Search Results
Results 401 - 450 of 1521
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Traversi Claudio - - 2008
BACKGROUND: To evaluate by means of fractal analysis the vascular pattern of the optic nerve head obtained by fluorescein angiogram, in non-arteritic anterior ischaemic optic neuropathy (NAION) and optic neuritis (ON). METHODS: Twenty-nine patients at the Department of Ophthalmology of the University of Siena, diagnosed as having either NAION or ...
Hannallah David - - 2008
BACKGROUND: A cerebrospinal fluid leak during cervical spine surgery is a feared complication. However, little is known about the prevalence, management, and long-term course of these events. METHODS: The medical records of 1994 patients who had elective cervical spine surgery during an eleven-year period (1994 through 2005) were reviewed. Patients ...
Xia Yingpeng - - 2008
STUDY DESIGN: Retrospective study of patients who underwent laminectomy for unification. OBJECTIVE: To identify radiographic predictors of residual low back pain (LBP) after laminectomy for lumbar spinal canal stenosis (LCS). SUMMARY OF BACKGROUND DATA: Residual LBP is a common complication of laminectomy and no radiographic predictors of its occurrence have ...
Kim Tae-Jong - - 2008
OBJECTIVES: To determine the prevalence of ossification of the posterior longitudinal ligament (OPLL) in cervical spines in Koreans. METHODS: We reviewed the reports of the radiologic examination of cervical spines from January 2002 to September 2005 in Hanyang University Hospital, Seoul, Korea. OPLL was indicated by the presence of heterotopic ...
Hoogland Thomas - - 2008
STUDY DESIGN: A prospective, cohort evaluation of 262 consecutive patients who underwent transforaminal endoscopic excision for recurrent lumbar disc herniation, after previous discectomy. OBJECTIVE: To review complications and results of the endoscopic transforaminal discectomy (ETD) for recurrent herniated disc with a 2-year follow-up. SUMMARY OF BACKGROUND DATA: Recurrent herniation is ...
Heidecke V - - 2008
BACKGROUND: This is a prospective study of patients with degenerative cervical disease who underwent ventral discectomy and disc replacement with the Bryan((R)) cervical disc prosthesis. The objective was to investigate clinical outcome at 2 years of patients implanted with the Bryan disc and to evaluate function of the implant itself. ...
Cecchi P C - - 2008
BACKGROUND: Spinal dural arterio-venous fistulae (SDAVF) are slow-flow extramedullary vascular lesions which account for 75-80% of all spinal vascular malformations. At present there is no agreed view with regard to the best therapeutic option being surgical or endovascular, and several reports favour one or other form of management. This is ...
Gupta Ankur - - 2009
Presented here is a prospective study assessing the efficacy of decompression of concomitant noncontiguous level (thoracic & lumbar) stenosis in accordance with neurological findings, nerve root blocks, and myelographically proven disease. The objective was to determine the efficacy, clinical outcome, and functional recovery in patients undergoing simultaneous decompression. No previous ...
Kotil Kadir - - 2008
Cervical radiculopathy caused by a posterolateral disc herniation or spondylosis is a common pathology. Decompression of a stressed cervical nerve root is a routine neurosurgical procedure. To determine the safety and effectiveness of anterior cervical microforaminotomy (ACM), we prospectively studied patients undergoing this treatment at our institution to determine the ...
Riina Joseph - - 2008
Cervical fusion is the common treatment for cervical disc disease but can cause secondary disorders. The Prestige ST cervical disc prosthesis (Medtronic Sofamor Danek, Memphis, TN) was designed to preserve spinal motion to potentially limit the secondary disorders. In this article, we report 2-year results from a single-center study comparing ...
Almeida Luis Eduardo - - 2008
OBJECTIVE: The aim of this study was to analyze histologic and histomorphometric features of the articular disc in groups with and without disc displacement. STUDY DESIGN: A sample of 39 temporomandibular joints TMJs (31 case specimens, 8 control specimens) from 28 patients (mean age 31.2 years) were recruited for this ...
Chin Kingsley R - - 2008
Prospective case controlled. To determine the outcome after microdiscectomy in patients with disc herniation, concordant sciatica, and low-back pain with Modic I and II degenerative changes compared with similar patients without Modic changes. The decision to perform a microdiscectomy versus a fusion or total disc replacement in a patient with ...
