4,337 results match your criteria: "Lumbar Spondylolysis and Spondylolisthesis"
Comparative efficacy and fusion outcomes of unilateral bi-portal endoscopic transforaminal lumbar interbody fusion versus minimally invasive transforaminal lumbar interbody fusion in treating single-segment degenerative lumbar spondylolisthesis with lumbar spinal stenosis: a two-year retrospective study.
J Orthop Surg Res
December 2024
Department of Orthopedic Spine Surgery, Yan'an Hospital Affiliated to Kunming Medical University, 245, East of Renmin Road, 650051, Kunming, Yunnan, P.R. China.
Background: Degenerative lumbar spondylolisthesis (DLS) with lumbar spinal stenosis (LSS) is a common condition resulting in substantial lower back pain and disability. Surgical intervention is recommended only when conservative treatment fails. This study compared UBE-TLIF and MIS-TLIF regarding clinical outcomes and fusion rates in patients with single-segment DLS with LSS.
View Article and Find Full Text PDFRisk factors analysis and predictive model of degree I degenerative lumbar spondylolisthesis.
J Orthop Surg Res
December 2024
Orthopedics Department, The First College of Clinical Medical Science, China Three Gorges University, Yichang, China.
Study Design: Retrospective Case-Control Study.
Background: There have been some previous studies on the risk factors associated with lumbar spondylolisthesis, but there are few studies on the risk factors for disease progression in mild degenerative lumbar spondylolisthesis (DLS). To analyze the risk factors associated with aggravation of spondylolisthesis in patients with grade I degenerative spondylolisthesis and construct a prediction model.
[Therapeutic and diagnostic classification of degenerative spondylolisthesis: validation and multiple-center inter-observer agreement].
Zh Vopr Neirokhir Im N N Burdenko
December 2024
Priorov National Medical Research Center for Traumatology and Orthopedics, Moscow, Russia.
Object: To evaluate inter- and intra-observer agreement of the proposed diagnostic and treatment classification of degenerative spondylolisthesis.
Material And Methods: The proposed diagnostic and treatment classification of degenerative spondylolisthesis was validated according to the GRRAS protocol. For this purpose, we retrospectively analyzed MRI, CT and spinal radiography data in 20 patients.
Comparison between robot-assisted and navigation-guided minimally invasive transforaminal lumbar interbody fusion: a multicenter study.
Neurosurg Focus
December 2024
1Department of Neurosurgery, Shuang-Ho Hospital, Taipei Medical University, New Taipei City.
Article Synopsis
- The study aimed to compare the accuracy and safety of robot-assisted and computer navigation-guided techniques for placing pedicle screws in minimally invasive spinal surgeries (MIS-TLIF).
- The results indicated that the robot-assisted group achieved a remarkable 100% accuracy compared to 92.1% in the navigation group, with no surgeries needed for screw malposition in either group.
- Despite the RA group having slightly longer operation times, overall, both methods proved safe and effective, with robot-assisted techniques showing superior accuracy in screw placement.
Two-Stage Surgical Treatment of Combined Lumbar Spine Stenosis in a Professional Football Player.
J Sport Rehabil
November 2024
Department of Sports Medicine and Medical Rehabilitation, Sechenov First Moscow State Medical University, Moscow, Russian Federation.
Article Synopsis
- Elite football (soccer) players often face significant spinal issues due to the demands of their sport, making treatment decisions complicated for medical professionals.
- A 28-year-old elite football player diagnosed with multiple spinal conditions underwent a two-stage surgery, including decompression and spinal fusion.
- The patient successfully returned to full training after 6 months and resumed playing at an elite level one year post-surgery, indicating this surgical method's effectiveness for treating such conditions in athletes.
Article Synopsis
- The study highlights the benefits of lateral indirect decompression over traditional posterior approaches for treating low-grade spondylolisthesis, demonstrating that it can effectively release nerves with fewer complications using minimally invasive techniques and intraoperative neuromonitoring.
- A total of 20 patients underwent the minimally invasive transforaminal lumbar interbody fusion (MIS TLIF) from 2022 to March 2024, with impressive postoperative results, including significant reductions in back and leg pain, and a successful correction of spondylolisthesis.
- Follow-up data showed a mean operation time of about 81 minutes, minimal blood loss, and a short hospital stay, with 75% of patients rated
High intensity in interspinous ligaments: a diagnostic sign of lumbar instability and back pain for degenerative lumbar spondylolisthesis.
BMC Musculoskelet Disord
November 2024
Department of Orthopedics, Huangshan City People's Hospital, Huangshan, Anhui, China.
