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Changes in the centre of rotation and the anterior bone loss of the vertebral body in Mobi-C artificial disc replacement segments after cervical hybrid surgery: a retrospective study.

OBJECTIVE: To examine the short-term efficacy and imaging results of using the Mobi-C in cervical hybrid surgery on 2-level cervical spondylolisthesis. To observe post-operative changes in the flexion-extension centre of rotation (FE-COR) and anterior bone loss (ABL) of the anterior cervical disc replacement (ACDR) segment. METHODS: Forty-two patients (20 males and 22 females, aged 42‒67 years) who underwent cervical hybrid surgery were retrospectively analysed. Their ACDR segment used Mobi-C, and the fusion segment used ROI-C, with a follow-up of 25‒42 months (31.1 ± 4.8 months). The modifie…

[Unilateral pedicle screw fixation versus its combination with contralateral translaminar facet screw fixation for the treatment of single segmental lower lumbar vertebra diseases].

OBJECTIVE: To compare the advantages and disadvantages of unilateral pedicle screw fixation plus lumbar interbody fusion and unilateral pedi … in 12 patients, massive lumbar intervertebral disc protrusion in 5 patients and lumbar degenerative spondylolisthesis with degree I in 10 patients. The lesions occurred at L3,4 segment in 5 patients, at L4,5 segment in 42 patients, and at L5S1 segment in 15 patients. Thirty patients underwent unilateral pedicle screw fixation (unilateral screw fixation group, group …

Long-term durability of minimal invasive posterior transforaminal lumbar interbody fusion: a clinical and radiographic follow-up.

BACKGROUND CONTEXT: Both open and minimally invasive lumbar fusion surgeries (MIS) are used to treat patients with symptomatic degenerative … d by back pain alone or back pain with leg pain associated with a primary diagnosis of degenerative spondylolisthesis, central herniated disc, central stenosis, Foraminal-lateral herniation of disc, Foraminal/lateral stenosis, or isolated degenerative disc or joint disease. OUTCOMES MEASURES: Hospital stay time postoperative, return to work time, Oswestry Disabili …

What Changes in Pelvic Sagittal Tilt Occur 20 Years After THA?

BACKGROUND: Cup orientation in THA in the supine, standing, and sitting positions is affected by pelvic sagittal tilt (PT). Patterns of PT s … hift) and postoperative factors (including the occurrence of new lumbar vertebral fractures, lumbar spondylolisthesis, contralateral THA performed during follow-up, and PI-LL 20 years after THA) were determined. RESULTS: Median (IQR) supine and standing PTs changed (moved posteriorly) by -5° (-11° to -2°; p < 0.01) and -10° (-15° to -7°; p < 0.01), respectively. S …

Risk Factors and Scoring System of Cage Retropulsion after Posterior Lumbar Interbody Fusion: A Retrospective Observational Study.

OBJECTIVE: To investigate risk factors of cage retropulsion after posterior lumbar interbody fusion (PLIF) in China and to establish a scori … pe was 18 cases of lumbar disc herniation, 10 cases of lumbar spinal stenosis, four cases of lumbar spondylolisthesis. The fusion segment was 18 cases of single segment, 14 cases of double segment. The intraoperative compression was seven cases of compression, 25 cases of no compression. The preoperative bone mineral density was 10 cases of low density, 18 cases of …

[Effect of pre-existing adjacent segment degeneration on short-term effectiveness after lumbar fusion surgery].

OBJECTIVE: To analyze the prospective effect of pre-existing spinal stenosis of adjacent segment on the short-term effectiveness after lumba … rence in gender, American Society of Anesthesiologists (ASA) grade, body mass index (BMI), combined spondylolisthesis, and preoperative visual analogue scale (VAS) score of low back pain and leg pain, Japanese Orthopaedic Association (JOA) score, and Oswestry disability index (ODI) score between the two groups ( P>0.05); the age of group A was significantly younger …

Early Clinical & Radiographic Results of NFix II Posterior Dynamic Stabilization System.

BACKGROUND: Complications associated with rigid posterior instrumented fusions of the lumbar spine include pseudarthrosis, accelerated adjac … ls (L3-4 and L5-S1).) Patients were included based on the presence of spinal stenosis, degenerative spondylolisthesis, adjacent segment degeneration, recurrent disc herniation, symptomatic degenerative disc disease, and degenerative scoliosis requiring dynamic stabilization at 1 level with or without instrumented rigid fusion at a contiguous level. Participants wer …

Prospective analysis of clinical evaluation and self-assessment by patients after decompression surgery for degenerative lumbar canal stenosis.

BACKGROUND CONTEXT: Objective measures including neurological findings, radiographic evaluation, and the Japanese Orthopaedic Association (J … indentation by myelography. The concomitant diagnosis causing the spinal stenosis was degenerative spondylolisthesis in 20 cases undergoing posterolateral fusion with pedicle screws. OUTCOME MEASURES: Surgical outcomes were assessed by comparing preoperative and 24-month postoperative JOA scores for low back pain, SF-36v2, ODI-v2, and VAS scores. Statistical anal …

[Discogenic low back pain and degenerative lumbar spinal stenosis - how appropriate is surgical treatment?].

