Search Results
Results 301 - 350 of 1509
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Song Joonsuk - - 2009
Lumbosacral extraforaminal stenosis is not uncommon among patients being treated for radicular symptoms. Patients who had lumbosacral extraforaminal stenosis were reviewed, and cadaver dissection was used to determine the anatomy of extraforaminal lesions. A total of 167 patients with lumbosacral spinal stenosis who underwent surgery from March 2004 to February ...
Debette S - - 2009
We aimed to evaluate the long-term (>2 years) outcome of acute and subacute myelopathies (ASM). We systematically followed-up consecutive patients presenting with a first episode of ASM, defined by spinal cord symptoms with an onset <3 weeks and duration >or=48 h. Patients with compressive or traumatic spinal cord lesions are ...
End??n Kira - - 2009
OBJECTIVES: To describe the main dimensions of the cervical vertebrae and spinal canal in two groups with juvenile idiopathic arthritis (JIA) and a non-inflammatory control group. METHODS: There were altogether 158 female patients in three different groups included in the study: a group with severe, complicated JIA (sJIA), a population ...
Birnbaum Klaus - - 2009
BACKGROUND: Cervical disc nucleoplasty is a significant and clinically demonstrated innovation in percutaneous disc decompression in case of non-herniated disc protrusions or prolpase. It allows a percutaneous decompression via a 19-gauge needle under utilization of the Coblation technique and under C-arm control. Until now the patients suffering of a cervicobrachialgia ...
Ozer Ali Fahir - - 2009
STUDY DESIGN: Prospective study was performed in case with cervical spondylosis and ossification of the posterior longitudinal ligament (OPLL). OBJECTIVE: A novel anterior approach was defined and some patients were operated in this study. The late results of open-window corpectomy (OWC) were documented in a group of patients. SUMMARY OF ...
Lee Sang-Hwa - - 2009
PURPOSES: The purpose of this study was to evaluate the clinical outcome and magnetic resonance imaging (MRI) changes of patients with temporomandibular joint (TMJ) internal derangement before and after performance of arthrocentesis and stabilization splint therapy. PATIENTS AND METHODS: Thirty-three patients with unilateral TMJ internal derangement that was successfully treated ...
Fürstenberg C H - - 2009
We analysed the influence of the timing of surgery (< 48 hours, group 1, 21 patients vs > 48 hours, group 2, 14 patients) on the neurological outcome and restoration of mobility in 35 incomplete tetra- and paraplegic patients with metastatic spinal-cord compression. Pain and neurological symptoms were assessed using ...
Heller John G - - 2009
STUDY DESIGN: A prospective, randomized, multicenter study of surgical treatment of cervical disc disease. OBJECTIVE: To assess the safety and efficacy of cervical disc arthroplasty using a new arthroplasty device at 24-months follow-up. SUMMARY OF BACKGROUND DATA: Cervical disc arthroplasty preserves motion in the cervical spine. It is an alternative ...
Anderson Paul A - - 2009
STUDY DESIGN: Retrospective cohort study. OBJECTIVE: Perform a multivariate analysis to identify important predictors of poor outcome following anterior cervical discectomy and fusion. SUMMARY OF BACKGROUND DATA: Identifying prognostic factors is important to aid surgical decision-making and counseling of patients. Recent randomized control trials of disc arthroplasty devices have established ...
Nassr Ahmad - - 2009
STUDY DESIGN: Retrospective radiographic analysis. OBJECTIVE: To retrospectively review a group of patients undergoing anterior cervical discectomy and fusion (ACDF) to determine the relative risk of adjacent level disc degeneration after incorrect needle localization. SUMMARY OF BACKGROUND DATA: The needle puncture technique is a well-established method to cause disc degeneration ...
Bhadra Arup K - - 2009
Although there are several accepted methods of surgical treatment for single-level cervical radiculopathy, the choice depend on the surgeon's preference. The techniques may vary in peri-operative morbidity, short- and long-term outcome, but no study so far has analyzed their cost-effectiveness. This study might give some insight in balancing cost and ...
Mont'Alverne Francisco - - 2009
INTRODUCTION: Spinal involvement is a common presentation of multiple myeloma (MM); however, the cervical spine is the least common site of myelomatous involvement. Few studies evaluate the results of percutaneous vertebroplasty (PV) in the treatment of MM of the spine. The purpose of this series is to report on the ...