Article Synopsis
- The study aimed to analyze the significance of high-intensity signals in interspinous ligaments in patients with degenerative lumbar spondylolisthesis (DLS) and to identify the best diagnostic methods for assessing segmental instability.
- A total of 73 patients were assessed, divided into two groups based on the presence of high-intensity signals, with Group H showing more functional impairment and longer 5-repetition sit-to-stand test times compared to Group NH.
- The results indicated that instability was more prevalent in Group H (77.3%) compared to Group NH (37.3%), suggesting that high-intensity signals correlate with more severe segmental instability in DLS.
Effectiveness of percutaneous key lesion endoscopic lumbar decompression for the treatment of lumbar spinal stenosis in octogenarian patients.
PLoS One
November 2024
Department of Neurosurgery, China Medical University Hospital, Taichung, Taiwan.
Introduction: With increasing life expectancy, degenerative lumbar spinal stenosis (LSS) has become a common problem in the geriatric population. LSS reduces the quality of life, limits daily activities, and requires therapeutic aids. We share our experiences of treating octogenarian patients with LSS with key lesion percutaneous single portal endoscopic unilateral laminotomy and bilateral decompression (sEndo-ULBD).
View Article and Find Full Text PDFClassification of lumbar spine disorders using large language models and MRI segmentation.
BMC Med Inform Decis Mak
November 2024
Department of Spinal Surgery, The Second Hospital of Jilin University, No. 218, Ziqiang Street, Nanguan District, Chuangchun, 130041, China.
Article Synopsis
- MRI is essential for diagnosing lumbar spine disorders but can be complex, leading to inaccuracies; this study introduces a BERT-based large language model (LLM) to improve diagnostic precision by integrating MRI data, text reports, and numerical measurements.
- The model uses advanced metrics and CNN features from a large data set (28,065 patients) to effectively classify various lumbar conditions like spondylolisthesis and herniated discs, achieving a high performance score near 0.9.
- Validation on additional MRI cases confirms the model's effectiveness and generalizability, indicating it can significantly enhance the accuracy of lumbar spine disorder diagnosis and treatment planning.
[Effectiveness of robot-assisted minimally invasive and open freehand transforaminal lumbar interbody fusion in treatment of single-level degenerative lumbar spondylolisthesis and the influence on adjacent segment degeneration].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
November 2024
Department of Spine Surgery, Xuzhou Renci Hospital, Xuzhou Jiangsu, 221005, P. R. China.
Objective: To compare the effectiveness of robot-assisted minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) and open freehand TLIF for the treatment of single-level degenerative lumbar spondylolisthesis (DSL) and analyse the influence on postoperative adjacent segmental degeneration (ASD).
Methods: The clinical data of 116 patients with L DLS who were admitted between November 2019 and October 2021 and met the selection criteria were retrospectively analyzed. According to the surgical methods, they were divided into the robotic group (45 cases, who underwent robot-assisted MIS-TLIF) and the open group (71 cases, who underwent open freehand TLIF).
Comparison of results among UBE-TLIF, MIS-TLIF and open TLIF for Meyerding grade I lumbar spondylolisthesis: a retrospective study.
BMC Surg
November 2024
Department of Spine Surgery, The Second Affiliated Hospital of Chongqing Medical University, No.74 Linjiang Road, Yuzhong District, Chongqing, China.
Article Synopsis
- The study compared three surgical techniques for treating Meyerding grade I lumbar spondylolisthesis: unilateral biportal endoscopic transforaminal lumbar interbody fusion (UBE-TLIF), minimally invasive TLIF (MIS-TLIF), and traditional TLIF.
- *UBE-TLIF showed significant improvement in back pain one week after surgery and had less postoperative drainage compared to the other methods, despite requiring a longer operative time.
- *Overall, UBE-TLIF, MIS-TLIF, and TLIF were all effective treatments, but UBE-TLIF may offer benefits in terms of less paraspinal damage and faster recovery.
Evaluation of V-type titanium cable internal fixation for the treatment of young adult fifth lumbar spondylolysis: technical notes and a retrospective clinical study.
J Orthop Surg Res
November 2024
Department of Spine Surgery, General Hospital of Xinjiang Military Command, Urumqi, Xinjiang, China.
Article Synopsis
- The study explores a new V-shaped titanium cable and pedicle screw fixation system for treating lumbar spondylolysis in young adults, addressing limitations of existing strategies.* -
- Twenty-one patients were treated at a military hospital, and various metrics like surgery duration and blood loss were recorded, along with long-term recovery assessments using different evaluation scales.* -
- After one year, all patients completed follow-ups, with one experiencing minor complications, and results indicated significant improvements in pain and function post-surgery.*
Mid-term efficacy of non-contact orthopedic robot navigation in the treatment of lumbar spondylolisthesis.
