scholarly journals A rare clinical case of surgical treatment of a periarticular cyst of the facet joint of the lumbar spine

2019 ◽  
Vol 10 (2) ◽  
pp. 97-103
Author(s):  
Vitaliy E. Potapov ◽  
Zinaida V. Koshkareva ◽  
Aleksandr P. Zhivotenko ◽  
Oksana V. Sklyarenko ◽  
Anatoly V. Gorbunov ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Neurological Disorders ◽  
Spinal Canal ◽  
Clinical Case ◽  
Facet Joint ◽  
Spinal Canal Stenosis ◽  
Canal Stenosis ◽  
Constant Pain ◽  
Paravertebral Muscles

Background. Periarticular cysts of the facet joint, due to their rare occurrence, often slip away from the attention of clinicians. However their formation and progression may cause compression of vascular-neural structures with subsequent manifestations of severe neurological disorders. Description of the clinical case. We present a rare clinical case of surgical treatment of a periarticular cyst of the facet joint. A comprehensive examination of the patient S. revealed: Dorsopathy with degenerative spinal canal stenosis at LV-SI level; spondyloarthrosis; periarticular facet cyst at LV-SI level on the left; radiculopathy LV on the left, in the acute stage; pronounced pain and musculo-tonic syndrome. Complaints of the patient: constant pain in the lumbar spine, extending to the left lower extremity and aggravating when walking at a distance of 50-100 meters; feeling numb when walking on the plantar surface of the left foot. When examining the local status, a forced posture with a bowed head and torso forward was noted; smooth lumbar lordosis and antalgic right-sided scoliosis; tension of paravertebral muscles. Neurological examination revealed LVradiculopathy on the left with moderate paresis of the extensor muscles of the left foot and ipsilateral Lasègue's positive test. MRI examination revealed spinal canal stenosis, facet joint cyst at the level of LV-SI with dimensions of 14×8×8.5 mm. An operative intervention was performed: reconstructive decompressive-stabilizing spinal surgery with a single block removing the articular facet with a periarticular cyst at the left LV-SI level with subsequent posterior transpedicular fixation of the vertebral motor segment. Two months after the operation, complete medical and social rehabilitation of the patient was achieved. No complaints. Conclusion. In case of compression of a periarticular cyst of vascular-neural structures with severe neurological disorders, surgical treatment with the cyst removal is recommended.

scholarly journals Step-up approach for surgical treatment of the spinal canal stenosis in a patient with mucopolysaccharidosis type VI (Maroto–Lami syndrome)

2020 ◽  
Vol 27 (4) ◽  
pp. 5-10
Author(s):  
Sergey V. Kolesov ◽  
Vladimir S. Pereverzev ◽  
Vladimir V. Shvets ◽  
Arkadiy I. Kazmin ◽  
Maxim L. Sazhnev ◽  
...  
Keyword(s):  
Metabolic Disease ◽  
Surgical Treatment ◽  
Satisfactory Result ◽  
Spinal Canal ◽  
Clinical Case ◽  
Treatment Method ◽  
Spinal Canal Stenosis ◽  
Mucopolysaccharidosis Type ◽  
Mucopolysaccharidosis Type Vi ◽  
Canal Stenosis

The article presents a clinical case of step-up surgical treatment of spinal canal stenosis at the craniovertebral and thoracolumbar level in a patient with mucopolysaccharidosis (MPS) type VI. The treatment method gives an opportunity to achieve a satisfactory result at the background of severe metabolic disease.

scholarly journals EXPERIENCE OF SURGICAL TREATMENT FOR SPINAL CANAL STENOSIS IN PATIENTS WITH DEGENERATIVE CERVICAL AND LUMBAR SPINE DISEASES

2011 ◽  
pp. 69-74
Author(s):  
Oleg Tyulkin ◽  
◽  
Vladimir Shchedrenok ◽  
Tatyana Zakhmatova ◽  
Tatyana Kaurova ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Lumbar Spine ◽  
Spinal Canal ◽  
Spinal Canal Stenosis ◽  
Canal Stenosis ◽  
Spine Diseases

scholarly journals Detection of Degenerative Changes on MR Images of the Lumbar Spine with a Convolutional Neural Network: A Feasibility Study

Diagnostics ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 902
Author(s):  
Nils Christian Lehnen ◽  
Robert Haase ◽  
Jennifer Faber ◽  
Theodor Rüber ◽  
Hartmut Vatter ◽  
...  
Keyword(s):  
Neural Network ◽  
Lumbar Spine ◽  
Diagnostic Accuracy ◽  
Nerve Root ◽  
Spinal Canal ◽  
Spinal Canal Stenosis ◽  
Degenerative Changes ◽  
High Diagnostic Accuracy ◽  
Canal Stenosis ◽  
Disc Herniations

