The Glasgow Lumbar Spinal Stenosis Scale: An Individualised Measurement Formula For The Radiological Assessment Of Lumbar Spinal Stenosis London Spine

By London Spine

Abstract Background: Lumbar spinal stenosis (LSS) is a common and important spinal surgical problem. Currently there is no universally accepted quantitative approach to the radiological measurement of LSS. LSS can be described qualitatively with reference to facet and ligamentous hypertrophy, lack of perineural or intraforaminal fat, and reduced CSF around the cauda equina. Quantitative descriptions…

Oblique Lateral Interbody Fusion To Treat Lumbar Spinal Stenosis In A Patient With Situs Inversus Totalis: A Case Report London Spine

By London Spine

Abstract Oblique lateral interbody fusion (OLIF) is a minimally invasive spinal surgery that is popular for lumbar degeneration and spinal deformity treatment because it causes minimal damage to the stability of the intervertebral structures. However, when encountering abnormal anatomical structures caused by situs inversus, surgical routes must be adjusted to avoid serious complications. A 42-year-old…

Spinal Dural Arteriovenous Fistula 8 Years After Lumbar Discectomy Surgery: A Case Report And Review Of Literature London Spine

By London Spine

Abstract Background: Spinal dural arteriovenous fistula (SDAVF) is an extremely rare vascular malformation of the central nervous system that is often confused with degenerative spinal disorders due to similar early symptoms and clinical features. Here, we report a case of SDAVF recurrence 8 years after lumbar spine surgery and summarize relevant literature. Case summary: A…

Pre-Operative Prognostic Factors For Walking Capacity After Surgery For Lumbar Spinal Stenosis: A Systematic Review London Spine

By London Spine

Abstract Background: Lumbar spinal stenosis (LSS) reduces walking and quality of life. It is the main indication for spinal surgery in older people yet 40% report walking disability post-operatively. Identifying the prognostic factors of post-operative walking capacity could aid clinical decision-making, guide rehabilitation and optimise health outcomes. Objective: To synthesise the evidence for pre-operative mutable…

Analytical And Finite Element Analysis Of Shape Memory Polymer For Use In Lumbar Total Disc Replacement London Spine

By London Spine

Abstract One-piece bearing is the latest type of total disc replacement (TDR) design that is used for the treatment of lumbar degenerative disc disease (DDD). Due to the unique properties of the shape memory polymers (SMPs), such as self-healing, shape-memory, adhesion control, and self-deployable ability, they may be a good candidate for the core of…

Effect Of Segmental Lordosis On Early-Onset Adjacent-Segment Disease After Posterior Lumbar Interbody Fusion London Spine

By London Spine

Abstract Objective: Although several reports have described adjacent-segment disease (ASD) after posterior lumbar interbody fusion (PLIF), there have been only a few reports focusing on early-onset ASD occurring within 3 years after primary PLIF. The purpose of this study was to investigate the prevalence and postoperative pathologies of early-onset ASD and its relation with radiological…

Injection Of Aluminum Potassium Sulfate And Tannic Acid In The Treatment Of Fecal Incontinence: A Single-Center Observational Study London Spine

By London Spine

Abstract Purpose: Perianal injection of bulking agents is an attractive treatment option for patients with mild to moderate fecal incontinence (FI). Various bulking agents have been used for injection therapy, but the optimal injection materials and methods are yet to be standardized. This study aimed to evaluate the effects of injection therapy using aluminum potassium…

Fluoroscopy-Guided Transforaminal Versus Caudal Epidural Steroid Injection For Chronic Pain After Spinal Surgery: A Retrospective Mid-Term Comparative Study London Spine

By London Spine

Abstract Introduction: This study is to compare advantages, safety and mid-term effects of fluoroscopy (FL)-guided transforaminal (TF) to caudal (CA) epidural steroid injection (ESI) for chronic pain after spinal surgery (CPSS) by assessing pain relief and improvement of functionality. Methods: Patients with radicular pain in CPSS who received FL-guided CA (n = 21) or TF…

Single-Level Cervical Disc Replacement Using A PEEK-On-Ceramic Implant: Results Of A Multicenter FDA IDE Trial With 24-Month Follow-Up London Spine

By London Spine

Abstract Background: Many early cervical total disc replacements (TDRs) produced motion through a ball-and-socket action, with metal endplates articulating with a plastic core. Polyetheretherketone (PEEK) is used increasingly for spinal implants due to its mechanical properties and lack of artifacts on imaging. A TDR was designed with titanium-coated PEEK endplates and a ceramic core. The…

Cervical Disc Arthroplasty For Axial Neck Pain: Comparison Of Outcomes To 2 Other Common Cervical Conditions London Spine

By London Spine

Abstract Background: Cervical disc arthroplasty (CDA) is an established treatment for degenerative disc disease with radiculopathy and/or myelopathy. There is, however, little published evidence of its effectiveness to relieve pain and improve function in patients with a primary diagnosis of axial neck pain. Such patients were excluded from all previous Food and Drug Administration clinical…