Primary Epidural Varicosis as a Rare Cause of Sciatica: A Case Report.

Non-discogenic sciatica can be caused by any lesion along the course of the lumbosacral nerve roots and sciatic nerve. We aim to present a rare case of refractory sciatica in an otherwise healthy 25-year-old man. He complained of left leg pain without significant back pain.

Instrumented transforaminal lumbar interbody fusion in surgical treatment of recurrent disc herniation.

Background: The incidence of recurrence in patients undergoing primary discectomy due to lumbar disc herniation (LDH), is regularly reported as 5-15%. In this study we aimed to evaluate surgical outcome of instrumented transforaminal lumbar interbody fusion (TLIF) in the patients suffering from recurrent LDH.

Methods: We retrospectively studied 51 patients (30 female, 21 male) from August 2007 to October 2011.

Prevalence and severity of preoperative disabilities in Iranian patients with lumbar disc herniation.

Background: Literature recommends that refractory cases with lumbar disc herniation and appropriate indications are better to be treated surgically, but do all the patients throughout the world consent to the surgery with a same disability and pain threshold? We aim to elucidate the prevalence and severity of disabilities and pain in Iranian patients with lumbar disc herniation who have consented to the surgery.

Methods: In this case series study, we clinically evaluated 194 (81 female and 113 male) admitted patients with primary, simple, and stable L4-L5 or L5-S1 lumbar disc herniation who were undergoing surgical discectomy. The mean age of the patients was 38.

Percutaneous vertebroplasty in Iranian patients with osteoporotic vertebral fractures.

Background: Osteoporotic compression vertebral fractures are common clinical problems. In those with refractory fractures, percutaneous cement augmentation has been suggested. The aim of this study was to evaluate the functional outcome of percutaneous vertebroplasty in Iranian patients with refractory osteoporotic fractures.

Lumbar spinal stenosis: who should be fused? An updated review.

Lumbar spinal stenosis (LSS) is mostly caused by osteoarthritis (spondylosis). Clinically, the symptoms of patients with LSS can be categorized into two groups; regional (low back pain, stiffness, and so on) or radicular (spinal stenosis mainly presenting as neurogenic claudication). Both of these symptoms usually improve with appropriate conservative treatment, but in refractory cases, surgical intervention is occasionally indicated.

Sciatica in a five-year-old boy.

The prevalence of back pain during childhood is 50%; in 22% of these cases, a specific diagnosis can be found. Osteoid osteoma is a rare benign tumor that occursonly in 20% of cases and involves the spine. The aim of this report is to explain an atypical case of lumbar osteoid osteoma with significant neurologic deficit at a very young age.

Multiple lumbar vertebral fractures following a single idiopathic seizure in an otherwise healthy patient; a case report.

It has been reported that fractures are more common in epileptic patients relative to the general population.Seizures by repeated muscular contractions can increase fracture risk throughout the skeleton, but the reportedpapers about non traumatic vertebral fractures following a single episode of seizure are rare and mostly locatedin thoracic spine with only one or two vertebral fracture. The case we reported here was a 42 year old otherwisehealthy man who had three vertebral fractures due to a single idiopathic seizure affected the lumbar region withno previous history of underlying disease, trauma, or drug use.

Comparison of functional outcomes following surgical decompression and posterolateral instrumented fusion in single level low grade lumbar degenerative versus isthmic spondylolisthesis.

Background: The two most common types of surgically treated lumbar spondylolisthesis in adults include the degenerative and isthmic types. The aim of this study was to compare the functional outcomes of surgical decompression and posterolateral instrumented fusion in patients with lumbar degenerative and isthmic spondylolisthesis.

Methods: In this retrospective study, we reviewed the clinical outcomes in surgically treated patients with single level, low grade lumbar degenerative, and isthmic spondylolisthesis (groups A and B, respectively) from August 2007 to April 2011.

Does duration of preoperative sciatica impact surgical outcomes in patients with lumbar disc herniation?

Background. In lumbar disc herniation, most authors recommend nonoperative treatment for the first few weeks of presentation, but what about the upper limit of this golden period? The aim of this study is to assess the effect of preoperative sciatica duration on surgical outcome of lumbar disc herniation. Methods.

Postoperative cauda equina syndrome in trivial lumbar congenital kyphosis: a case report.

A 25-year old man presented with chronic low back pain for about 5 years due to mild congenital lumbar kyphosis (L1-L3 25° with congenital posterior wedge vertebra L2). Preoperative neurologic examination was normal. After posterior spinal fusion and instrumentation with moderate curve correction, the patient gradually developed the symptoms and signs of cauda equina syndrome due to intraoperative L2-3 disc herniation.

Impact of Age and Duration of Symptoms on Surgical Outcome of Single-Level Microscopic Anterior Cervical Discectomy and Fusion in the Patients with Cervical Spondylotic Radiculopathy.

We aim to evaluate the impact of age and duration of symptoms on surgical outcome of the patients with cervical spondylotic radiculopathy (CSR) who had been treated by single-level microscopic anterior cervical discectomy and fusion (ACDF). We retrospectively evaluated 68 patients (48 female and 20 male) with a mean age of 41.2 ± 4.

Posterior Surgery Alone in the Treatment of Post-traumatic Kyphosis by Posterior Column Osteotomy, Spondylodesis, Instrumentation, and Vertebroplasty.

Study Design: Retrospective study.

Purpose: To determine if posterior surgery alone can satisfactorily treat post-traumatic kyphosis (PTK).

Overview Of Literature: One of the worst complications of vertebral fractures is PTK.

Treatment outcomes of open pelvic fractures associated with extensive perineal injuries.

Background: The main causes of death in patients with open pelviperineal injuries are uncontrollable bleeding and pelvic sepsis. The aim of this study was to evaluate the management outcomes of open pelvic fractures associated with extensive perineal injuries.

Methods: We retrospectively studied 15 cases with open pelvic fractures associated with extensive perineal injuries (urethral and anal canal laceration) admitted between August 2006 and September 2010.

Long-term clinical outcomes of war-related hip disarticulation and transpelvic amputation.

Background: The Iran-Iraq war (1980 to 1988) was one of the longest wars of the twentieth century. Few studies are available in the current literature evaluating the long-term results of proximal lower-extremity war-related amputations. The purpose of the present cross-sectional study was to evaluate the current health-related quality of life and clinical musculoskeletal function of Iranian veterans with hip or hemipelvic amputation.

Generalized Ligamentous Laxity; a Parameter Should not to be Forgotten in Preoperative Planning of Adolescent Idiopathic Scoliosis.

Background: Many factors effect on management (surgical and nonsurgical) of adolescent idiopathic scoliosis (AIS).

Objectives: The purpose of this study was evaluation of the effects of generalized ligamentous laxity (GLL) on surgical treatment of AIS.

Materials And Methods: 72 patients with AIS were studied between 2002 and 2009.