Tokuhashi Yasuaki - - 2008
STUDY DESIGN: A retrospective study. OBJECTIVE: To investigate the long-term course of patients with delayed union after posterior fusion with pedicle screw fixation (PS) for degenerative lumbar disease. SUMMARY OF BACKGROUND DATA: There have been few studies on the long-term course of patients with delayed union after posterior fusion with ...
Goerner Martin - - 2008
BACKGROUND: Spinal cord compression due to extramedullary hematopoiesis (EMH) is a rare manifestation of thalassemia. General therapeutic recommendations do not exist. CASE REPORT: We report a 23 year old male with beta-thalassemia intermedia and back pain resistant to analgetic medication. Multiple extradural mass lesions on MRI of the lumbar spine ...
Min Jun-Hong - - 2008
STUDY DESIGN: A retrospective study. OBJECTIVE: To evaluate surgical outcomes and prognostic factors of thoracic ossification of the posterior longitudinal ligament (OPLL) treated by anterior decompression. SUMMARY OF BACKGROUND DATA: The results of surgery for thoracic myelopathy caused by OPLL have been recognized as unfavorable. Anterior decompression is the logical ...
Kalkan Erdal - - 2008
STUDY DESIGN: Prospective, randomized, double-blind clinical study. OBJECTIVE: To examine the effect of meperidine-impregnated autogenous free fat grafts (AFFGs) on postoperative pain management after 1-level, first-time lumbar disc surgery. SUMMARY OF BACKGROUND DATA: Uncontrolled postoperative pain impedes patient recovery. Insufficient control of postoperative pain makes it difficult to convince new ...
Lee Sang-Ho - - 2008
OBJECTIVE: This study reports on the comparative results of a series of patients with multilevel cervical ossification of the posterior longitudinal ligament (OPLL) who were treated with laser-assisted anterior corpectomy or laminoplasty. METHODS: Forty-eight patients (21 patients with anterior corpectomy and 27 patients with laminoplasty) with cervical OPLL involvement of ...
Kahilo─čullari Gökmen - - 2008
OBJECTIVE: The report aimed to present the outcome of surgical management of spinal synovial cyst. METHODS: The study was a retrospective review of six patients surgically treated between January 2005 and September 2007. The patients were evaluated in preoperative and postoperative periods. Evaluation was done by questionnaire scoring system. According ...
Wu Chun-Gen - - 2008
OBJECT: Anterior approaches to the lumbosacral spine have become an increasingly common procedure in spine surgery, but transabdominal percutaneous lumbar discectomy (TPLD) performed anteriorly under fluoroscopic guidance is challenging. In this study the authors describe the TPLD and evaluate its safety and early clinical results in the management of L5-S1 ...
Roussel Nathalie A - - 2008
OBJECTIVE: To examine the interobserver reliability of the assessment of lumbar range of motion (ROM) and maximal isometric strength in patients with chronic low back pain (CLBP) using commercially available equipment. DESIGN: A prospective repeated-measures design. SETTING: Ambulatory care in a university hospital. PARTICIPANTS: Twelve patients (5 men, 7 women; ...
Loureiro Marcelo de Paula Mde - - 2008
Plantar hyperhidrosis is present in 50% of patients with hyperhidrosis. Thoracic sympathectomy is an important tool for the treatment of this condition, which is successful in about 60% of patients. For the remaining patients, lumbar sympathectomy is the procedure of choice. As new minimally invasive techniques have been developed, a ...
Chen Zhiming - - 2009
Between 2001 and 2005, 43 patients (average age 54.2, range 36-68 years) with recurrent lumbar disc herniation underwent reoperation with the transforaminal lumbar interbody fusion (TLIF) technique at our unit. All cases were followed up for 24-72 months (mean 45 months) and graded using the Japanese Orthopaedic Association (JOA) score ...
Sergi R - - 2008
Original article. To test the use of bornaprine in the hyperhidrosis treatment in the acute phase of spinal cord-injured patients. Patients with acute spinal cord lesions in the Spinal Unit of Pietra Ligure, Savona, Italy. In 4 years, 12 patients have been treated, for a maximum period of 75 days, ...
Cansever Tufan - - 2008
BACKGROUND: This is a report of 5 patients treated surgically for SCMs. METHODS: During the period from 1998 to 2003, 5 patients (4 male and 1 female) harboring SCMs were treated surgically (all of them underwent complete surgical removal). Patients' ages ranged between 22 and 57 years (mean age, 46 ...