BMC Musculoskelet Disord
November 2024
Department of Orthopedics, Ningbo No.6 Hospital, Ningbo, China.
Objective: This study was aimed to explore the mid-term efficacy of non-contact orthopedic robot navigation in the treatment of lumbar spondylolisthesis.
Methods: The clinical data of young and middle-aged patients with lumbar spondylolisthesis were retrospectively analyzed and divided into an observation group and a control group according to surgical methods. The observation group was treated with minimally invasive transforaminal interbody fusion (MIS-TLIF) combined with orthopedic robot-navigated percutaneous pedicle screw fixation; while the control group underwent traditional posterior lumbar interbody fusion (PLIF).
Lumbar Spondylolysis: Future Perspectives.
JMA J
October 2024
Department of Orthopedic Surgery, The University of Tokyo Hospital, Tokyo, Japan.
Correlations Between Facet Tropism, Joint Mobility and Degree of Displacement in Patients with Low Grade Spondylolisthesis.
Turk Neurosurg
November 2024
University of São Paulo, University Hospital of Ribeirão Preto Medical School, Division of Neurosurgery, Brazil.
Aim: To compare lumbar X-ray and magnetic resonance imaging (MRI) findings, and to identify the factors associated with joint instability in cases with lumbar spondylolisthesis.
Material And Methods: We performed a retrospective and observational study of patients with a confirmed diagnosis of lumbar or lumbosacral low-grade spondylolisthesis at a single level. Preoperative X-ray and MRI examinations were evaluated.
[Clinical study of isthmic spondylolisthesis treated with Mis-TLIF assisted by preoperative posture reduction and intraoperative lifting reduction].
Zhongguo Gu Shang
October 2024
Department of Spinal Surgery, Ningbo No.6 Hospital. Ningbo 315040, Zhejiang, China.
Objective: To investigate the clinical effect of minimally invasive transforaminal lumbar interbody fusion(Mis-TLIF) technique combined with preoperative position reduction in the treatment of spondylolisthesis and summarize its advantages.
Methods: Between July 2016 and July 2022, 60 patients with lumbar isthmic spondylolisthesis were retrospectively analyzed, including 26 males and 34 females, with an average age of (51.32±4.
Impact of Lumbar Fusion Internal Fixation on Lumbar Disc Herniation in Young Patients: A Retrospective Study.
Med Sci Monit
October 2024
Department of Orthopedics, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
BACKGROUND Lumbar fusion and internal fixation techniques have shown promise in treating lumbar disc herniation (LDH), yet the impact on lumbar function in young patients remains unclear. This study aimed to investigate the impact of lumbar fusion on lumbar function in young patients. MATERIAL AND METHODS A retrospective analysis was conducted on 330 patients diagnosed with LDH admitted to our hospital.
View Article and Find Full Text PDFTransforaminal full-endoscopic decompression under local anesthesia for foraminal stenosis due to stable L5 isthmic spondylolisthesis, a technical note and review:Pars crisscross decompression.
J Med Invest
October 2024
Department of Orthopedics, Tokushima University, Tokushima, Japan.
Foraminal stenosis is one of the types of lumbar spinal stenosis. The pathology can be treated minimally invasively by full-endoscopic spine surgery (FESS). The final challenge in transforaminal FESS is foraminal stenosis in patients with stable isthmic spondylolisthesis at L5.
View Article and Find Full Text PDFSurgical management of traumatic spondyloptosis: a case series.
J Med Case Rep
October 2024
Maharajgunj Medical Campus, Maharajgunj, Kathmandu, 44600, Nepal.
Article Synopsis
- Traumatic spondyloptosis is a rare and serious spinal injury where one vertebra shifts completely forward over another, often leading to significant nerve damage.
- The study presents two cases of this injury: one in a 30-year-old man who had severe back pain and paralysis after a tree-cutting accident, and another in a 35-year-old woman who suffered similar symptoms following a fall from a cliff.
- Both patients underwent surgery for stabilization, highlighting the need for quick recognition and treatment of such injuries to improve patient outcomes.
Biomechanical modelling of indirect decompression in oblique lumbar intervertebral fusions - A finite element study.
