To prevent scar tissue formation after lumbar surgery --for cure of disk herniation or laminectomy for narrowing of the spinal lumbar canal--the authors use an aponeurotic graft picked up by cleavage of lumbar aponeurosis and fixed between the laminae and remaining ligamentum flavum, closing posteriorly the lumbar canal and separating hermetically the dura from the anterior face of lumbar muscles. Presentation and discussion of results after four years' utilisation in 680 patients--and only 6 reinterventions which allowed an experimental study of the previously left in place graft.
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Introduction: The efficacy of postoperative braces for degenerative lumbar disorders has long been debated, with conflicting reports regarding the promotion of bone fusion and pain relief. The current aspects of postoperative brace prescriptions have been previously reported in Western countries but not in Asia. This study aimed to elucidate prescription practices in Japan and identify factors influencing prescription decisions.
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January 2025
Department of Neurosurgery, Ayabe Renaiss Hospital.
Adult spinal deformity(ASD) is a condition in which the spinopelvic alignment changes owing to age-related degeneration, making it difficult to maintain a standing position. The goal of surgery for ASD is to correct the spine and obtain normal alignment. Here, we discuss the pathophysiology of ASD, spinopelvic alignment, surgical methods, and complications.
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January 2025
Department of Neurosurgery, Tokyo General Hospital.
Lateral lumbar interbody fusion(LLIF), including extreme lateral interbody fusion(XLIF) and oblique lateral interbody fusion(OLIF), constitute a treatment option for many lumbar disorders that predominantly cause degenerative disc disease. LLIF is beneficial for managing conditions, such as lumbar spondylolisthesis, degenerative disc disease, and adult spinal deformities. LLIF is preferred for enabling indirect decompression of the spinal canal and nerve root foramen, without inducing immediate postoperative damage to the peri-vertebral tissues.
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January 2025
Department of Neurosurgery, Mie University.
Lumbar posterior fixation is a fundamental spinal technique typically performed in patients with instability, although no absolute criteria exist for diagnosing instability. Interbody fusion procedures, such as posterior lumbar interbody fusion and transforaminal lumbar interbody fusion involve the insertion of cages or grafts between vertebrae to achieve solid bone fusion. These techniques provide strong stabilization of the spine.
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January 2025
Department of Neurosurgery, Yao Tokushukai General Hospital.
Full endoscopic spine surgery is a technique to perform hernia extraction using a single-hole-type endoscope with a coaxial operation system of a sheath, endoscope, and surgical instrument in reflux water. In the lumbar region, the ventral side of the dura mater can be directly approached via the lateral route. Not only is the skin incision small, but damage to muscle tissue is also minimal, which is why it is a minimally invasive surgery.
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