Kim Seok Woo - - 2009
The object of this study is to compare radiographic outcomes of anterior cervical decompression and fusion (ACDF) versus cervical disc replacement using the Bryan Cervical Disc Prosthesis (Medtronic Sofamor Danek, Memphis, TN) in terms of range of motion (ROM), Functional spinal unit (FSU), overall sagittal alignment (C2-C7), anterior intervertebral height ...
Lee Jung Hwan - - 2009
PURPOSE: This study was to compare the effectiveness of the translaminar, caudal, and transforaminal technique with small and large volume of injectate in the treatment of lumbosacral herniation of intervetebral disc (HIVD) or spinal stenosis (SS). METHOD: Medical records reviewed retrospectively were of patients with radicular pain over 3 months ...
Peng Chan Wb - - 2009
Percutaneous endoscopic lumbar discectomy is a relatively new technique. Very few studies have reported the clinical outcome of percutaneous endoscopic discectomy in terms of quality of life and return to work. 55 patients with percutaneous endoscopic lumbar discectomy done from 2002 to 2006 had their clinical outcomes reviewed in terms ...
Kim Min Seok - - 2009
STUDY DESIGN: A retrospective clinical study. OBJECTIVE: To estimate the recurrence rate of lumbar disc herniation after open discectomy in active young men using survival analysis. SUMMARY OF BACKGROUND DATA: There are few reports on the recurrence rate of lumbar disc herniation in young adults, even though this age group ...
Gelalis I D - - 2009
In order to assess the efficacy of epidural steroid injections (ESI) in acute and subacute pain due to lumbar spine disk herniation, we conducted a randomized trial, comparing 2 different protocols. Fourty patients with radicular pain due to L4-L5 and L5-S1 disc herniation were assigned to receive either 3 consecutive ...
Brouwer Patrick A - - 2009
The usual surgical treatment of refractory sciatica caused by lumbar disc herniation, is open discectomy. Minimally invasive procedures, including percutaneous therapies under local anesthesia, are increasingly gaining attention. One of these treatments is Percutaneous Laser Disc Decompression (PLDD). This treatment can be carried out in an outpatient setting and swift ...
Wenger Markus - - 2009
Preserving the function of cervical disc prostheses, even over the short term, is a matter of concern among surgeons. Our case series highlights our results and protocol for increasing the probability of continued device function. Twenty-five consecutive patients with a mean (+/-SEM) age of 44.3+/-8.3 years underwent 29 cervical total ...
Fujiyoshi Takayuki - - 2008
STUDY DESIGN: To report a new index, the K-line, for deciding the surgical approach for cervical ossification of the posterior longitudinal ligament (OPLL). OBJECTIVE: To analyze the correlation between the K-line-based classification of cervical OPLL patients and their surgical outcome. SUMMARY OF BACKGROUND DATA: Previous studies showed that kyphotic alignment ...
Kumar Abhishek - - 2008
STUDY DESIGN: Prospective case series. OBJECTIVE: To study the radiologic changes in the intervertebral disc after Dynesys dynamic stabilization. SUMMARY OF BACKGROUND DATA: Adjacent segment disc degeneration is one of the potential complications of fusion surgery. It has been proposed that nonfusion motion preservation surgery may prevent accelerated adjacent segment ...
Hasegewa Kazuhiro - - 2009
Here we investigated the biomechanical properties of spinal segments in patients with degenerative lumbar spondylolisthesis (DLS) using a novel intraoperative measurement system. The measurement system comprised spinous process holders, a motion generator, a load cell, an optical displacement transducer, and a computer. Cyclic displacement of the holders produced flexion-extension of ...
Chauhan Balwantray C - - 2009
PURPOSE: To compare confocal scanning laser tomography (CSLT) to optic disc photography for detecting progressive glaucomatous disc changes. METHODS: Four expert observers first examined a training set of 40 pairs of monoscopic disc photographs to help set a criterion for change. They then classified 44 pairs of monoscopic photographs of ...
Zhao Bin-xiu - - 2008
OBJECTIVE: To investigate the clinical effects of acupuncture after surgical operation in patients with prolapse of the lumbar intervertebral disc (PLID). METHODS: Sixty-nine patients in this series, who had undergone the removal of nucleus pulposus and the intervertebral fusion as well, were randomly divided into a treatment group of 35 ...
Blazhevski Branko - - 2008
The optimal time for lumbar discectomy due to sciatica is still under discussion. We examined a group of 177 consecutive patients with lumbar disc herniation, who underwent lumbar discectomy. According to the duration of the sciatica, patients were divided into 3 groups: 31 (17.5%) patient with a duration of sciatica ...