Papavero Luca - - 2008
OBJECTIVE: We undertook a prospective, non-randomized study on the translaminar approach for the treatment of cephalad extruded disc fragments impinging the exiting root. METHODS: Between May 2000 and July 2004, 104 patients (59 men)-presenting with upper lumbar root compression in 74% of the cases -underwent a translaminar approach. The mean ...
Holly Langston T - - 2008
BACKGROUND: Cervical spondylotic myelopathy is a potentially serious neurologic disorder that commonly presents with gait difficulty and hand dysfunction. Because the development of CSM is in large part related to advanced spondylosis and degenerative disk disease, elderly patients appear to be at an increased risk to develop this condition. The ...
Hauerberg John - - 2008
STUDY DESIGN: A prospective randomized clinical study. OBJECTIVE: To compare 2 surgical methods in the treatment of cervical radiculopathy caused by hard or soft disc herniation; namely, simple discectomy versus discectomy with an additional interbody fusion with a Ray titanium cage. SUMMARY OF BACKGROUND DATA: Although an interbody fusion after ...
Gabel Charles Philip - - 2008
The objective of this prospective pilot study was to investigate the predictors of outcome at 6 months for whiplash-associated disorder in a general practitioner primary care population. Psychosocial screening questionnaires, patient-reported outcomes of cervical functional impairment, demographic and accident-specific data have been indicated as predictive of future recovery status and ...
Yaszay Burt - - 2008
STUDY DESIGN: Retrospective study of patients enrolled in prospective randomized Food and Drug Administration trial. OBJECTIVE: To evaluate the influence of pre- and postoperative disc height on postoperative motion and clinical outcomes. SUMMARY OF BACKGROUND DATA: Our understanding of the factors that influence motion and ultimately patient satisfaction after lumbar ...
Sato Shuichi - - 2008
PURPOSE: The purpose of this study was to investigate whether an additional mouth opening exercise contributes to better outcome in patients with nonreducing disc displacement who underwent pumping of the temporomandibular joint (TMJ). PATIENTS AND METHODS: Twenty-three female patients with nonreducing disc displacement of the TMJ underwent pumping of the ...
Acosta-Rua Antonio J - - 2008
Patients experiencing subacute low back pain (LBP) represent a challenge for the physical therapist. There have been few studies on the use of continuous passive motion of the lumbar spine for the treatment of LBP. Three patients with symptoms of subacute LBP without radiculopathy were treated using a novel device ...
Strunk Richard G - - 2008
The purpose of this project was to develop and test protocols for a randomized clinical trial of a combined therapeutic approach (thoracic spine and sacroiliac joint high-velocity, low-amplitude spinal manipulation [HVLA SM] + cervical spine postisometric relaxation) and cervical spine HVLA SM for patients with subacute or chronic neck pain. ...
Rubinstein Sidney M - - 2008
OBJECTIVE: This study examines which variables may predict adverse events in subjects undergoing chiropractic treatment for neck pain. METHODS: This was a prospective, multi-center, cohort study. All new patients, 18 to 65 years of age with neck pain of any duration, who had not undergone chiropractic care or manual therapy ...
Geisler Fred H - - 2008
OBJECT: A secondary lumbar surgery at a previously surgically treated level is believed to result in minimal clinical improvement. The clinical results of the CHARITE Investigational Device Exemption (IDE) study were analyzed to assess the effect of previous surgery on clinical outcomes following either total disc replacement with the CHARITE ...
Kitze K - - 2008
This study assessed socio-demographic, physical, psychological, and work-related factors predicting the ability to work 6 months after operation in disc herniation patients. After nucleotomy 214 patients answered questionnaires on job satisfaction, their desire for a disability pension, preoperative sick leave, and completed the QLQ-C30, and SCL-27A questionnaires. Additionally, data on ...
Yang Shih-Chieh - - 2008
BACKGROUND AND PURPOSE: In the classic Hirabayashi procedure, the lamina door is tethered open by sutures between the spinous process and facet capsule or para-vertebral muscle. Our early experiences showed, however, that the loosened sutures result in dislodgement and reclosure of the lifted lamina. We present a modified method to ...
Nunley Pierce D - - 2008
OBJECTIVE: This prospective study was conducted to evaluate improvements in pain and disability in a series of 53 consecutive worker's compensation patients with low back pain (LBP) after treatment with the intradiscal electrothermal therapy (IDET) procedure. MATERIALS AND METHODS: All patients seen in the out-patient clinic of the Spine Institute ...
