A Variable-angled Suction Nerve Root Retractor for Lumbar Spine Surgery

Neurosurgery ◽  
1991 ◽  
Vol 29 (3) ◽  
pp. 419-420
Author(s):  
Michael H. Lavyne
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Nerve Root ◽  
Lumbar Disc ◽  
Lumbar Disc Surgery ◽  
Lumbar Spine Surgery ◽  
Disc Surgery

Abstract A simple, variable-angled suction nerve root retractor is described for use primarilv in lumbar disc surgery.

77. The incidence of subsequent lumbar spine surgery after lumbar disc arthroplasty: a minimum two-year follow-up

2020 ◽  
Vol 20 (9) ◽  
pp. S37-S38
Author(s):  
Dean C. Perfetti ◽  
Austen Katz ◽  
Alan Job ◽  
Jesse M. Galina ◽  
Alexander M. Satin ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Lumbar Disc ◽  
Lumbar Spine Surgery ◽  
Disc Arthroplasty ◽  
Lumbar Disc Arthroplasty

P88 Identifying risk factors for multiple revisional lumbar spine surgery

2019 ◽  
Vol 90 (3) ◽  
pp. e45.1-e45
Author(s):  
M El Sheikh ◽  
K Badran ◽  
O Kouli ◽  
M Abdelsadg ◽  
M Fadelalla ◽  
...  
Keyword(s):  
Risk Factors ◽  
Lumbar Spine ◽  
Spine Surgery ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Morbidity Rate ◽  
Lumbar Spine Surgery ◽  
Neurosurgical Department ◽  
Primary Surgery ◽  
Diabetes Status

ObjectivesRecurrent lumbar spine surgery due to disc herniation is a contributor to debilitating pain, disability, and carries a high patient morbidity rate1 We identified risk factors for recurrent lumbar disc herniation post-surgical intervention.DesignRetrospective Cohort Study.SubjectsAll adult lumbar spine revisions for disc herniation performed in the Neurosurgical Department at Ninewells Hospital.MethodsThe number of revisions from 2013 to 2017 for each patient was recorded and two groups were identified. The first group consisted of patients who had one revision and the second group consisted of patients who had recurrent revisions (more than one) Possible factors influencing the likelihood of recurrent revisions were also noted, including age, gender, BMI, operation length, level of surgery, time from primary surgery to revision, smoking and diabetes status.Results140 patients had revision surgeries, of which 87 (62.1%) had one revision while 53 (37.1%) had recurrent operations. Younger patients (p=0.025) and patients with higher BMI (p=0.01) were more likely to have a higher number of revisions. Patients with DM (p=0.015) were associated with a higher likelihood of recurrent revisions. Other factors had little effect on the likelihood of recurrent revisions (p>0.05).ConclusionsIdentifying risk factors that influence the recurrence of lumbar revisions helps improve patient outcome and decrease incidence of revisions.

Nerve-Root Anomalies in Lumbar Disc Surgery

1962 ◽  
Vol 19 (3) ◽  
pp. 208-214 ◽  
Author(s):  
Bland W. Cannon ◽  
Samuel E. Hunter ◽  
Jorge A. Picaza
Keyword(s):  
Nerve Root ◽  
Lumbar Disc ◽  
Lumbar Disc Surgery ◽  
Disc Surgery

Nerve Root Conduction Studies During Lumbar Disc Surgery

1968 ◽  
Vol 28 (5) ◽  
pp. 439-444 ◽  
Author(s):  
Carl V. Granger ◽  
Stevenson Flanigan
Keyword(s):  
Nerve Root ◽  
Lumbar Disc ◽  
Lumbar Disc Surgery ◽  
Disc Surgery

Results of lumbar spine surgery: A postal survey

2015 ◽  
Vol 6 (1) ◽  
pp. 9-13 ◽  
Author(s):  
Voitto Järvimäki ◽  
Lotta Juurikka ◽  
Merja Vakkala ◽  
Hannu Kautiainen ◽  
Maija Haanpää
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Population Based ◽  
Radicular Pain ◽  
Postal Survey ◽  
University Hospital ◽  
Lumbar Spine Surgery ◽  
Surgery Group ◽  
Disc Surgery ◽  
Axial Pain

