The objective of this study was to describe step by step our surgical technique of laminotomy and analyze our series with regard to spinal deformities (risk and predisposing factors), postoperative pain and rate of postoperative contusions. Data regarding patients who underwent our technique of laminotomy (N = 40, mean follow-up: 52 ms) (N = 40) between 2002 and 2006 were retrospectively evaluated. The technique used is illustrated in depth. Chronic pain was present in 30% with a mean score of 3/10 cm (Graphic Rating Scale). Postoperative kyphoses occurred in three patients, all below 35 years of age and with laminotomies which involved C2 and/or C7. None of these deformities required further surgical treatment because they were self-limiting or asymptomatic at a mean follow-up of 52 months. Based on the results, our technique proved to be safe and effective in terms of late deformities, blood loss, early and chronic postoperative pain and protection from postoperative accidents over the surgical site.
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http://dx.doi.org/10.1007/s00586-011-1826-2 | DOI Listing |
Mol Immunol
December 2024
Department of Orthopedics, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, China. Electronic address:
Low back pain after spine surgery is a major complication due to excessive epidural fibrosis, which compresses the lumbar nerve. Macrophage-myofibroblast transition (MMT) promoted epidural fibrosis in a mouse laminectomy model. Previously, we demonstrated that LincR-PPP2R5C regulated CD4 + T-cell differentiation.
View Article and Find Full Text PDFBiomimetics (Basel)
November 2024
College of Mechanical and Electronic Engineering, Shandong University of Science and Technology, Qingdao 266590, China.
In robotic-assisted laminectomy decompression, stable and precise vertebral plate cutting remains challenging due to manual dependency and the absence of adaptive skill-learning mechanisms. This paper presents an advanced robotic vertebral plate-cutting system that leverages patient-specific anatomical variations and replicates the surgeon's cutting technique through a trajectory parameter prediction model. A spatial mapping relationship between artificial and patient vertebrae is first established, enabling the robot to mimic surgeon-defined trajectories with high accuracy.
View Article and Find Full Text PDFCurr Oncol
November 2024
Department of Medicine and Surgery, Kore University of Enna, 94100 Enna, Italy.
(1) Background: Testicular cancer, although accounting for only 0.5% to 1% of all solid male cancers, is the most common malignancy in males aged 15 to 35 years. Non-seminomatous germ cell tumors (NSGCT) represent nearly half of all testicular germ cell tumors and are associated with a more aggressive clinical course.
View Article and Find Full Text PDFInt Immunopharmacol
December 2024
Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Clinical Medicine Research Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Antibody New Drug Research Center, National Cheng Kung University, Tainan, Taiwan. Electronic address:
Background: Post-laminectomy syndrome (PLS) manifests as recurrent chronic back pain, with or without radiating leg pain, affecting 10-40% of patients following laminectomy. While surgical interventions can alleviate recurrent disc herniation or joint instability, medical management of PLS remains challenging due to unsatisfactory outcomes. Epidural fibrosis is a frequent cause of PLS, leading to nerve root tethering and dural sac compression.
View Article and Find Full Text PDFZhongguo Gu Shang
December 2024
Changsha Hospital of Traditional Chinese Medicine, Changsha Eighth Hospital, Changsha 410100, Hunan, China.
Objective: To explore clinical effect of unilateral laminotomy for bilateral decompression (ULBD) under single channel endoscopic(Delta) in treating adjacent segment disease(ASD) after lumbar fusion.
Methods: A retrospective analysis of 24 patients who underwent spinal endoscopic ULBD after lumbar fusion was performed from January 2021 to January 2023, including 10 males and 14 females, aged from 54 to 77 years old with an average of (59.2±3.
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