disc Replacement (TDR) including both the restoration of normal segmental range of motion and the prevention of physiological lumbar lordosis encourage spine surgeons to perform TDR for lumbar disc disease. METHODS: A total of twenty patients (mean age: 39.5) who had degenerative disc disease with ...
Ekman Per - - 2009
The existence and importance of an accelerated adjacent segment disc degeneration (ASD) after lumbar fusion have previously not been demonstrated by RCTs. The objectives of this study were, to determine whether lumbar fusion in the long term accelerates degenerative changes in the adjacent disc and whether this affects the outcome, ...
Lin Chao-Chun - - 2009
PURPOSE: To determine the association between fluid sign and clinical prognosis following percutaneous vertebroplasty (PV). MATERIALS AND METHODS: Institutional review board approval and informed consent were obtained for this prospective study. Fifty-two patients (41 women, 11 men; mean age, 75.9 years; range, 56-95 years) were enrolled from August 2006 to ...
Guarnieri G - - 2009
INTRODUCTION: This study aimed to illustrate the validity of the treatment with vertebroplasty (VP) in patients with aggressive or symptomatic vertebral hemangioma (VH) with or without epidural extension. METHODS: From January 2003 to December 2007, 24 consecutive patients have been treated with VP, for a total of 36 vertebral bodies ...
Zhou Guoshun - - 2010
This study was performed in 36 rabbits to investigate the role of midkine (MK) in the resorption of herniated intervertebral discs. The L(1-2) disc was excised and immersed in one of three kinds of solution for two hours before relocation into the L4 epidural space. In the MK-treated group, the ...
Gray L A LA Mayo Clinic, Rochester, Minn 55905, USA. - - 2009
Administration of comprehensive outcomes measures in elderly patients presenting for vertebroplasty is considered difficult. We administered a battery of 11 outcomes questionnaires with a total of 82 questions, both in person before vertebroplasty and by telephone after vertebroplasty in 20 consecutive patients (mean age, 74.5 years; 80% women). Initial and ...
Diraço─člu Demirhan - - 2009
OBJECTIVE: The aim was to compare the short- and medium-term results of arthrocentesis and conventional treatment (splint, heat, and exercise) in patients with early temporomandibular joint (TMJ) disc displacement without reduction (DDw/oR). STUDY DESIGN: One hundred twenty consecutive patients (104 female, 16 male), who had been followed by a multidisciplinary ...
Porchet F - - 2009
Studies comparing the relative merits of microdiscectomy and standard discectomy report conflicting results, depending on the outcome measure of interest. Most trials are small, and few have employed validated, multidimensional patient-orientated outcome measures, considered essential in outcomes research. In the present study, data were collected prospectively from six surgeons participating ...
Higuchi Daisuke - - 2009
This study aimed to clarify whether age-related changes affect the short-term postoperative improvement of physical functions and abilities in compressive cervical myelopathy by comparing elderly and non-elderly cervical myelopathy. A total of 56 patients with cervical myelopathy who were candidates for surgery (63.1+/-11.5 years; 40 men, 16 women) were investigated. ...
Lalanne Kim - - 2009
OBJECTIVE: This study evaluated the effects of spinal manipulation on spatiotemporal flexion-relaxation phenomenon parameters in individuals with chronic low back pain. METHODS: Twenty-seven adults with chronic low back pain participated in this study and first performed a block of 5 complete trunk flexion-extensions. The experimental group (n = 13) was ...
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