scholarly journals Hemipartial Laminectomy and Bilateral Flavectomy Technique With Unilateral Approach in Patients With Cervical Spinal Stenosis Due to Ligamentum Flavum Hypertrophy: A Technique Note

Cureus ◽  
2021 ◽  
Author(s):  
Salim Senturk ◽  
Ülkün Ünsal ◽  
Serdar Çevik ◽  
Onur Yaman
Keyword(s):  
Spinal Stenosis ◽  
Ligamentum Flavum ◽  
Unilateral Approach ◽  
Cervical Spinal Stenosis

Comparative analysis of minimally invasive surgical decompression and fusion surgery in the treatment of stable stage i lumbar degenerative spondylolisthesis complicated by spinal stenosis

2020 ◽  
pp. 25-37
Author(s):  
Roman Kartavykh ◽  
Igor Borshchenko ◽  
Gennadiy Chmutin ◽  
Andrey Baskov ◽  
Vladimir Baskov
Keyword(s):  
Spinal Stenosis ◽  
Degenerative Spondylolisthesis ◽  
Stage I ◽  
Fusion Surgery ◽  
Unilateral Approach ◽  
Microsurgical Decompression ◽  
Group B ◽  
Lumbar Spondylolisthesis ◽  
Stable Stage

Purpose: a comparative analysis of long-term clinical and radiological outcomes of bilateral microsurgical decompression from unilateral approach and open fusion surgery in the treatment of patients with stable stage I lumbar degenerative spondylolisthesis complicated by spinal stenosis. Materials and methods: this study included 83 patients with degenerative stage I lumbar spondylolisthesis, combined with spinal stenosis at one/several levels. Bilateral microsurgical decompression from unilateral approach was performed in group A (n = 41), in group B (n = 42) we used transforaminal lumbar interbody fusion. Results: intraoperative blood loss and operation time significantly prevailed in group B (P < 0,05). Pain in the legs (VAS), Oswestry disability index significantly decreased in both groups in the long-term postoperative period. No statistical difference in these was found in groups A and B (P = 0,59; P = 0,10). Lower back pain in both groups at the follow-up period had a significant difference: in fusion group there was a significantly higher intensity, than in group А (P < 0,001). Assessment of radiological outcomes in group A at the level of spondylolisthesis showed a slight decrease in segment stability: an increase in anteroposterior displacement of the vertebrae by an average of 0,44 mm, the angular difference by 0,77°, an increase in displacement of the vertebral body by 1,30 % (P < 0,05). Conclusion: minimally bilateral microsurgical decompression from unilateral approach is an effective method for treatment of stable stage I degenerative lumbar spondylolisthesis, combined with spinal stenosis, allowing to achieve significant regression of leg pain and disability in the long-term postoperative period. And this method admits to significantly decrease of low back pain, then in fusion surgery, as well as a low risk of postoperative instability and reoperation with instrumentation.

OPEN-DOOR EXPANSILE CERVICAL LAMINOPLASTY

Neurosurgery ◽  
2007 ◽  
Vol 60 (suppl_1) ◽  
pp. S1-154-S1-159 ◽  
Author(s):  
Elizabeth Vitarbo ◽  
Rishi N. Sheth ◽  
Allan D. Levi
Keyword(s):  
Surgical Technique ◽  
Spinal Stenosis ◽  
Cervical Myelopathy ◽  
Outcome Data ◽  
Cervical Laminoplasty ◽  
Open Door ◽  
Cervical Spinal Stenosis ◽  
Current Article

Abstract OPEN-DOOR EXPANSILE laminoplasty is a practical surgical technique for the treatment of cervical myelopathy secondary to cervical spinal stenosis. Laminoplasty procedures were first described in the late 1970s and have undergone numerous modifications. The current article reviews the indications, techniques, and outcome data for cervical laminoplasty. Complications of laminoplasty and comparison to laminectomy outcomes are also discussed.

Comparison of CT Myelography Performed in the Prone and Supine Positions in the Detection of Cervical Spinal Stenosis

2001 ◽  
Vol 56 (1) ◽  
pp. 35-39 ◽  
Author(s):  
COLE BLEASE GRAHAM III ◽  
FRANZ J. WIPPOLD II ◽  
KYONGTAE T. BAE ◽  
THOMAS K. PILGRAM ◽  
ALI SHAIBANI ◽  
...  
Keyword(s):  
Spinal Stenosis ◽  
Ct Myelography ◽  
Cervical Spinal Stenosis

Severe altered mentation due to cervicothoracic intrathecal pump after correction of cervical stenosis: a case report

2021 ◽  
pp. rapm-2021-103041
Author(s):  
Chinar Sanghvi ◽  
Tiffany Su ◽  
Tony L Yaksh ◽  
David J Copenhaver ◽  
Eric O Klineberg ◽  
...  
Keyword(s):  
Spinal Stenosis ◽  
Mental Status ◽  
Clinical Evidence ◽  
Chronic Neck Pain ◽  
Altered Mental Status ◽  
Cord Compression ◽  
Cervical Stenosis ◽  
Csf Flow ◽  
Case Presentation ◽  
Cervical Spinal Stenosis

