CT-guided chemonucleolysis combined with psoas compartment block in lumbar disc herniation: a randomized controlled study. – PubMed

By London Spine

[ad_1] OBJECTIVES: The study was designed to evaluate the effectiveness of the combination of chemonucleolysis and psoas compartment block (PCB) for the treatment of lumbar disc herniations (LDHs) and to explore the role of PCB in managing postoperative pain of collagenase injection. METHODS: Two groups of patients (N = 192) were treated in different ways,…

Single photon emission computerized tomography (SPECT) scan-positive facet joints and other spinal structures in a hospital-wide population with spinal pain.

By London Spine

Single photon emission computerized tomography (SPECT) scan-positive facet joints and other spinal structures in a hospital-wide population with spinal pain.

Spine J. 2010 Jan;10(1):58-62

Authors: Makki D, Khazim R, Zaidan AA, Ravi K, Toma T

The current criterion standard for zygapophyseal (facet) joint pain diagnosis is placebo-controlled triple comparative local anesthetic facet joint or medial branch blocks. Single photon emission computerized tomography (SPECT) scanning is a less invasive modality that has been widely used in patients with spinal pain for the diagnosis of facet joint arthritis. Previous studies have shown that SPECT results correlate well with response to facet joints steroid injections.

PMID: 19643679 [PubMed – indexed for MEDLINE]

Transpedicular drainage of presacral abscess and posterior decompression of acute cauda equina syndrome in caries spine: a case series of 3 patients.

By London Spine

Related Articles Transpedicular drainage of presacral abscess and posterior decompression of acute cauda equina syndrome in caries spine: a case series of 3 patients. J Spinal Disord Tech. 2011 May;24(3):E26-30 Authors: Arora S, Kumar R, Batra S, Nath R Abstract STUDY DESIGN: We describe 3 patients with lumbosacral tuberculosis with epidural and presacral abscess who…

[Spinal cord compression by testicular germ cell tumor: case report].

By London Spine
Related Articles

[Spinal cord compression by testicular germ cell tumor: case report].

Acta Med Port. 2012 Nov-Dec;25(6):461-5

Authors: Estevinho F, Sousa N, Rodrigues Â, Carneiro E, Souto J, Begonha R, Maurício J

Abstract
Malignant spinal cord compression occurs in 2.5% – 5% cancer patients. Early diagnosis and therapeutic intervention are critical for pain control and improvement of any neurological deficit. Treatment should be directed to the underlying disease together with appropriate symptom management. The case of a man with tetraparesis of 24 hours duration is presented. He had surgery five days earlier because of a testicular tumor and spinal magnetic resonance imaging (MRI) showed spinal cord compression by a soft tissue mass between C7 and D2. After confirming the diagnosis of mixed germ cell tumor, stage IIIC, the patient began chemotherapy with progressive neurological improvement. Two years after diagnosis the patient presents a slight reduction of strength in the right hand and remains without any evidence of disease. This case illustrates the importance of early diagnosis of spinal cord compression and one of the main indications for the use of chemotherapy as the treatment for an oncologic emergency.

PMID: 23534600 [PubMed – indexed for MEDLINE]