scholarly journals A PROSPECTIVE STUDY TO EVALUATE THE FUNCTIONAL OUTCOME OF NON- INSTRUMENTED LUMBAR DECOMPRERSSION IN ADULT DEGENERATIVE LUMBAR CANAL STENOSIS [LCS] AND DETERMINE PREDICTIVE FACTORS OF FAVOURABLE OUTCOME

2021 ◽  
pp. 81-84
Author(s):  
Rakesh Prasad ◽  
Sunny N Prasad
Keyword(s):  
Prospective Study ◽  
Functional Outcome ◽  
Predictive Factors ◽  
Favourable Outcome ◽  
Outcome Study ◽  
Lumbar Canal Stenosis ◽  
Lumbar Decompression ◽  
Canal Stenosis ◽  
A Prospective Study

AIM AND OBJECTIVES: A prospective study to evaluate the functional outcome of non- instrumented lumbar decompression in adult degenerative lumbar canal stenosis [LCS] and determine predictive factors of favourable outcome. Study details: Patients attending Orthopedic OPD at BARC Hospital, Mumbai, who were operated for adult degerative LCS from June 2017 to May 2019. CONCLUSION: The VAS and Beaujon score were stasistically significant when compared to preoperative and 3 months post operatively

scholarly journals A Prospective Study of Correlation between Clinical Disability and Radiological Features in Degenerative Lumbar Canal Stenosis (LCS)

2014 ◽  
Vol 4 (1_suppl) ◽  
pp. s-0034-1376538-s-0034-1376538
Author(s):  
R. Kanna ◽  
K. Nanjayan ◽  
A. Prasad Shetty ◽  
R. Shanmuganathan
Keyword(s):  
Prospective Study ◽  
Lumbar Canal Stenosis ◽  
Radiological Features ◽  
Canal Stenosis ◽  
A Prospective Study

scholarly journals The value of cervical MRI in surgical lumbar canal stenosis patients

2021 ◽  
Vol 57 (1) ◽  
Author(s):  
Omar Youssef Abdalla ◽  
Hieder Al-Shami ◽  
Heba Medhat Maghraby ◽  
Abdelrhman Enayet
Keyword(s):  
Clinical Presentation ◽  
Adult Population ◽  
Cervical Canal ◽  
Lumbar Stenosis ◽  
Cervical Stenosis ◽  
Lumbar Canal Stenosis ◽  
Cervical Canal Stenosis ◽  
Canal Stenosis ◽  
Tandem Spinal Stenosis ◽  
A Prospective Study

Abstract Background The prevalence of cervical canal stenosis alone is estimated to be present in 4.9% of the adult population. Co-existence of dual pathology may complicate clinical presentation and necessitates a wise and individually based decision process. Objectives To estimate the co-existence of cervical canal stenosis in surgical lumbar canal stenosis patients and its reflection on decision-making regarding surgery. Methods It is a prospective study that was conducted on 70 cases with symptomatic lumbar canal stenosis by investigating them for cervical canal stenosis clinically and radiologically. Results The co-existence of cervical and lumbar canal stenoses was seen in 62 cases (88.57%); cases with relative cervical stenosis were 25 (35.714%) and absolute cervical stenosis was 37 (52.857%). Cases with no cervical stenosis were 8 (11.428%) and cases with relative lumbar stenosis were 22 (31.428%), while cases with absolute lumbar stenosis were 48 (68.571%). Cases with symptomatic cervical canal stenosis were 30 (42.857%). Cases with asymptomtic cervical canal stenosis were 32 (45.71%). Conclusion Tandem spinal stenosis (TSS) is not uncommon and MRI cervical spine should be done for every lumbar canal stenosis patient especially if indicated by history or clinical examination.

scholarly journals Blood loss predictive factors and transfusion practice during percutaneous nephrolithotomy of kidney stones: a prospective study

F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 1550 ◽  
Author(s):  
Firtantyo Adi Syahputra ◽  
Ponco Birowo ◽  
Nur Rasyid ◽  
Faisal Abdi Matondang ◽  
Endrika Noviandrini ◽  
...  
Keyword(s):  
Blood Loss ◽  
Prospective Study ◽  
Percutaneous Nephrolithotomy ◽  
Predictive Factors ◽  
Transfusion Practice ◽  
Influential Factor ◽  
Full Blood Count ◽  
Baseline Serum ◽  
Stone Burden ◽  
A Prospective Study

Objectives Bleeding is the most common complication of percutaneous nephrolithotomy (PCNL). Injudicious transfusion is frequently performed in current practice, even though it is not always needed. This study aimed to identify the predictive factors of blood loss in the PCNL procedure and evaluate the perioperative transfusion practice. Methods A prospective study of PCNL was randomly performed by two consultants of endo-urology at our institution. The inclusion criteria were adults with kidney pelvic stones >20 mm or stone in inferior calyx >10 mm or staghorn stone. Those with coagulopathy, under anti-coagulant treatment or open conversion were excluded. A full blood count was taken at baseline and during 12, 24, 36, 72-hours post-operatively. Factors such as stone burden, sex, body surface area, shifting of hematocrit level and amount of blood transfused were analyzed statistically using line regression to identify the predictive factors of total blood loss (TBL).   Results Eighty-five patients were enrolled in this study. Mean TBL was 560.92 ± 428.43 mL for both endo-urology surgeons. Stone burden was the most influential factor for TBL (p=0.037). Our results revealed that TBL (mL) = -153.379 + 0.229 × stone burden (mm2) + 0.203 x baseline serum hematocrit (%); thus considerably predicted the need for blood transfusion. A total of 87.1% patients did not receive perioperative transfusion, 3.5% received intra-operative transfusion, 7.1% received post-operative transfusion, 23% had both intra and post-operative transfusion, resulting in a cross-matched transfusion ratio of 7.72. Mean perioperative blood transfused was 356.00 ± 145.88 mL.

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