This report describes two patients with medically intractable post-traumatique trigeminal neuralgia, who underwent bipolar coagulation of the pars caudalis of the trigeminal spinal nucleus. Follow-up examination--36 months and 7 months, respectively, after the procedure-showed that the patients were free of pain.
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Medicine (Baltimore)
October 2024
Department of Minimally Invasive Spine Surgery, Shandong Wendeng Orthopedic Hospital, Weihai, Shandong, P.R. China.
This retrospective study aimed to investigate the clinical efficacy of single-channel percutaneous endoscopic nucleotomy combined with annulus fibrosus suturing for treating lumbar disc herniation (LDH). The study included 86 patients with LDH treated in our spinal department from August 2020 to January 2022. The suture group consisted of 26 males and 18 females, while the control group (nucleotomy alone) included 25 males and 17 females.
View Article and Find Full Text PDFJ Orthop Surg Res
October 2024
Department of Orthopaedics, Zhongshan Torch Development Zone People's Hospital, Zhongshan, 528437, Guangdong, China.
Background: This study investigates the clinical efficacy and safety of percutaneous endoscopic nucleotomy combined with platelet-rich plasma (PRP) injection in treating lumbar disc herniation (LDH) in young and middle-aged adults.
Methods: From April 2022 to September 2023, 60 patients diagnosed with LDH were randomly divided into two groups (n = 30/group). The observation group underwent percutaneous endoscopic nucleotomy combined with autologous PRP gel injection into the disc, while the control group underwent percutaneous endoscopic nucleotomy alone.
Proc Inst Mech Eng H
October 2024
Department of Mechanical Engineering, University of Bath, Bath, UK.
The annuus fibrosus (AF) and nucleus pulposus (NP) of the intervertebral disc (IVD) work in conjunction to dissipate spinal loads. In this study we have isolated the contribution of the NP to the overall response of the disc and investigated the effect of extreme structural changes to the disc on the mechanical behaviour. Linear stiffness, overall load range, hysteresis area and total energy were used to evaluate the impact of these changes on the spine and surrounding structures.
View Article and Find Full Text PDFJ Biomed Mater Res A
December 2023
Department of Orthopaedics & Traumatology, The University of Hong Kong, Hong Kong, China.
Biomaterials for nucleus pulposus (NP) replacement and regeneration have great potential to restore normal biomechanics in degenerated intervertebral discs following nucleotomy. Mechanical characterizations are essential for assessing the efficacy of biomaterial implants for clinical applications. While traditional compression tests are crucial to quantify various modulus values, relaxation behaviors and fatigue resistance, rheological measurements should also be conducted to investigate the viscoelastic properties, injectability, and overall stability upon deformation.
View Article and Find Full Text PDFEur Spine J
June 2023
Department of Orthopaedic Surgery, University Spine Center Zürich, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland.
Purpose: The aim of this study was to elucidate segmental range of motion (ROM) before and after common decompression and fusion procedures on the lumbar spine.
Methods: ROM of fourteen fresh-frozen human cadaver lumbar segments (L1/2: 4, L3/4: 5, L5/S1: 5) was evaluated in six loading directions: flexion/extension (FE), lateral bending (LB), lateral shear (LS), anterior shear (AS), axial rotation (AR), and axial compression/distraction (AC). ROM was tested with and without posterior instrumentation under the following conditions: 1) native 2) after unilateral laminotomy, 3) after midline decompression, and 4) after nucleotomy.
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