Publications by authors named "J Nail"
Background: While open approaches have historically been used in the surgical treatment of intradural-extramedullary spine tumors, minimally-invasive surgical (MIS) techniques are frequently applied to minimize post-operative complications associated with open surgery. Tubular retractor systems in particular have been employed in combination with the unilateral hemilaminectomy (UHL) approach. Here we describe the use of a Williams retractor as a safe and effective minimally-invasive alternative to tubular retractor systems with similar post-operative outcomes.
View Article and Find Full Text PDFBackground: Wild-type transthyretin (ATTRwt) amyloid deposition has been found in the ligamentum flavum (LF) of patients undergoing spinal stenosis surgery. Our group previously reported that ATTRwt amyloid is associated with an increased lumbar ligamentum flavum thickness at symptomatic levels that required surgery. A comprehensive evaluation of LF thickness at asymptomatic levels in addition to symptomatic, treated levels has never been performed in ATTRwt patients.
View Article and Find Full Text PDFArticle Synopsis
- Researchers found that transthyretin amyloid deposits (ATTRwt) are present in the ligamentum flavum of patients with spinal stenosis, but the effects on ligament thickness were unclear.
- In a study of 178 patients, those with ATTRwt had a significant increase in ligamentum flavum thickness (4.92 mm) compared to those without (4.00 mm), particularly at the L4-L5 level.
- The study concluded that ATTRwt is associated with a thicker ligamentum flavum, prompting further investigation into the underlying mechanisms of this relationship.
Background: Wild-type transthyretin amyloid (ATTRwt) has been noted to deposit in the ligamentum flavum of the spine. Prior studies have focused on ATTRwt in the lumbar region, but studies discussing its presence in other levels of the spine are lacking. We report on the presentation of patients with confirmed amyloid in the cervicothoracic regions and discuss the literature to date.
View Article and Find Full Text PDFBackground: Female exotic dancers are a population at high risk of unintended pregnancy. The objective of this study is to describe the reproductive health needs and contraceptive utilization of exotic dancers.
Methods: New exotic dancers (< 6 months dancing) from 26 clubs in Baltimore City/County completed a one-time survey.