Back pain after varicocele embolization.
Back pain after varicocele embolization. Arch Esp Urol. 2017 Jul;70(6):621-622 Authors: Elizalde Benito FX, Quintana Martínez I, Urra Palos M, Elizalde Benito ÁG PMID: 28678015 [PubMed - in process]
Conclusions: Palliative surgery using PDFIV can improve neurological function and alleviate pain effectively, and allow low cement leakage and timely disposal of leakage combined with intraoperative visual vertebroplasty.
Conclusions: There is no significant advantage of 1-stage posterior corpectomy over decompression with fusion. Furthermore, more blood loss and longer operative time may increase the risk of postoperative complications following corpectomy. For this reason, 1-stage posterior corpectomy to control thoracic metastasis should be considered with caution.
Study Design: Prospective cohort study. Summary of Background Data: Minimally invasive spinal surgery (MISS) has been gaining recognition in patients with metastatic spine disease (MSD). The advantages are reduction in blood loss, hospital stay, and postoperative morbidity. Most of the studies were case series with very few comparing the outcomes of MISS to open approaches. Objective: To evaluate and compare the clinical and perioperative outcomes of MISS versus open approach in patients with symptomatic MSD, who underwent posterior spinal stabilization and/or decompression. Patients and Methods: Our study included 45 M...
Conclusions: Thirty-six years after White and Panjabi’s original definition of instability, and many classification schemes later, there remains no practical and meaningful definition for spinal instability in thoracolumbar trauma. Surgeon expertise and experience remains an important factor in stability determination. We propose that, at an initial assessment, a distinction should be made between immediate and delayed instability. This designation should better guide surgeons in decision making and patient counseling.
Conclusions: PVCR with intraoperative manual traction is a safe and effective procedure for treatment of upper thoracic or CTJ posttubercular kyphosis. Level of Evidence: Level 4.
This study was conducted to assess the invasiveness, efficacy, and safety of minimally invasive spine stabilization (MISt) for metastatic spinal tumor patients with short life expectancy. Summary of Background Data: Conventional open surgery for metastatic spinal tumors has the disadvantages of significant blood loss, potential infection, damage to back muscles, and extended hospital stays. The minimally invasive spine surgery has changed the treatment of metastatic spinal tumors radically and fundamentally. Materials and Methods: We retrospectively reviewed data from 50 consecutive patients registered with the Keio Spin...
In this study, a total of 72 patients (94.7%) with a minimum of 5 years of follow-up data were available for analysis. There were 35 (18 men and 17 women) in the TDR group and 37 (20 men and 17 women) in the ACDF group. There was no difference in preoperative Japanese Orthopedic Association, Neck Disability Index, range of motion (ROM), and Visual Analogue Scale (VAS), on arm pain and neck pain between the 2 groups (P=0.663), but the TDR group showed significant differences in VAS for neck pain and ROM compared with that of the ACDF group at the last follow-up (P
Study Design: Retrospective study. Objective: To report the efficacy of anterior cervical decompression and fusion surgery as treatment method for cervicogenic headache (CeH). Summary of Background Data: The exact diagnostic criteria and optimal treatment of CeH is still under investigation. Methods: A total of 34 consecutive patients (mean age 55.8 y) with CeH (in addition to cervical stenosis symptomatology) resistant to nonoperative treatment were treated by anterior cervical decompression and fusion from 1 up to 3 levels and were followed for at least 1 year. Clinical visual analog pain scale for headache, patient s...
Conclusions: The prognosis of psychogenic low-back pain and hysterical paralysis in adolescence is relatively good. However, it is important to understand the characteristics of psychogenic low-back pain and hysterical paralysis in childhood and young adulthood and to perform accurate diagnosis by screening for nonorganic signs and excluding organic disorders by using the thiopentone pain study and motor evoked potentials obtained using transcranial magnetic stimulation.
COMMENTARY ON: Matthew L. Stevens, Chung-Wei C. Lin, Flavia A. de Carvalho, Kevin Phan, Bart Koes, Chris G. Maher. Advice for acute low back pain: A comparison of what research supports and what guidelines recommend. The Spine Journal, In Press.