BackgroundCerebral spinal fluid (CSF) dynamics are complex and changes in spinal anatomy may influence the rostrocaudal movement of intrathecal medications. We present the first reported case demonstrating that acute cervical spinal stenosis may impede the distribution of adjacent intrathecal medications, and that correction of such stenosis and the resulting changes in CSF flow may necessitate significant adjustments in the intrathecal infusates.Case presentationWe present a case of a 60-year-old male patient with a cervicothoracic intrathecal pump (ITP) infusing morphine, bupivacaine, and baclofen for chronic neck pain. The alert and oriented patient had a recent fall resulting in an acute severe cervical stenosis and cord compression which required urgent surgical decompression. Postoperatively, after the cervical decompression, the patient had significant altered mental status requiring a naloxone infusion. Multiple attempts to reduce the naloxone infusion were initially not successful due to worsened somnolence. The previously tolerated ITP medications were continuously reduced over the next 14 days, allowing concomitant decrease and eventual cessation of the naloxone infusion while maintaining patient mental status. The only opioids the patient received during this period were from the ITP.ConclusionsThis case presents clinical evidence that severe spinal stenosis may impede the rostral CSF distribution of intrathecal medications. Intrathecal medications previously tolerated by patients prior to decompression may need to be significantly reduced in the postoperative period.

scholarly journals A Comparison of Computed Tomography Measures for Diagnosing Cervical Spinal Stenosis Associated with Myelopathy: A Case-Control Study

2015 ◽  
Vol 9 (1) ◽  
pp. 22 ◽  
Author(s):  
Brett A Freedman ◽  
C Edward Hoffler ◽  
Brian M Cameron ◽  
John M Rhee ◽  
Maneesh Bawa ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Spinal Stenosis ◽  
Case Control Study ◽  
Case Control ◽  
Cervical Spinal Stenosis ◽  
Control Study

Inter-vertebral Height, Inter-vertebral Foramen Height and Range of Motion are Associated with Redundant Nerve Roots in Lumbar Spinal Stenosis

2020 ◽  
Author(s):  
Deng Bo ◽  
Fan Shao Hua ◽  
Feng Xin Bing ◽  
Zhenghua Hong
Keyword(s):  
Spinal Stenosis ◽  
Lumbar Spinal Stenosis ◽  
Ligamentum Flavum ◽  
Leg Pain ◽  
Intervertebral Foramen ◽  
Vertebral Height ◽  
Nerve Roots ◽  
Vas Scores ◽  
Lumbar Spinal ◽  
Stenotic Segment

Abstract Background: To analyze the relational factors influencing the formation of cauda equina redundant nerve roots (RNRs) of the lumbar spinal stenosis.Methods: A retrospective study of 116 patients with lumbar spinal stenosis were treated in our department from January 2016 to June 2019. Magnetic resonance imaging (MRI) was performed to observe the shape and morphology of the redundant nerve roots of the cauda equina.We divided patient into (RNRs) group and non-RNRs( NRNRs) group based on the presence or absence of RNRs on sagittal T2-weighted MR. We analyzed the demographic characteristics, preoperative back pain visual analogue scale (VAS) scores ,preoperative leg pain VAS scores, and preoperative Oswestry disability index(ODI) scores, and also analyzed the rate of spondylolisthesis and ligamentum flavum hypertrophy. Simultaneously,the inter-vertebral height, intervertebral foramen height, inter-vertebral height +vertebral height, median sagittal diameter at the inter-vertebral space level(DIW-MSD),median sagittal diameter at the pedicel level(DV-MSD),ROM of the stenotic segment, were statistically analyzed for clinical and radiological significance.Results : Of a total 116 total patients,there were no statistically significant differences in either gender [RNRs group (n = 42, 18/24 female) and NRNR group (n = 74, 38/36 female)], age, BMI index, preoperative back pain VAS score , preoperative leg pain VAS score and preoperative ODI score(p> 0.05);however, there were statistically significant differences regard to the duration of symptoms and the rate of spondylolisthesis and ligamentum flavum hypertrophy (p<0.05);the inter-vertebral height,Intervertebral foramen height, inter-vertebral height+vertebral height, DIW-MSD ,ROM of the stenotic segment were also significantly different between the group (p<0.05).Conclusions:The inter-vertebral height, inter-vertebral foramen height, inter-vertebral height + vertebral height, DIW-MSD and ROM of the stenotic segment were the crucial factors related to RNRs in lumbar spinal stenosis.

Cervical Spinal Stenosis

2010 ◽  
pp. 479-483
Author(s):  
S. Tim Yoon ◽  
Brett A. Freedman
Keyword(s):  
Spinal Stenosis ◽  
Cervical Spinal Stenosis
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