scholarly journals Long-term Results for the BacJac Interspinous Device in Lumbar Spine Degenerative Disease

2018 ◽  
Vol 80 (01) ◽  
pp. 003-007 ◽  
Author(s):  
Aldo Spallone ◽  
Luigi Lavorato ◽  
Daniele Belvisi
Keyword(s):  
Lumbar Spine ◽  
Influencing Factor ◽  
Relevant Literature ◽  
Long Term Results ◽  
Surgical Technology ◽  
Disability Scale ◽  
Interspinous Device ◽  
Satisfactory Outcome ◽  
The One

Objective To evaluate the long-term results of using the BacJac interspinous device (Pioneer Surgical Technology Inc.) in a series of patients with degenerative lumbar spine disease. Methods Forty-one patients undergoing lumbar surgery with implantation of a BacJac device from 2009 to 2012 were enrolled in the present study. Patients were evaluated using the Oswestry Disability Scale (ODI). Results Although all patients showed a significant improvement of the ODI score immediately after surgery, only 41% of patients showed a satisfactory outcome. We observed worse results in the patients operated on at the L3–L4 level and in whom the device was implanted in a segment different from the one where surgical decompression had been performed. Weight gain in the months after surgery was also a poor outcome-influencing factor. Conclusions This study confirms what is already suggested in the relevant literature regarding the long-term inefficacy of the so-called dynamic stabilization devices.

TRIGEMINAL NERVE RADIOSURGICAL TREATMENT IN INTRACTABLE CHRONIC CLUSTER HEADACHE

Neurosurgery ◽  
2006 ◽  
Vol 59 (6) ◽  
pp. 1252-1257 ◽  
Author(s):  
Anne Donnet ◽  
Manabu Tamura ◽  
Dominique Valade ◽  
Jean Régis
Keyword(s):  
Trigeminal Neuralgia ◽  
Cluster Headache ◽  
Trigeminal Nerve ◽  
Chronic Cluster Headache ◽  
High Rate ◽  
Long Term Results ◽  
Complete Relief ◽  
Term Evaluation ◽  
The One

Abstract OBJECTIVE We have previously reported short-term results of a prospective open trial designed to evaluate trigeminal nerve radiosurgical treatment in intractable chronic cluster headache (CCH). Medium- and long-term results have not yet been reported. METHODS Ten patients presenting with a severe and drug-resistant CCH were enrolled (nine men, one woman). The radiosurgical treatment was performed according to the technique usually used for trigeminal neuralgia in our department. A single 4-mm shot was positioned at the level of the cisternal portion of the trigeminal nerve. The median distance between the center of the shot and the emergence of the nerve was 9.35 mm (range, 7.5–13.3 mm). The median of this maximum dose to the brainstem was 8.0 Gy (range, 4.0–11.1 Gy). Mean age was 49.8 years (range, 32–77 yr). Mean duration of the CCH was 9 years (range, 2–33 yr). The mean follow-up period was 36.3 months (range, 24–48 mo). RESULTS Two patients had complete relief of CCH. One patient had a good result with evolution in an episodic form. Seven patients had no improvement. Nine patients developed a new trigeminal nerve disturbance: three developed paresthesia with no hypoesthesia and six developed hypoesthesia, including two patients with deafferentation pain. Only one patient had neither paresthesia nor hypoesthesia. CONCLUSION We confirmed, with medium- and long-term evaluation, the high rate of toxicity and failure of the technique. The high toxicity, despite a methodology identical to the one used in trigeminal neuralgia, leads us to suspect an underlying specificity of the nerve in CCH. We do not recommend radiosurgery for treatment of intractable CCH.

scholarly journals Treatment of Injuries of the Lumbar Spine

2019 ◽  
Vol 5 (12) ◽  
pp. 156-162
Author(s):  
M. Sabyraliev
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Spinal Canal ◽  
Thoracolumbar Spine ◽  
Spinal Injuries ◽  
Long Term Results ◽  
Results Of Treatment ◽  
Post Traumatic

Surgical treatment of patients with spinal injuries, accompanied by traumatic stenosis of the spinal canal, is an urgent and discussed problem of modern vertebrology. Surgical treatment of 111 patients with various injuries of the thoracolumbar spine was performed. In 40 patients, post-traumatic stenosis was eliminated using ligamentotaxis using transpedicular osteosynthesis. The immediate results of treatment were followed up in all patients: good results were obtained in 33 (82.5%) cases; satisfactory — in 6 (15.0%), unsatisfactory — in 1 (2.5%). Long-term results with a follow-up of more than 1 year were followed up in 27 (67.5%) patients; good results were obtained in 20 (74.0%), satisfactory in 7 (25.0%).

scholarly journals The earlier, the better or the worse? Towards accurate management of patients with arthralgia at risk for RA

