X-rays and scans can fail to differentiate hip pathology from lumbar spinal stenosis: Two case reports.

Conclusion: Hip pathology may mimic lumbar spinal stenosis. In the two cases presented, plain X-rays failed to document hip fractures (case 1) and AVN (case 2), respectively, both of which were later diagnosed on MRI studies. PMID: 31583162 [PubMed]
Source: Surgical Neurology International - Category: Neurosurgery Tags: Surg Neurol Int Source Type: research

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AbstractPurpose of ReviewSymptomatic lumbar spinal stenosis (LSS) is a condition affecting a growing number of individuals resulting in significant disability and pain. Traditionally, treatment options have consisted of conservative measures such as physical therapy, medication management, epidural injections and percutaneous adhesiolysis, or surgery. There exists a treatment gap for patients failing conservative measures who are not candidates for surgery. Minimally invasive lumbar decompression (MILD ®) and interspinous process device (IPD) with Superion® represent minimally invasive novel treatment options that ...
Source: Current Pain and Headache Reports - Category: Neurology Source Type: research
Conclusion5R-STS performance differs according to the etiology of back and leg pain, even after adjustment for demographic covariates. In combination with machine learning algorithms, OFI can be used to infer the etiology of spinal back and leg pain with accuracy comparable to other diagnostic tests used in clinical examination.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material.
Source: European Spine Journal - Category: Orthopaedics Source Type: research
The rate of CT and MRI scans for back pain remained steady from 2001 to 2016...Read more on AuntMinnie.comRelated Reading: IMV: MR providers work harder as procedure volume grows Are too many patients getting MRI scans for back pain? Less jargon makes MRI reports easier to read DeepSpine AI enhances grading of lumbar spinal stenosis Johns Hopkins tackles problem of unnecessary scans
Source: AuntMinnie.com Headlines - Category: Radiology Source Type: news
AbstractPurposeTo define and analyze the learning curve of percutaneous endoscopic transforaminal decompression (PETD) for lumbar spinal stenosis (LSS).MethodsFrom July 2015 to September 2016, 78 patients underwent PETD; one of whom was converted to open surgery, two were lost, and 75 were included in this study. Clinical results were assessed by using the Oswestry Disability Index (ODI) and visual analog scale (VAS). The learning curve was assessed by a logarithmic curve-fitting regression analysis. Of these 75 patients, 35 were defined as the “early” group, and 40 were defined as the “late” group ...
Source: International Orthopaedics - Category: Orthopaedics Source Type: research
ConclusionMI-TLIF has equivalent efficacy to O-TLIF in obese patients at long-term follow-up. In addition, complication rate, blood loss, and length of hospital stay were lower in MI-TLIF than in O-TLIF.
Source: HSS Journal - Category: Orthopaedics Source Type: research
This study included 40 papers that matched our criteria. Twenty-five decompression-exclusive clinical trials with 3,386 patients and a mean age of 68.7 years (range, 31-88 years) reported a 2.2% incidence rate of dural tears and a 2.6% incidence rate of postoperative infections. Eight ISD-exclusive clinical trials with 1,496 patients and a mean age of 65.1 (range, 19-89 years) reported a 5.3% incidence rate of postoperative leg pain and a 3.7% incidence rate of spinous process fractures. Seven studies that compared ISDs and decompression in 624 patients found a reoperation rate of 8.3% in ISD patients vs. 3.9% in decompres...
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
Conclusion: The meta-analysis will provide a comprehensive summary of the evidence for 2 approaches to PED in patients with LSS. Protocol registration number: CRD42019128080.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Study Protocol Systematic Review Source Type: research
CONCLUSION: Preserving epidural fat may be favorable in postoperative outcomes of posterior decompression surgery for LSS compared to removing epidural fat. PMID: 31908178 [PubMed - in process]
Source: Journal of Orthopaedic Surgery - Category: Orthopaedics Authors: Tags: J Orthop Surg (Hong Kong) Source Type: research
AbstractObjectiveTo estimate the effect of the knee bolster use during an MRI on lumbar spinal stenosis parameters and low back pain-related disability.MethodsA repeated-measurement study of 27 males and 19 females with mean age 55.78  ± 14.36, referred for an MRI of the lumbar spine due to low back pain, performed with and without standard knee bolster. A radiologist evaluated the lumbar lordosis Cobb’s angle, the cross-sectional area of the right and left intervertebral foramina and spinal canal at L1-L2, L2-L3, L3-L4 sp inal levels. Spinal symptoms were evaluated by the Oswestry Disability Que...
Source: Skeletal Radiology - Category: Radiology Source Type: research
Hello all: I have a few patients like this. Severe lumbar spinal stenosis. No claudication at all. Failed RF. Would you send someone like this for a decompression if they have failed an ESI? Say the axial pain is definitely worse with walking versus if it is not, does that make a difference to you on this issue? Any surgical literature out there regarding decompression outcomes in this patient population? Thanks in advance.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
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