Clin Biomech (Bristol)
December 2024
Institute of Biomedical Engineering, Polytechnique Montréal, PO Box 6079, Montreal, QC H3C 3A7, Canada; Sainte-Justine University Hospital Center, Montreal, Canada; Department of Surgery, Faculty of Medicine, Université de Montréal, Montreal, Canada. Electronic address:
Article Synopsis
- Oblique lumbar intervertebral fusion is a surgical method to relieve nerve pressure and involves using an interbody fusion cage, but the best surgical approach is still uncertain.
- A biomechanical model was created to evaluate how different patient conditions and implant choices affect spinal alignment, nerve decompression, and the risk of cage sinking into the bone.
- Results showed that using larger cages (14 mm) improved spinal dimensions significantly, while bilateral pedicle screw fixation reduced endplate stress, especially in patients with weak bones.
Free Vascularized Scapula tip Flap to L5-S1 Vertebral Defect After Chronic Infection Related to Interbody Fusion Cage: A Case Report.
Microsurgery
October 2024
Spine Section, Orthopedic Department, Akademiska University Hospital, Uppsala, Sweden.
Article Synopsis
- - Septic nonunion after vertebral fusion can cause significant disability, often requiring surgery, bone fixation, and antibiotics for management.
- - A novel treatment was applied in a case involving a 31-year-old man who had severe back pain and developed a septic nonunion after multiple surgical fusions; a scapula tip free flap was used to reconstruct his L5-S1 vertebral defect.
- - The patient's surgery, which included connecting blood vessels through an intra-abdominal method, was successful, leading to a pain-free recovery and fusion at the defect site after one year, highlighting the scapula tip flap as a potential option for similar spinal reconstructions.
Fusion versus decompression alone for lumbar degenerative spondylolisthesis and spinal stenosis: a target trial emulation with index trial benchmarking.
Eur Spine J
November 2024
EBPI-UWZH Musculoskeletal Epidemiology Research Group, University of Zurich and Balgrist University Hospital, Zurich, Switzerland.
Article Synopsis
- The study looked at two types of surgeries for back problems: decompression alone and decompression with fusion.
- They wanted to see which surgery helped people feel better and if they needed extra care afterward.
- After 3 years, both surgeries seemed to work about the same, but people with the fusion surgery went to physical therapy more.
Do obese patients undergoing surgery for grade 1 spondylolisthesis have worse outcomes at 5 years' follow-up? A QOD study.
J Neurosurg Spine
November 2024
1Department of Neurological Surgery, University of California, San Francisco, California.
Objective: The long-term effects of increased body mass index (BMI) on surgical outcomes are unknown for patients who undergo surgery for low-grade lumbar spondylolisthesis. The goal of this study was to assess long-term outcomes in obese versus nonobese patients after surgery for grade 1 spondylolisthesis.
Methods: Patients who underwent surgery for grade 1 spondylolisthesis at the Quality Outcomes Database's 12 highest enrolling sites (SpineCORe group) were identified.
Lumbar Endoscopic Unilateral Laminectomy for Bilateral Decompression in Degenerative Spondylolisthesis.
World Neurosurg
November 2024
Department of Neurosurgery, Washington University School of Medicine, St. Louis, Missouri, USA. Electronic address:
Article Synopsis
- Degenerative spondylolisthesis is a common cause of chronic back pain in adults, and while the standard treatment is open decompression with or without fusion, there is growing interest in the effectiveness of full endoscopic spine surgery as an alternative.
- A study involving 73 patients with low-grade degenerative spondylolisthesis revealed that after undergoing lumbar endoscopic unilateral laminectomy, 70 patients experienced significant improvement in symptoms and pain levels at various follow-up periods (3, 9, and 12 months).
- The results indicate that this endoscopic approach is a safe option for treating patients with severe stenosis due to low-grade degenerative spondylolisthesis, suggesting the
Minimally invasive versus mini-open transforaminal lumbar interbody fusion in managing low-grade degenerative spondylolisthesis.
Acta Neurochir (Wien)
September 2024
Orthopedic Department, Faculty of Medicine, Zagazig University Hospital, Zagazig, Egypt.
Article Synopsis
- The study explores the differences in recovery and clinical outcomes between mini-open TLIF and MIS-TLIF surgeries for patients with single-level lumbar degenerative spondylolisthesis, addressing the limitations of traditional open surgery.
- The research includes a retrospective analysis of 120 patients, comparing factors such as surgery duration, blood loss, and clinical improvements measured by the Oswestry Disability Index (ODI) and visual analog scale (VAS) scores.
- The findings aim to demonstrate that both surgical methods yield similar mid- and long-term outcomes while evaluating radiological parameters like lumbar lordosis and the rate of interbody fusion.