Long-Term Clinical and Radiologic Outcome Following Surgical Treatment of Lumbar Spondylodiscitis: A Retrospective Bicenter Study Research Article

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J Neurol Surg A Cent Eur Neurosurg. 2022 Jun 27. doi: 10.1055/s-0042-1748767. Online ahead of print.ABSTRACTBACKGROUND AND STUDY AIMS: Spinal instrumentation for spondylodiskitis (SD) remains highly controversial. To date, surgical data are limited to relatively small case series with short-term follow-up data. In this study, we wanted to elucidate the biomechanical, surgical, and neurologic long-term…

Development and Validation of Machine Learning-Based Predictive Model for Clinical Outcome of Decompression Surgery for Lumbar Spinal Canal Stenosis Research Article

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Spine J. 2022 Jun 24:S1529-9430(22)00269-8. doi: 10.1016/j.spinee.2022.06.008. Online ahead of print.ABSTRACTBACKGROUND CONTEXT: Although the results of decompression surgery for lumbar spinal canal stenosis (LSS) are favorable, it is still difficult to predict the postoperative HRQoL of patients before surgery.PURPOSE: The purpose of this study was to develop and validate a machine learning model to predict…

Postoperative Opioid Use Following Single-Level Transforaminal Lumbar Interbody Fusion Compared to Posterolateral Lumbar Fusion Research Article

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World Neurosurg. 2022 Jun 24:S1878-8750(22)00877-4. doi: 10.1016/j.wneu.2022.06.092. Online ahead of print.ABSTRACTOBJECTIVE: To compare 1) postoperative milligram equivalents (MME) prescriptions for opioid-naïve patients undergoing single-level transforaminal lumbar interbody fusion (TLIF) versus posterolateral lumbar decompression and fusion (PLF) and 2) total postoperative MME prescribed based on operative duration.METHODS: Patients undergoing single-level TLIF or PLF from September 2017…

A comparative study of one-stage posterior unilateral limited laminectomy vs. bilateral laminectomy debridement and bone grafting fusion combined with internal fixation for the treatment of aged patients with single-segment spinal tuberculosis Research Article

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BMC Musculoskelet Disord. 2022 Jun 28;23(1):619. doi: 10.1186/s12891-022-05562-9.ABSTRACTSTUDY DESIGN: This is a retrospective study.BACKGROUND: To assess and compare the clinical outcomes of posterior unilateral limited laminectomy (ULL) or bilateral laminectomy (BL) debridement and bone grafting fusion combined with internal fixation among aged patients with single-segment thoracic and lumbar tuberculosis (SST/LTB).MATERIALS AND METHODS: We performed a…

Lumbar spinal stenosis – surgical outcome and the odds of revision-surgery: Is it all due to the surgeon? Research Article

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Technol Health Care. 2022 Jun 10. doi: 10.3233/THC-223389. Online ahead of print.ABSTRACTBACKGROUND: Surgical decompression is the intervention of choice for lumbar spinal stenosis (LSS) when non-operative treatment has failed. Apart from acute complications such as hematoma and infections, same-level recurrent lumbar stenosis and adjacent-segment disease (ASD) are factors that can occur after index lumbar spine…

Sacral insufficiency fracture after lumbosacral decompression and fusion Research Article

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Proc (Bayl Univ Med Cent). 2022 May 9;35(4):451-454. doi: 10.1080/08998280.2022.2058832. eCollection 2022.ABSTRACTSacral insufficiency fracture is becoming increasingly recognized as a complication of lumbosacral fusion, due to alteration of spinal biomechanics. Recognition of patient presentation is important because plain films may initially be negative with this complication. This case series of seven sacral insufficiency fractures following…

Lumbar Stenosis Spinal Surgery-Associated Cerebrospinal Fluid Leak Without Headache: An Autobiographical Case Report Research Article

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Cureus. 2022 May 23;14(5):e25253. doi: 10.7759/cureus.25253. eCollection 2022 May.ABSTRACTLumbar spinal stenosis, a narrowing of the spinal canal around the spinal neurovascular structures, is a common etiology for lower back and leg pain in older people. Sciatica, a frequent symptom of lumbar spinal stenosis, typically presents with sharp and/or aching pain that originates in the buttock,…

Perioperative outcomes of general versus spinal anesthesia in the lumbar spine surgery population: A systematic review and meta-analysis of data from 2005 through 2021 Research Article

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J Clin Orthop Trauma. 2022 Jun 16;30:101923. doi: 10.1016/j.jcot.2022.101923. eCollection 2022 Jul.ABSTRACTSTUDY DESIGN: Meta-analysis.OBJECTIVES: Perform a systematic review and meta-analysis to determine the perioperative utility of general versus spinal anesthesia in the lumbar spine surgery population.METHODS: PubMed and Embase were queried for manuscripts reporting perioperative outcomes for patients undergoing one to three-level lumbar spine surgery…

The Influence of Presenting Physical Function on Postoperative Patient Satisfaction and Clinical Outcomes Following Minimally Invasive Lumbar Decompression Research Article

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Clin Spine Surg. 2022 Jun 27. doi: 10.1097/BSD.0000000000001360. Online ahead of print.ABSTRACTSTUDY DESIGN: The study of retrospective cohort.OBJECTIVE: The aim was to compare patient-reported outcome measures (PROMs), satisfaction, and minimum clinically important difference (MCID) achievement following minimally invasive lumbar decompression (MIS-LD) in patients stratified by the preoperative patient-reported outcomes measurement information system physical function (PROMIS-PF)…

Lumbar Spinal Stenosis – Surgical Outcome And The Odds Of Revision-Surgery: Is It All Due To The Surgeon? London Spine

By London Spine

Abstract Background: Surgical decompression is the intervention of choice for lumbar spinal stenosis (LSS) when non-operative treatment has failed. Apart from acute complications such as hematoma and infections, same-level recurrent lumbar stenosis and adjacent-segment disease (ASD) are factors that can occur after index lumbar spine surgery. Objective: The aim of this retrospective case series was…