2020 ◽  
Vol 79 (3) ◽  
pp. 312-315 ◽  
Author(s):  
Annette van der Helm-van Mil ◽  
Robert B M Landewé
Keyword(s):  
Daily Practice ◽  
Long Term Results ◽  
Current Status ◽  
Controlled Trials ◽  
Future Studies ◽  
Clinical Arthritis ◽  
The One ◽  
Firm Evidence ◽  
Early Phases

The favourable long-term results of early treatment in patients with classified rheumatoid arthritis have resulted in an increasing interest in the diseases phases preceding clinical arthritis. The hypothesis to test is that an intervention in these early phases may better prevent or reduce disease persistence than an intervention when arthritis has become clinically manifest. While several placebo-controlled trials are still ongoing, to date there is no firm evidence that this hypothesis truly holds. Therefore, it is important to reflect on the current status of arthralgia preceding clinical arthritis. Inherent to every new field of research, attitudes are conflicting, with opinions propagating innovation (based on the fear of undertreatment) on the one hand, and critical sounds pleading for more restraint (fear of overtreatment) on the other hand. In this Viewpoint, we will examine these divergent opinions, relate them to a preferred ultimate scenario and provide considerations for future studies and daily practice.

scholarly journals Outcome Analysis of Lipomeningomyelocele Repair in Children in a Tertiary Care Center in Nepal

2019 ◽  
Vol 41 (2) ◽  
pp. 30-34
Author(s):  
Puspa R Koirala ◽  
Amit B Pradhanang ◽  
Gopal Sedain ◽  
Mohan R Sharma
Keyword(s):  
Urinary Incontinence ◽  
Low Income ◽  
Tertiary Care ◽  
Lower Limbs ◽  
Long Term Results ◽  
Filum Terminale ◽  
Total Excision ◽  
Satisfactory Outcome ◽  
Care Surgery

Introduction: Lipomeningomyelocele (LMM) is a common neural tube defect especially prevalent in low income countries. When they get appropriate care, long term result is generally good provided the patient receives good neurosurgical, pediatric and rehabilitation care. Surgery is the mainstay of treatment. Our aim was to analyze immediate and long-term results of lipomeningomyelocele repair in symptomatic patients presenting to TU Teaching Hospital, Kathmandu, Nepal. Methods: Thirteen patients admitted to Department of Neurosurgery from January 2017 to December 2018 were evaluated. All patients underwent MRI of whole spine before surgery. Surgical procedures involved total excision of lipoma and repair in 10 patients and subtotal excision and repair in 3 patients. Division of filum terminable could be donein 8 patients. Follow up varied from 6 months to 2 years. Results: This study included 8 (61.5 %) patients of lumbosacral LMM, 3 (23%) patients of sacral LMM and 2 (15.38%) patients of thoracolumbar LMM. About 2 (15.38%) were operated before 3 months of age, 2 (15.38%) were operated between 3-6 months of age, 5 (38.46%) were operated between 6-12 months of age and 4 (30.7%) were operated after 1 year. All children except one presented with lump on back since birth and four presented with urinary incontinence, one presented with bilateral club foot. Four (30.7%) patients had weakness of one or both lower limbs. Two (15.38%) patients had improvement in urinary incontinence, two unchanged and one had developed urinary incontinence postoperatively. Four children with had weakness of lower limbs; one patient improved whereas three patients did not improve postoperatively. There was no development of post operative hydrocephalus after LMM repair. Three (23%) patients developed wound infection who responded well with regular dressings and antibiotics. Conclusion: Lipomeningomyelocele repair can be done with satisfactory outcome with total excision of lipoma and division of filum terminale. Patients with residual diploma and undivided filum terminale should be observed closely for the development of progressive neurological deterioration.

195. Fostering physical activity after complex lumbar spine surgery: long-term results of a randomized trial

2020 ◽  
Vol 20 (9) ◽  
pp. S96-S97
Author(s):  
Roland Duculan ◽  
Manuela Rigaud ◽  
Frank P. Cammisa ◽  
Andrew A. Sama ◽  
Alexander P. Hughes ◽  
...  
Keyword(s):  
Physical Activity ◽  
Lumbar Spine ◽  
Randomized Trial ◽  
Spine Surgery ◽  
Long Term Results ◽  
Lumbar Spine Surgery

scholarly journals Tracheal resection with end-to-end anastomosis for post-intubation cervical tracheal stenosis: study of 14 cases

2011 ◽  
Vol 125 (9) ◽  
pp. 958-961 ◽  
Author(s):  
R Nandakumar ◽  
C Jagdish ◽  
C B Prathibha ◽  
C Shilpa ◽  
V Sreenivas ◽  
...  
Keyword(s):  
Tracheal Stenosis ◽  
Relevant Literature ◽  
Long Term Results ◽  
Definitive Treatment ◽  
Tracheal Resection ◽  
Airway Patency ◽  
End To End ◽  
Cervical Trachea ◽  
Post Intubation