Sasai Kunihiko - - 2008
OBJECT: Surgical outcome and radiographic changes after microsurgical bilateral decompression via a unilateral approach (MBDU) for lumbar spinal canal stenosis during midterm follow-up periods (> 2 years) have not been reported. The authors retrospectively investigated surgical outcomes after MBDU in patients with lumbar degenerative spondylolisthesis with stenosis in comparison with ...
Pearson Adam M - - 2008
Subgroup analyses according to treatment received. To evaluate whether baseline radiographic findings predicted outcomes in patients with degenerative spondylolisthesis. The spine patient outcomes research trial combined randomized and observational DS cohorts. The Meyerding listhesis grade was determined on the neutral radiograph (n = 222). Patients were classified as having low ...
Weinstein James N - - 2008
Concurrent, prospective, randomized, and observational cohort study. To assess the 4-year outcomes of surgery versus nonoperative care. Although randomized trials have demonstrated small short-term differences in favor of surgery, long-term outcomes comparing surgical to nonoperative treatment remain controversial. Surgical candidates with imaging-confirmed lumbar intervertebral disc herniation meeting SPORT eligibility criteria ...
Al-Zain Ferass - - 2008
BACKGROUND: Nucleoplasty is a minimally invasive percutaneous intradiscal coblation therapy option in patients with chronic discogenic low back pain. The purpose of this prospective study was to assess the effectiveness of nucleoplasty in our patients up to 1 year after treatment. METHOD: All patients included in this study suffered from ...
Manchikanti Laxmaiah - - 2008
Post surgery syndrome resulting in persistent pain following lumbar spine surgery is common. Speculated causes of post lumbar surgery syndrome include stenosis, degeneration of adjacent segments, internal disc disruption, recurrent disc herniation, retained disc fragment, epidural or intraneural fibrosis, radiculopathy, and various other causes. Epidural injections are most commonly used ...
Manchikanti Laxmaiah - - 2008
The pathophysiology of lumbar radicular pain is a subject of ongoing research. The prevalence of sciatica or radiculitis ranges from 1.2% to 43%. Epidural injections are one of the most commonly performed interventions in the United States in managing chronic low back and lower extremity pain secondary to disc herniation ...
Meeuse Jan J - - 2008
Percutaneous cervical cordotomy is an invasive procedure to treat severe, opioid-resistant cancer pain. It is usually proposed for patients with a limited life expectancy. As a consequence, objective quantification of the long-term effects of this procedure is lacking. The present report describes a patient who was treated with a right-sided ...
Guyer Richard D - - 2008
STUDY DESIGN: This is a retrospective analysis of data that were collected prospectively from 2 concurrent FDA IDE lumbar arthroplasty clinical trials performed at a single center. OBJECTIVES: The purpose of this study was to determine if factors differentiating those patients with the best and worst clinical outcomes from total ...
Cheng Lei - - 2009
In this prospective study, our aim was to compare the functional results and radiographic outcomes of fusion and Bryan Cervical Disc replacement in the treatment of two-level cervical disc disease. A total of 65 patients with two-level cervical disc disease were randomly assigned to two groups, those operated on with ...
Gray L A - - 2009
BACKGROUND AND PURPOSE: Limited data exists regarding the efficacy of percutaneous vertebroplasty for multiple synchronous and metachronous vertebral compression fractures. The purpose of this study was to evaluate whether the number of vertebral levels treated during percutaneous vertebroplasty procedures or the number of separate vertebroplasty procedures performed on a given ...
Gregory David S - - 2008
Acute lumbar disk herniations are the most common cause of sciatica. After excluding emergent causes, such as cauda equina syndrome, epidural abscess, fracture, or malignancy, a six-week trial of conservative management is indicated. Patients should be advised to stay active. If symptoms persist after six weeks, or if there is ...
Hasegawa Kazuhiro - - 2008
STUDY DESIGN: Retrospective clinical study. OBJECTIVE: To evaluate clinical results of patients with nontraumatic cervical lesions treated by cervical pedicle screw (PS) fixation and to discuss the surgical indications. SUMMARY OF BACKGROUND DATA: PS fixation provides an outstanding stability for cervical lesions with instability. This technique, however, has a potential ...