AbstractBackground and aimNo studies have been published regarding the results of lumbar spine surgery a in population-based setting in Finland. Our objective was to investigate functional capacity and quality of life after lumbar spine surgery in a population-based cohort in Northern Finland, focusing on working-age patients.MethodsThis was a cross-sectional postal survey. Three questionnaires (a self-made questionnaire, the Oswestry Low Back Disability Questionnaire and the SF-36) were sent the patients aged 18-65 years who had undergone lumbar spine surgery due to disc herniation, instability or spinal stenosis in the Oulu University Hospital between June 2005 and May 2008.ResultsThe postal survey was sent to 814 patients, of whom 537 patients (66%) replied. Of these, 361 (67%) underwent disc surgery, 85 (16%) stabilizing surgery and 91 (17%) decompression. Pain was absent or present only occasional in 51% in the disc surgery group, whereas it was present daily in 59% in the stabilizing surgery group and in 58% in the decompression group (P < 0.001). Axial pain was slightly more intense than radicular pain. Pain was milder in the disc surgery group compared with the stabilizing surgery and decompression groups: mean (SD) axial pain with 0-10 NRS was 4.0 (2.3), 4.7 (2.4) and 4 (2.3) respectively (P = 0.002) and radicular pain 3.5 (2.6), 4.2 (2.8), 4.5 (2.6) respectively (P < 0.001). The total ODI score (mean, SD) was 20 (17) in the disc surgery group, 35 (17) in the stabilizing surgery group and 32 (17) in the decompression group (P < 0.001). The physical dimension sum score from the SF-was 42 (11) in the disc surgery group and 34 (10) in the stabilizing surgery and decompression grou (P < 0.001). Mental sum scores did not vary significantly between the groups.Conclusions and ImplicationsOutcome was good after lumbar disc operations but less favourable after stabilizing surgery and decompression regarding pain, functional capacity and quality of life. Implications. This study offers important information about outcome after lumbar spine surgery in Oulu University Hospital. It also brings out that in Finland we need systematic national spine register, with accurate pre-and postoperative data.

scholarly journals Incidence & Management of Delayed Cerebrospinal Fluid Leaks after Lumbar Spinal Surgery-Analysis of 10 Cases

2019 ◽  
Vol 23 (3) ◽  
pp. 221-227
Author(s):  
MUHAMMAD MUKHTAR KHAN ◽  
FAIQAFILZA KHAN ◽  
WASEEM DAD KHAN
Keyword(s):  
Cerebrospinal Fluid ◽  
Lumbar Spine ◽  
Spine Surgery ◽  
Lumbar Disc ◽  
Bed Rest ◽  
Csf Leak ◽  
Lumbar Spine Surgery ◽  
Dural Defect ◽  
Degenerative Lumbar Spine ◽  
Csf Leaks

Objectives: Cerebrospinal fluid (CSF) leaks in degenerative lumbar spine surgery are common, however, delayed cerebrospinal fluid (CSF) leaks are quite rare in neurosurgical practice. Literature regarding its incidence and management is scant.Our aim was to describe the incidence & management of delayed CSF leaks after degenerative lumbar spine surgery. Material & Methods: This was a prospective study where all patients operated for lumbar disc or stenosis, who presented with the delayed CSF leak (> 1 week postoperatively) without intraoperative record of incidental durotomy were included. Data was collected about demographics, diagnosis, operative detail, postoperative course & management issues. Results: Ten out of 1128 patients developed delayed CSF leaks (0.89%). Mean age at the time of diagnosis was 52.1 ± 6.9 years with 6 (60%) males & 4 (40%) female. The most common spinal level was L5-S1 (50%). Eighty percent (n = 8) patients underwent primary surgery while 20% (n = 2) were revisions. Clinical features were headaches (80%), dizziness (70%) and altered sensorium in 20%. Mean time of the leak was 17.3 ± 2.2 days. Two patients resolved with bed rest and compression dressing while the lumbar drain was placed in 80%. Three (30%) patients of the 8 needed open repair of the dural defect. Complications of the CSF leak included wound infection in 60%, and meningitis in one (10%) patient. There were no cases of neurologic deficit. One case eventually developed infective discitis.

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