AbstractBackground and objectives:The incidence of acquired laryngeal stenosis is increasing. This retrospective study aimed to assess the long term results of circumferential resection with end-to-end tracheal anastomosis for isolated post-intubation stenosis of the cervical trachea, and to review the relevant literature.Methods:Twelve male and two female patients (aged 16–30 years, mean age 24 years) treated between February 2003 and December 2008 were included. Hospital and office records were reviewed and relevant surgical details recorded.Results:Indications for tracheal resection anastomosis were post-intubation stenosis (78.57 per cent) and trauma (21.42 per cent). One to five tracheal rings were resected (i.e. 1–2.5 cm of cervical trachea). Tracheal anastomosis was considered successful if the patient remained asymptomatic for 24 months of close follow up (involving regular flexible bronchoscopy and neck X-ray). The anastomotic success rate was 92.85 per cent.Conclusion:Tracheal resection and end-to-end anastomosis is relatively safe and reliable for definitive treatment of benign tracheal stenosis in appropriate patients. Local application of mitomycin C prevents granulation and aids long term airway patency.

Long-Term Results of Lumbar Spine Surgery Complicated by Unintended Incidental Durotomy

Spine ◽  
1989 ◽  
Vol 14 (4) ◽  
pp. 443-446 ◽  
Author(s):  
A ALEXANDER M JONES ◽  
J L STAMBOUGH ◽  
R A BALDERSTON ◽  
R H ROTHMAN ◽  
R E BOOTH
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Long Term Results ◽  
Lumbar Spine Surgery ◽  
Incidental Durotomy

In vivo study of the kinematics in axial rotation of the lumbar spine after total intervertebral disc replacement: long-term results: a 10–14 years follow up evaluation

2006 ◽  
Vol 15 (10) ◽  
pp. 1501-1510 ◽  
Author(s):  
El-hadi SariAli ◽  
Jean Philippe Lemaire ◽  
Hugues Pascal-Mousselard ◽  
Hélène Carrier ◽  
Waffa Skalli
Keyword(s):  
Lumbar Spine ◽  
Intervertebral Disc ◽  
Axial Rotation ◽  
Disc Replacement ◽  
In Vivo Study ◽  
Long Term Results

scholarly journals long-term results after the one-stage posterior-only surgical correction of thoraco-lumbar kyphoscoliosis in congenital spine deformity caused by two ipsilateral hemi-vertebrae

2020 ◽  
Author(s):  
Xuhong Xue ◽  
Sheng Zhao ◽  
Feng Miao ◽  
Kai Li ◽  
Bin Zhao
Keyword(s):  
Sagittal Plane ◽  
Surgical Correction ◽  
Neurological Injury ◽  
Long Term Results ◽  
Spine Deformity ◽  
One Stage ◽  
The Mean ◽  
The One

Abstract Background Two ipsilateral hemivertebrae is less common and presents severe growth imbalance produced by the vertebral anomalies. However, there is a paucity of reports regarding this double ipsilateral thoracolumber hemivertebrae. The purpose was to evaluate the long-term outcomes of the one-stage posterior-only surgical correction of thoraco-lumbar kyphoscoliosis caused by two ipsilateral hemi-vertebrae. Methods From 2006 to 2014, a total of 14 consecutive pediatric patients with congenital thoraco-lumbar kyphoscoliosis due to two ipsilateral hemivertebrae were treated by posterior excision of hemivertebrae with short segment fusion. The following parameters were measured: coronal segmental curve, cranial and caudal compensatory curve, segmental kyphosis, lumbar lodorsis, trunk shift, apical vertebra translation and sagittal vertical axis. These results were compared and evaluated in preoperative, immediately postoperative and at the final follow-up. All patients had a minimum of 5 years of follow-up period. Results The mean age at surgery was 11.1 ± 4.8 years (2yos to 17yos). The mean follow-up period was 80.2 ± 19.4 months (60mons to 117mons). There was a mean improvement of 74.2% in the segmental curve from a mean angle of 64.1° before surgery to 15.8° at the latest follow-up. The cranial and caudal curve improved of 69.8% and 69.0% from 25.6° to 7.7°, 26.9 to 8.2, respectively. The mean thoracolumbar kyphosis was 59.9° before and 13.6° after surgery, 20.8° at the final follow-up. Alignment in the coronal and sagittal plane was either maintained or improved within normal values in all patients. Conclusions Good correction and spinal balance can be achieved by posterior-only hemivertebrectomy in patients with thoracolumbar kyphocsoliosis caused by two ipsilateral hemivertebra. The complication of neurological injury is low but a technically demanding procedure. More attention should be paid in residual curve progression after surgery.

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