Munoz-Rojas Maria-Veronica - - 2008
In mucopolysaccharidosis I, deficiency of alpha-L-iduronidase can cause spinal cord compression (SCC) due to storage of glycosaminoglycans (GAGs) within the cervical meninges. As intravenous enzyme replacement therapy (ERT) is not likely to provide enzyme across the blood-brain barrier, standard treatment for this complication is usually surgical, which has a high ...
Steinmetz Michael P - - 2008
OBJECTIVE: Patients with cervical radiculopathy and/or myelopathy are often treated with anterior cervical discectomy and fusion. Cervical arthroplasty has recently been advocated as an alternative treatment. Theoretically, arthroplasty should permit early return to activity and protect against adjacent segment disease. Early mobilization and return to activity may, theoretically, reduce cost ...
Anderson Paul A - - 2008
Randomized controlled trials are considered to provide the strongest data regarding the relative benefits of treatment alternatives for medical conditions. Uncertainty persists regarding the optimal treatment of patients with symptomatic lumbar disk herniation. Five randomized controlled trials were published between 1983 and 2007 that compared lumbar diskectomy with nonsurgical treatment. ...
Yildirim Yucel - - 2008
We evaluated the level of pain, disability, performance, and physical activity changes in patients who underwent lumbar disc hernia surgery. This study included 31 patients who underwent lumbar disc hernia surgery in the Neurosurgery Department of Dokuz Eylul University Hospital, Izmir, Turkey over a 13-month period from April 2003 to ...
Smith Justin S - - 2008
OBJECT: Adults with scoliosis often present with neurological symptoms and deficits. However, the incidence of these findings and how they may affect treatment decisions have not been clearly defined. The purpose of this study was to quantify the prevalence of neurological symptoms and deficits in adults with scoliosis presenting to ...
Rohan Michael X MX - - 2009
BACKGROUND CONTEXT: A recent study involving interbody fusion patients found that preoperative work status was significantly related to clinical outcome. In another study comparing the best and worst outcomes of total disc replacement, among a battery of variables analyzed, the only one that differentiated the best and worst outcome groups ...
Guyer Richard D - - 2009
The CHARITE artificial disc, a lumbar spinal arthroplasty device, was approved by the United States Food and Drug Administration in 2004 based on two-year safety and effectiveness data from a multicenter, prospective, randomized investigational device exemption (IDE) study. No long-term, randomized, prospective study on the CHARITE disc or any other ...
Du Bois M - - 2009
BACKGROUND CONTEXT: Ten percent of patients with low back pain (LBP) are not able to resume work within 3 months of sick leave, accounting for 90% of all medical and indemnity costs. PURPOSE: To quantify the relative contribution of sociodemographic, clinical, occupational, and psychological risk factors in determining the non-return ...
Wu Zhiqun - - 2009
PURPOSE: To evaluate the therapeutic results of oxygen-ozone combined collagenase injection for the treatment of lumbar disc herniation compared to the surgery. And to explore the role of this minimally invasive treatment as an alternative to disc surgery. MATERIALS AND METHODS: Two groups of patients (n=108) were treated with different ...
Murrey Daniel - - 2009
BACKGROUND CONTEXT: Cervical total disc replacement (TDR) is intended to address radicular pain and preserve functional motion between two vertebral bodies in patients with symptomatic cervical disc disease (SCDD). PURPOSE: The purpose of this trial is to compare the safety and efficacy of cervical TDR, ProDisc-C (Synthes Spine Company, L.P., ...
Rasmussen Sten - - 2008
STUDY DESIGN: We randomized 200 patients after lumbar discectomy to receive epidural steroid or none with a 2-year follow-up. OBJECTIVE: To evaluate the outcome, neurologic impairment and safety of epidural steroid following lumbar discectomy for herniated disc disease. SUMMARY OF BACKGROUND DATA: Convalescence after discectomy for herniated disc disease is ...
Lawrence J Todd R - - 2008
STUDY DESIGN: Prognostic Study, Level II (Retrospective review of prospectively collected data). OBJECTIVE: To identify an association between preoperative narcotic use and clinical outcome after cervical arthrodesis. SUMMARY OF BACKGROUND DATA: Little data exists regarding the influence that chronic preoperative narcotic use has on clinical outcomes after surgery. Cervical arthrodesis ...
Celik Suat E - - 2008
OBJECT: In this prospective, randomized clinical study the authors sought to evaluate the effects of locally applied mitomycin C on peridural fibrosis during lumbar microdiscectomy. METHODS: Patients undergoing lumbar disc surgery were randomly divided into 2 groups. Thirty patients had 1 mg/ml mitomycin C applied at the site of discectomy ...
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