Nursing Review Section of Surgical Neurology International Part 2: Lumbar Spinal Stenosis.
CONCLUSIONS: Patients with narrowing of the lumbar spinal canal may have central or lateral recess stenosis that compresses the thecal sac and/or exiting nerve roots at any of 5 levels. Laminectomy, performed at single or multiple levels, decompresses lumbar spinal stenosis. PMID: 28781916 [PubMed]
Conclusion. There was no difference in TBL, intraoperative bleeding, and operation time, but HBL were higher in RA patients particularly in long-segmental operation. Steinbroker classification, DMARDs, the change of Hb, and allogeneic blood transfusion were independent risk factors for HBL in RA patients. Level of Evidence: 3
Conclusions: Surgical intervention resulted in good clinical outcomes in SCPPD patients. As per our findings, total removal of CPPinvolved tissue is unnecessary. As such, surgery should be performed as indicated according to clinical presentation without considering the presence of CPPD. PMID: 31352727 [PubMed - as supplied by publisher]
ConclusionsActive TENS applied while walking is no better than de-tuned TENS for improving walking ability in patients with degenerative LSS and therefore should not be a recommended treatment in clinical practice.RegistrationClinicalTrials.gov ID:NCT02592642. Registration October 30, 2015.
Rationale: Gout occurs mainly in joints, but rarely in the spine. In the spine, urate crystals can cause intervertebral space instability but rarely lead to retrolisthesis. Here, we present an extremely rare disease with gout invaded the intervertebral disc with lumbar retrolisthesis. Patient concerns: A 61-years male patient with gout history has suffered from severe low back pain and intermittent claudication. Physical examination showed the level of muscle strength of his left first toe was 3/5. Images illustrated a destruction of the intervertebral space, and a retrolisthesis at L4/5 interspace and the dural sac o...
While the cervical spine is only occasionally involved in rheumatoid arthritis (RA), involvement of the lumbar spine is even less common. A few reports on lumbar spinal stenosis in patients with RA have appeared. Although disc space narrowing occurs in aging, postoperative ASD in RA patients has not been subject to much analysis.
Although the cervical spine is only occasionally involved in rheumatoid arthritis (RA), involvement of the lumbar spine is even less common. A few reports on lumbar spinal stenosis in patients with RA have appeared. Although disc space narrowing occurs in aging, postoperative adjacent segment disease (ASD) in patients with RA has not been subject to much analysis.
Authors: Haddadi K, Asadian L, Isazade A Abstract Lumbar spinal stenosis (LSS) is a chronic and prevalent disease that occurs in 10.8% of the general population, mostly in old age. We designed the first clinical trial study to compare the effects of administering the nasal salmon calcitonin spray and gabapentin in patients with LSS. In this clinical trial, 90 patients with symptoms of neurogenic claudication and magnetic resonance imaging-proven LSS were randomly assigned to nasal salmon calcitonin, gabapentin, or placebo treatments for eight weeks (30 participants in each group). This was followed by a washout per...
Opioid use for the treatment of chronic non-malignant pain has increased, with approximately 90% of patients in pain clinics receiving opioids. Gastrointestinal effects such as constipation are frequently reported. Treatments for opioid induced constipation has expanded, which includes the use of peripherally acting μ-opioid receptor antagonist such as Naloxegol. The authors present a case of delayed opioid withdrawal in an 86-year-old male receiving Naloxogel, whose medical history was significant for lumbar spinal stenosis, Coronary Artery Disease and Rheumatoid Arthritis.
Purpose: Lumbar spinal stenosis (LSS) is a painful form of spine arthritis, characterized by neurogenic claudication and mobility limitations. Research suggests that people with LSS would benefit from increased physical activity. Yet, to date we do not have disease specific activity guidelines for LSS, and the nature of free-living physical activity (performance) in LSS remains unknown. LSS care providers could endorse the 2008 United States Physical Activity Guidelines, however, we do not know if this is realistic.
Commentary on: Delitto A, Piva SR, Moore CG, et al.. Surgery versus nonsurgical treatment of lumbar spinal stenosis: a randomized trial. Ann Intern Med 2015;162:465–73. Context The study by Delitto and colleagues gives options to patients who otherwise may feel back surgery is inevitable. Spinal stenosis is common,1 yet there is no professional consensus on diagnostic criteria or indications for surgery. The label is frequently assigned in MRI reports and may quickly lead to surgery. However, arthritic changes in the lumbar spine are common even among asymptomatic individuals,2 so diagnosis based on the pattern and s...