Neuschmelting Volker - - 2008
OBJECT: Cervical laminoplasty is a recognized technique commonly used for multilevel posterior cervical decompression, and it is favored over laminectomy for maintaining spinal stability. Traditional hinge techniques, however, limit lateral exposure on one side and can limit dural exposure. The authors present their experience with a modified laminoplasty technique incorporating ...
Barth Martin - - 2008
STUDY DESIGN: Single-center randomized prospective study at a university hospital. OBJECTIVE: The aim of the present study was to provide a 2-year outcome comparison of microdiscectomy (D) versus microscopic sequestrectomy (S) in terms of reherniation rates, clinical investigation, and self-rated parameters using a comprehensive questionnaire. SUMMARY OF BACKGROUND DATA: Simple ...
Bademci G - - 2008
OBJECTIVE: Perioperative analgesia effects the postoperative course of pain. The purpose of this study was to evaluate its possible relation with the consumption of dolantine and analgesics and the facet-induced pain and postoperative pain score in degenerative disc surgery. METHODS: We employed perioperative intra- and perifacet bupivacaine infiltration technique to ...
Beattie Paul F - - 2008
OBJECTIVE: To determine outcomes after administration of a prone lumbar traction protocol. DESIGN: Prospective, longitudinal, case series. SETTING: Suburban, chiropractic practice. PARTICIPANTS: A total of 296 subjects with low back pain (LBP) and evidence of a degenerative and/or herniated intervertebral disk at 1 or more levels of the lumbar spine. ...
Leeuw Maaike - - 2008
Since pain-related fear may contribute to the development and maintenance of chronic low back pain (CLBP), an exposure in vivo treatment (EXP) was developed for CLBP patients. We examined the effectiveness as well as specific mediating mechanisms of EXP versus operant graded activity (GA) directly and 6 months post-treatment in ...
Hayhurst C - - 2008
The natural history of Chiari malformation and our ability to alter it is poorly understood, and reported results of hindbrain decompression show high recurrence rates. We report 11 years of experience of hindbrain decompression, to evaluate long-term outcome related to surgical technique. The results of patients who underwent hindbrain decompression ...
Kemler Marius A - - 2008
OBJECT: Chronic complex regional pain syndrome-Type I (CRPS-I) is a painful, disabling disorder for which no treatment with proven effect is available. In the present randomized controlled trial, the authors assessed the effectiveness of spinal cord stimulation (SCS) in reducing pain due to CRPS-I at the 5-year follow-up. METHODS: The ...
Guyer Richard D - - 2008
OBJECT: Lumbar arthroplasty is approved in the US for the treatment of degenerative disc disease at 1 level in skeletally mature patients. However, a bias toward older patients (> 45 years of age) who are otherwise indicated for the procedure may exist. In this study, the clinical outcomes of patients ...
Barth Martin - - 2008
STUDY DESIGN: Single-center randomized prospective study at a university hospital. OBJECTIVE: The aim of the present study was to assess disc morphology radiologically 2 years after surgery in a cohort of prospectively randomized patients undergoing microdiscectomy (D) or microscopic sequestrectomy (S) to compare the results and to correlate this data ...
Cleary May - - 2008
BACKGROUND: Degeneration of the spine is a prevalent problem that generally advances with age, although its occurrence is not restricted to the elderly. Chronic low back pain is a common problem with several treatments, but rigorous evaluation of many interventions is still lacking. One of the most common methods of ...
Hershkovitz R - - 2008
OBJECTIVE: The technical factors contributing to failure of cerclage are not fully understood. The aims of this study were to assess the possibility of tightening the McDonald cerclage under ultrasound guidance and to examine the width and shape of the cervical canal before and after tightening the suture. METHODS: A ...
Kofotolis Nikolaos D - - 2008
OBJECTIVE: To examine the effectiveness of rhythmic stabilization exercises and transcutaneous electrical nerve stimulation (TENS) and their combination in treating women with chronic low back pain. DESIGN: Sequentially allocated, single-blinded and controlled study, with a two-month follow-up. SETTING: The data were collected in a patient rehabilitation setting. SUBJECTS: A total ...
Würgler-Hauri Carola C - - 2008
STUDY DESIGN: Prospective clinical study. OBJECTIVE: To report the outcome, radiologic findings, and complications in patients undergoing microsurgical radicular decompression and implantation of Dynesys (Zimmer Spine, Münsingen, Switzerland). SUMMARY OF BACKGROUND DATA: The currently available peer-reviewed English-language medical literature addressing the use of the dynamic stabilization systems is limited. Indications, ...
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