Posterior Motion-Sparing Instrumentation and Interspinous Devices for the Treatment of Degenerative Disorders of the Lumbar Spine

2010 ◽  
pp. 349-356
Author(s):  
Dilip K. Sengupta
Keyword(s):  
Lumbar Spine ◽  
Degenerative Disorders ◽  
Interspinous Devices

Dynamic examination of the lumbar spine by using vertical, open magnetic resonance imaging

2000 ◽  
Vol 93 (1) ◽  
pp. 58-64 ◽  
Author(s):  
Hans-Ekkehart Vitzthum ◽  
Alexander König ◽  
Volker Seifert
Keyword(s):  
Lumbar Spine ◽  
Magnetic Resonance ◽  
Mr Imaging ◽  
Healthy Volunteers ◽  
Degenerative Spondylolisthesis ◽  
Content Type ◽  
Degenerative Disorders ◽  
Lower Lumbar Spine ◽  
Dynamic Examination ◽  
Fine Print

Object. The aim of this study was to determine the relationship of different structures of the lower lumbar spine during interventional movement examination. Methods. Clinically healthy volunteers and patients suffering from degenerative disorders of the lumbar spine underwent vertical, open magnetic resonance (MR) imaging (0.5 tesla). Three functional patterns of lumbar spine motion were identified in 50 healthy volunteers, (average age 25 years). The authors identified characteristic angles of the facet joints, as measured in the frontal plane. In 50 patients with degenerative disorders of the lumbar spine (41 with disc herniation, five with osteogenic spinal stenosis, and four with degenerative spondylolisthesis) the range of rotation was increased in the relevant spinal segments. Signs of neural compression were increased under motion. Conclusions. Dynamic examination in which vertical, open MR imaging is used demonstrated that the extent of neural compression as well as the increasing range of rotation are important signs of segmental instability.

scholarly journals P.219 The effect of peri-operative adverse events on long-term patient reported outcomes after lumbar spine surgery

2021 ◽  
Vol 48 (s3) ◽  
pp. S83-S83
Author(s):  
O Ayling ◽  
C FIsher
Keyword(s):  
Lumbar Spine ◽  
Adverse Events ◽  
Spine Surgery ◽  
Physical Disability ◽  
Research Network ◽  
Lumbar Spine Surgery ◽  
Degenerative Disorders ◽  
Patient Reported ◽  
Euroqol 5D

Background: Peri-operative adverse events (AE) lead to patient disappointment and greater costs. There is a paucity of data on how AEs affect long-term outcomes. The purpose of this study is to examine peri-operative AEs and their impact on outcome after lumbar spine surgery. Methods: 3556 consecutive patients undergoing surgery for lumbar degenerative disorders enrolled in the Canadian Spine Outcomes and Research Network were analyzed. AEs were defined using the validated Spine AdVerse Events Severity system. Outcomes at 3,12, and 24 months post-operatively included the Owestry Disability Index (ODI), SF-12 Physical (PCS) and Mental (MCS) scales, visual analog scale (VAS) leg and back, Euroqol-5D (EQ5D), and satisfaction. Results: Adverse events occurred in 767 (21.6%) patients, 85 (2.4%) suffered major AEs. Patients with major AEs had worse OD (physical disability) scores and did not reach minimum clinically important differences at 2 years (no AE 25.7±19.2, major: 36.4±19.1, p<0.001). Major AEs were associated with worse ODI (physical disability) scores on multivariable linear regression (p=0.011). Conclusions: Major AEs after lumbar spine surgery lead to worse functional outcomes and lower satisfaction. This highlights the need to implement strategies aimed at reducing adverse events.

scholarly journals Influence of previous surgery on patient-rated outcome after surgery for degenerative disorders of the lumbar spine

2016 ◽  
Vol 25 (8) ◽  
pp. 2553-2562 ◽  
Author(s):  
Pascal Zehnder ◽  
Emin Aghayev ◽  
Tamas F. Fekete ◽  
Daniel Haschtmann ◽  
Tim Pigott ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Previous Surgery ◽  
Degenerative Disorders

scholarly journals Anterior Spondylosyndesis of the Lumbar Spine With Porous Nitinol

2020 ◽  
Vol 6 (2) ◽  
pp. 132-136
Author(s):  
A. Koichubekov ◽  
A. Sabyraliev ◽  
Zh. Sulaimanov
Keyword(s):  
Back Pain ◽  
Lumbar Spine ◽  
Motor System ◽  
Clinical Results ◽  
Degenerative Changes ◽  
Vas Score ◽  
Results Of Treatment ◽  
Degenerative Disorders ◽  
Primary Disability ◽  
Herniated Discs

Spinal pathology is one of the leading places among diseases of the motor system. Back pain between the ages of 20 and 50 affects up to 98% of the population. One of the main causes for its occurrence is degenerative changes in the herniated discs. Degenerative disorders of the spine occupy the first place (46.7%) among the causes of primary disability. In 25 cases, pain in the lower extremities completely disappeared in the first days after the operation, and in 18 they significantly decreased (on average from 6.2 to 1.5 on VAS score). Two to three years after surgery, the clinical results of treatment in 41 (79%) patients were rated as good, in 11 (21%) — as satisfactory. There were no unsatisfactory results.

scholarly journals Would loss to follow-up bias the outcome evaluation of patients operated for degenerative disorders of the lumbar spine?

2010 ◽  
Vol 82 (1) ◽  
pp. 56-63 ◽  
Author(s):  
Tore K Solberg ◽  
Andreas Sørlie ◽  
Kristin Sjaavik ◽  
Øystein P Nygaard ◽  
Tor Ingebrigtsen
Keyword(s):  
Lumbar Spine ◽  
Outcome Evaluation ◽  
Loss To Follow Up ◽  
Degenerative Disorders
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