Surgery in acute and/or chronic low back pain is still a matter of intensive and controversial discussions. A vast number of minimally invas … . If low back pain is predominant and associated with degenerative instability such as degenerative spondylolisthesis or lumbar scoliosis, decompression must be combined with instrumented spinal fusion. In general a restrictive indication for surgery must be recommended especially for spinal fusion procedures. Non-fusion techniques such as intradiscal electro therm …

Neuropathic Pain Related with Spinal Disorders: A Systematic Review.

Systematic literature review. To review the evidence from high-quality studies regarding the treatment of neuropathic pain originating specifically from spinal disorders. In general, treatment guidelines for neuropathic pain cover all its various causes, including medical disease, peripheral neuropathy, and cancer. However, the natural history of neuropathic pain originating from spinal disorders may differ from that of the pain originating from other causes or lesions. An expert research librarian used terms related to neuropathic pain and spinal disorders, disc herniation, stenosis, and spin

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… (3) Surgery Three high-quality SRs and one RCT showed that surgery, including decompression with or without fusion, provided better clinical outcomes for spondylolisthesis and spinal stenosis than physical activity at the short-term and long-term follow-ups and at a follow-up after more than 2 years … Surgery, including decompression with or without fusion, resulted in better outcomes for radiculopathy than physical activity at short-term follow-up and significantly better outcomes for spinal stenosis and spondylolisthesis over a 2-year follow-up period [ 27 ]. …

[Injuries to the craniocervical junction].

Injuries to the upper cervical spine (C0-C2) play a major role in surgical treatment of traumatic sequelae in the entire cervical spine. Even though the number of such operations has increased in recent years, there are no clear treatment recommendations for most types of cervical spine injuries. In view of the wide range of injury types and the correspondingly large number of treatment options, this review focuses mainly on the following types of injuries: C0 fractures, occipital condyle fractures (OCF), atlanto-occipital dislocation (AOD), atlas fractures, atlantoaxial dislocation (AAD), and

[Figures of first laureates of the Wiktor Dega medal (XXXVII Jubilee Congress of Polish Orthopaedic and Traumatologic Society, 10-13 September 2008)].

Figures of two outstanding orthopaedists Professor Stefan Malawski and Professor Jerzy Król rewarded with the medal of the name of Wiktor De … es of the spine. Disc disease, neoplasms of the spine, spinal stenosis and infections of the spine, spondylolisthesis are among many of his interests. This very wide field of interest can be dound in his 3 tome publication Spondyloorthopedics. His 166 papars printed in Poland and abroad bear proof of the Professors wide field of interest and deep knowledge. Profess …

Воздействие предварительной терапии по замене эстрогена на клинические результаты после хирургической операции со скачком люмбара.

Исследование &quot; Ретроспективное когортное исследование дизайна &quot; . Мы предположили, что ЭРТ будет ассоциироваться с более низкими показателями псевдоартроза после синтеза поясничного позвоночника. >50 годами проходят одноуровневые и многоуровневые операции по синтезу поясничного позвоночника. Совпадение показателей доходности1::1) привели к равномерному распределению ГЭР и групп, не относящихся к ГЭР. К числу критериев исключения относятся предыдущие операции на поясничном позвоночнике, новообразования позвоночника, травмы, провокационные или инфекционные заболевания костей. Были пров

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… Introduction Lumbar spinal fusion is a commonly performed surgery for the management of degenerative spine disorders including spinal stenosis, spondylolisthesis, and degenerative disc disease. 1 , 2 Previous research has documented the impact of multiple patient factors on clinical outcomes following … Does hormone replacement therapy prevent lateral rotatory spondylolisthesis in postmenopausal women? Eur Spine J . 2012 ; 21 ( 6 ): 1127 - 1134 . 22033571 10.1007/s00586-011-2048-3 PMC3366144 18 Hirsch BP Unnanuntana A Cunningham ME Lane JM . …

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… Helenius Turku University Hospital, Turku, Finland 3:06 PM–3:14 PM Discussion OP-143 3:15 PM–3:19 PM Spondylolysis, spondylolisthesis, and associated variables in pediatric patients with osteogenesis imperfecta: follow-up from a 2011 study Garrett Matthew Gloeb, Brian P. … Hasley , Maegen Wallace, Hannah Darland University of Nebraska Medical Center, Omaha, NE, USA OP-144 3:20 PM–3:24 PM Is it necessary to extend fusion to L4 when correcting pediatric L5/S1 spondylolisthesis? …

Выявляется высокий уровень использования медицинских услуг после операции на шейном позвоночнике с использованием комплексных методов прогнозирования.

