Lower lumbar osteoporotic vertebral fractures with neurological symptoms might have two different pathogeneses according to early magnetic resonance images
ConclusionsLower lumbar OVFs with neurological symptoms might have two different pathogeneses according to early MR images. Compared with symptomatic patients with OVFs indicated by superior/inferior low intensity, symptomatic patients with OVFs indicated by total low intensity may require different treatment strategies to avoid symptoms.
Background: Lumbar herniated nucleus pulposis (HNP) occurs infrequently in the pediatric/adolescent population. A minority of patients with radicular symptoms fail to improve with conservative management and require discectomy. The authors hypothesize that children who ultimately require surgical intervention have an underlying lumbar stenosis predisposing them to continued symptoms. Methods: Pediatric patients with a lumbar HNP on advanced imaging were retrospectively identified at a tertiary pediatric orthopaedic institution. Patients with spondylolisthesis, fractures, previous spine surgery, or structural thoracolu...
Conditions: Pain, Postoperative; SPINAL Fracture; Spondylolisthesis Interventions: Procedure: ESP block; Procedure: Wound infiltration Sponsors: Fondazione Policlinico Universitario Agostino Gemelli IRCCS; Prof. Marco Rossi; Dr. Roberta Nestorini; Dr. Mariangela Di Muro Not yet recruiting
CONCLUSIONS: The results of this 11-year follow-up study demonstrate that, in patients with spinal stenosis and degenerative spondylolisthesis, decompression and posterior arthroplasty maintain clinical improvement and radiological stability. PMID: 31585417 [PubMed - as supplied by publisher]
J Neurol Surg A Cent Eur Neurosurg DOI: 10.1055/s-0039-1688559 Study Design Retrospective study of prospectively collected outcome data. Background No studies have evaluated the long-term outcomes following microendoscopic diskectomy for lumbar disk herniation (MEDH) and microendoscopic decompression for lumbar spinal stenosis (MEDS) using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ). Objective To assess the minimum 10-year outcomes following MEDH and MEDS. Patients and Methods Seventy-six patients were classified into three groups: disk herniation (DH) g...
Conditions: Degenerative Disc Disease; Spondylolisthesis, Lumbar Region Interventions: Drug: Methadone Hydrochloride; Drug: Oxycodone-Acetaminophen Sponsor: The Methodist Hospital System Not yet recruiting