Diagnosis and management of lumbar spinal stenosis in primary care in France: a survey of general practitioners

Lumbar spinal stenosis (LSS) is a common spinal condition and the most frequent indication for spinal surgery in elderly people. General practitioners (GPs) are on the 1st line for its diagnosis and treatment. We...
Source: BMC Musculoskeletal Disorders - Category: Orthopaedics Authors: Tags: Research article Source Type: research

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Publication date: Available online 16 November 2019Source: Artificial Intelligence in MedicineAuthor(s): Yu Sun, Li Wang, Zhongliang Jiang, Bing Li, Ying Hu, Wei TianAbstractThe decompressive laminectomy is a common operation for treatment of lumbar spinal stenosis. The tools for grinding and drilling are used for fenestration and internal fixation, respectively. The state recognition is one of the main technologies in robot-assisted surgery, especially in tele-surgery, because surgeons have limited perception during remote-controlled robot-assisted surgery. The novelty of this paper is that a state recognition system is p...
Source: Artificial Intelligence in Medicine - Category: Bioinformatics Source Type: research
This study examines national trends in the surgical management of lumbar spinal stenosis (LSS) in patients with and without coexisting scoliosis between 2010 and 2014. The study also examines revision rates for LSS procedures. Summary of Background Data. There is wide variability in the surgical management of patients with LSS, with and without coexisting spinal deformity. Methods. Data were obtained from the Healthcare Cost and Utilization Project's National Inpatient Sample Database. International Classification of Diseases 9th revision- Clinical Modification codes were used to identify all patients with a primary ...
Source: Spine - Category: Orthopaedics Tags: HEALTH SERVICES RESEARCH Source Type: research
This study aimed to investigate the gender difference in pre- and postoperative health-related quality of life (HRQOL) in patients who have had decompression surgery for lumbar spinal stenosis (LSS). Overview of Literature: Gender differences may contribute to variations in disease presentations and health outcomes. The influence of gender on pre- and postoperative HRQOL in spinal disorders remains unclear. Methods: We reviewed 125 patients (79 men and 46 women) who had lumbar spinous process splitting laminectomy (LSPSL) for LSS. We assessed the following clinical information: Japanese Orthopedic Association (JOA)...
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
Conclusion: F group has no better clinical results than D alone in LSS, regardless of DS and follow-up. The conclusion is of “High” quality and the grade strength of recommendation was “Strong.”
Source: Medicine - Category: Internal Medicine Tags: Research Article: Systematic Review and Meta-Analysis Source Type: research
Low back pain, radicular leg pain, and lumbar spinal stenosis are the most common of all chronic pain disorders. Discogenic pain is related to distress of annular fibers and tears, whereas spinal stenosis is related to reduction of the spinal canal dimensions and compression of the neural elements; radicular pain is mainly related to disc herniation and is initially managed conservatively. The percutaneous minimally invasive approach in discogenic and radicular pain is designed to reduce the volume of the nucleus pulposus in patients with failure of medical and physical treatment prolonged for at least 6 weeks.
Source: Neuroimaging Clinics - Category: Radiology Authors: Source Type: research
Journal of Orthopaedic&Sports Physical Therapy, Ahead of Print.
Source: The Journal of Orthopaedic and Sports Physical Therapy - Category: Physiotherapy Authors: Source Type: research
CONCLUSION: There is a clear need for standardized pre-operative LSS care and education. This may decrease misunderstandings of LSS surgery and its treatments in the future as well as improve coordinated care between surgeons and PTs. J Orthop Sports Phys Ther, Epub 30 Oct 2019. doi:10.2519/jospt.2020.8887. PMID: 31663813 [PubMed - as supplied by publisher]
Source: Physical Therapy - Category: Physiotherapy Authors: Tags: J Orthop Sports Phys Ther Source Type: research
One of the characteristics of lumbar spinal stenosis (LSS) is elastin degradation and fibrosis in the ligamentum flavum (LF). However, the biochemical factors that cause these histologic changes is unclear. P1...
Source: BMC Musculoskeletal Disorders - Category: Orthopaedics Authors: Tags: Research article Source Type: research
Conclusion. For patients with stable DS and LSS, ULBD is a viable, durable option compared to fusion with decreased blood loss and length stay, as well as a lower reoperation rate at 5-year follow-up. Further prospective studies are required to determine the optimal clinical scenario for ULBD in the setting of DS. Level of Evidence: 3
Source: Spine - Category: Orthopaedics Tags: SURGERY Source Type: research
Condition:   Surgery of a Lumbar Spinal Stenosis More Than 10 Years Ago Intervention:   Radiation: MRI for some patients according functionnal tests results Sponsor:   Centre Medico-Chirurgicale et Obstetrique Cote d'Opale Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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