Расходы на медицинское обслуживание пациентов с хроническими заболеваниями позвоночника и пациентов, проходящих хирургическую операцию, продолжают расти заметными темпами. Таким образом, выявление пациентов, подверженных риску в плане более широкого использования послеоперационного медицинского обслуживания, имеет решающее значение для оптимизации результатов медицинского обслуживания и распределения ресурсов. Цель нашего исследования заключается в использовании целого ряда предоперабельных характеристик пациентов, включая всеобъемлющую медицинскую, хирургическую и социальную историю, для разр

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… surgery | “SHX699”, “SHX700”, “SHX701”, “SHX801”, “SHX802”, “SHX95”, “SHX96”, “SHX99” | Unspecified spine fusion | “SHX136”, “SHX223” | Unspecified spine surgery | “SHX113”, “SHX114”, “SHX136”, “SHX140”, “SHX219”, “SHX398”, “SHX97” Preop spine diagnoses | Lumbar stenosis | Binary | “M4806” Lumbar spondylolisthesis … | “M4316” Lumbar disc disorders | “M5106”, “M5126”, “M5136”, “M5186”, “M51A1”, “M51A2”, “M5146”, “M5116” | Cervical disc disorders | “M50” | Cervical stenosis | “M4802”, “M4801” | Cervical spondylolisthesis | “M4312”, “M4311” | Cervical disc herniation | “M5020” | Lumbar disc herniation | “M5126 …

Symptomatic ectopic bone formation after off-label use of recombinant human bone morphogenetic protein-2 in transforaminal lumbar interbody fusion.

OBJECT: Recombinant human bone morphogenetic protein-2 (rhBMP-2) has been approved for use in the lumbar spine in conjunction with the lumbar tapered cage. However, off-label use of this osteoinductive agent is observed with anterior fusion applications as well as with both posterior lumbar interbody fusion and transforaminal lumbar interbody fusion (TLIF). Complications using rhBMP-2 in the cervical spine have been reported. Although radiographic evidence of ectopic bone in the lumbar spine has been described following rhBMP-2 use, this finding was not previously believed to be of clinical re

Spinal surgery in patients with Parkinson's disease: construct failure and progressive deformity.

STUDY DESIGN: Retrospective case series review of patients with Parkinson's disease undergoing elective spine surgery at a single tertiary referral center. OBJECTIVES: To assess the rate of complications of spine surgery in the population with Parkinson's disease and characterize the causes of failure and special needs of this unique population. SUMMARY OF BACKGROUND DATA: Patients with Parkinson's disease experience a combination of poor bone quality and a severe neuromuscular disorder. There is little information in the literature about outcomes of spine surgery in this population. Prelimi

Treatment of complex postoperative lumbosacral wounds in nonparalyzed patients.

Postoperative infections after back operations can produce complex wounds with myonecrosis, deep dead space, and exposed orthopedic hardware, bone, and dura. Three ambulatory patients with complex postoperative back wounds that resulted from infections were treated successfully with antibiotics, debridement, irrigation, and closure of deep dead space with a superior gluteal muscle flap. Several surgical maneuvers can be performed to increase the length of the superior gluteal muscle flap. The inferior portion of the gluteus maximus was left intact to preserve gluteus maximus function. All thre

Application of deformity principles in the management of spinal neoplasms: A Primer.

BACKGROUND: With advances in surgical techniques, radiation, and systemic therapy, prognoses and quality of life have improved amongst patients with primary and metastatic vertebral column tumors. Sagittal deformity is known to have an adverse impact on patient quality of life but has been largely ignored in this study population. METHODS: A comprehensive literature review was conducted, focusing on articles germane to the study of spinal deformity in the context of oncologic disease. Articles included those focusing on bone health, the association of spinal deformity with oncologic spine dis

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… The role of L1PA in patient-reported outcomes in patients undergoing single-level lumbar fusion for degenerative spondylolisthesis. Spine (Phila Pa 1976) 2024;49:1352–1360. doi: 10.1097/BRS.0000000000005057. 28. Pennington Z., Ehresman J., Lubelski D., et al. … Biomechanical evaluation of lumbosacral reconstruction techniques for spondylolisthesis. An In vitro porcine model. Spine (Phila Pa 1976) 2002;27:2321–2327. doi: 10.1097/00007632-200211010-00004. 125. Clark A.J., Tang J.A., Leasure J.M., et al. …

Imaging the back pain patient.

Imaging is an integral part of the clinical examination of the patient with back pain; it is, however, often used excessively and without consideration of the underlying literature. The primary role of imaging is the identification of systemic disease as a cause of the back or limb pain; magnetic resonance imaging (MRI) excels at this. Systemic disease as a cause of back or limb pain is, however, rare. Most back and radiating limb pain is of benign nature, owing to degenerative phenomena. There is no role for imaging in the initial evaluation of the patient with back pain in the absence of sig