Our objective was to evaluate the diagnostic performance of a convolutional neural network (CNN) trained on multiple MR imaging features of the lumbar spine, to detect a variety of different degenerative changes of the lumbar spine. One hundred and forty-six consecutive patients underwent routine clinical MRI of the lumbar spine including T2-weighted imaging and were retrospectively analyzed using a CNN for detection and labeling of vertebrae, disc segments, as well as presence of disc herniation, disc bulging, spinal canal stenosis, nerve root compression, and spondylolisthesis. The assessment of a radiologist served as the diagnostic reference standard. We assessed the CNN’s diagnostic accuracy and consistency using confusion matrices and McNemar’s test. In our data, 77 disc herniations (thereof 46 further classified as extrusions), 133 disc bulgings, 35 spinal canal stenoses, 59 nerve root compressions, and 20 segments with spondylolisthesis were present in a total of 888 lumbar spine segments. The CNN yielded a perfect accuracy score for intervertebral disc detection and labeling (100%), and moderate to high diagnostic accuracy for the detection of disc herniations (87%; 95% CI: 0.84, 0.89), extrusions (86%; 95% CI: 0.84, 0.89), bulgings (76%; 95% CI: 0.73, 0.78), spinal canal stenoses (98%; 95% CI: 0.97, 0.99), nerve root compressions (91%; 95% CI: 0.89, 0.92), and spondylolisthesis (87.61%; 95% CI: 85.26, 89.21), respectively. Our data suggest that automatic diagnosis of multiple different degenerative changes of the lumbar spine is feasible using a single comprehensive CNN. The CNN provides high diagnostic accuracy for intervertebral disc labeling and detection of clinically relevant degenerative changes such as spinal canal stenosis and disc extrusion of the lumbar spine.

Results of differentiated surgical treatment of elderly and senile patients with lateral lumbar spinal canal stenosis

2017 ◽  
Vol 14 (4) ◽  
pp. 76-84
Author(s):  
Vladimir S. Klimov ◽  
Roman V. Khalepa ◽  
Ivan I. Vasilenko ◽  
Evgeny V. Konev ◽  
Evgenia V. Amelina
Keyword(s):  
Surgical Treatment ◽  
Spinal Canal ◽  
Spinal Canal Stenosis ◽  
Lumbar Spinal Canal Stenosis ◽  
Canal Stenosis ◽  
Lumbar Spinal Canal ◽  
Lumbar Spinal

Diagnostic Advancement of Axial Loaded Lumbar Spine MRI in Patients With Clinically Suspected Central Spinal Canal Stenosis

Spine ◽  
2013 ◽  
Vol 38 (21) ◽  
pp. E1342-E1347 ◽  
Author(s):  
Yeo Koon Kim ◽  
Joon Woo Lee ◽  
Hyun-Jib Kim ◽  
Jin S. Yeom ◽  
Heung Sik Kang
Keyword(s):  
Lumbar Spine ◽  
Spinal Canal ◽  
Spinal Canal Stenosis ◽  
Canal Stenosis ◽  
Spine Mri

Achondroplasia and cervical laminoplasty

2009 ◽  
Vol 11 (4) ◽  
pp. 417-420 ◽  
Author(s):  
June Yoshii ◽  
Vincent C. Traynelis
Keyword(s):  
Surgical Treatment ◽  
Cervical Myelopathy ◽  
Spinal Canal ◽  
Spinal Canal Stenosis ◽  
Adult Woman ◽  
Segmental Motion ◽  
Cervical Laminoplasty ◽  
Canal Stenosis

Achondroplasia is associated with short pedicles that predispose individuals with this trait to develop symptomatic spinal canal stenosis. Laminoplasty is an excellent means of treating cervical myelopathy due to stenosis in selected individuals. Laminoplasty preserves segmental motion and stability, both of which are of benefit to all individuals. The authors report the successful surgical treatment of an achondroplastic adult woman with laminoplasty. This procedure alleviated her symptoms, and she was doing well at 2-year follow-up.

scholarly journals CURRENT STATE OF CT/MRI SPINAL CANAL STENOSIS DIAGNOSIS AT THE LUMBOSACRAL LEVEL (REVIEW)

2020 ◽  
Vol 44 (1) ◽  
pp. 88-93
Author(s):  
A. S. Sementsov ◽  
V. V. Ponomarenko
Keyword(s):  
Spinal Cord ◽  
Surgical Treatment ◽  
Spinal Stenosis ◽  
Spinal Canal ◽  
Spinal Canal Stenosis ◽  
Canal Stenosis ◽  
Current State

Abstract Issues of epidemiology, classification and radiological signs of the spinal stenosis in this review are present. Modern European criteria for spinal stenosis and radicular openings can improve the diagnosis of the condition of the spinal cord and roots; clarify the criteria for indications for surgical treatment. Keywords: spinal canal stenosis, СТ/МРI, diagnosis.

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