15,022 results match your criteria: "Spinal Stenosis"
Spine (Phila Pa 1976)
March 2025
Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba, Japan.
Study Design: Retrospective clinical analysis.
Objective: To investigate the changes in perioperative bleeding and overall safety associated with the use of low-dose aspirin (LDA) in spinal surgery.
Summary Of Background Data: There is no consensus on whether to continue the use of LDA in patients requiring spinal surgery.
J Spine Res Surg
February 2025
Department of Translational Research, College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, California 91766 USA.
Lumbar spinal stenosis (LSS) is a common condition caused by the narrowing of the spinal canal, resulting in compression of neural and vascular structures. This compression leads to symptoms such as claudication, paresthesia, and lower extremity weakness. LSS is the leading cause of low back pain and functional limitations, affecting over 103 million people worldwide.
View Article and Find Full Text PDFWorld Neurosurg
March 2025
Baylor College of Medicine, Department of Neurosurgery, Houston, TX, USA; Baylor College of Medicine, Department of Otolaryngology-Head & Neck Surgery, Houston, TX, USA.
First introduced by Robinson & Smith in 1955, the anterior cervical discectomy and fusion (ACDF) surgery has seen minimal changes over the years. Its reproducibility, impressive long-term results, and minimal complication rates have established it as one of the most frequently performed cervical spinal fusion surgeries. Yet, post-operative dysphagia remains a concern with a 60% incidence rate.
View Article and Find Full Text PDFRadiographics
April 2025
From the Departments of Radiology (S.B.L., M.B., J.D.) and Neurosurgery (B.B.), Children's Health Care of Atlanta, Emory University, Atlanta, Ga; and Department of Radiology, Vanderbilt University Medical Center, Monroe Carell Jr. Children's Hospital, 2200 Children's Way, Nashville, TN 37323 (A.S., S.P.).
Craniovertebral junction (CVJ) instability, fixation, and stenosis in children are closely related conditions that are often challenging to diagnose and are associated with significant morbidity. Groups at higher risk for CVJ abnormalities include children with trisomy 21, juvenile idiopathic arthritis, upper respiratory infection or other inflammatory conditions of the head and neck, and certain skeletal dysplasias. Radiography, CT, and MRI play complementary roles in the evaluation of pathologic conditions of the CVJ.
View Article and Find Full Text PDFAnimals (Basel)
March 2025
Departamento de Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, 46115 Valencia, Spain.
Lumbar and lumbosacral pain in dogs often involves multiple concurrent spinal pathologies, complicating the identification of primary pain generators. This study assessed the associations between MRI-diagnosed spinal pathologies and pain to provide clinically relevant insights for their diagnosis and management. MRI scans and clinical records of 518 client-owned dogs were retrospectively reviewed, documenting demographic data, pain status, and MRI findings.
View Article and Find Full Text PDFJ Orthop Surg Res
March 2025
Department of Orthopedic Surgery, Wolfson Medical Center, 5822012, Holon, Israel.
Objectives: Lumbar spinal stenosis (LSS) is a common condition characterized by the narrowing of the spinal canal, often leading to neural compression. Accurate imaging is crucial for diagnosis and surgical planning, with MRI and CT being the primary modalities. While MRI excels in soft tissue visualization, CT is superior for assessing bony structures.
View Article and Find Full Text PDFBMC Musculoskelet Disord
March 2025
Department of Spine Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200092, China.
Background: Spontaneous psoas hematoma is a very rare clinical entity, and the pathogenesis and pathologic mechanisms of spontaneous psoas hematoma remain unclear, thus, it is of great value to explore.
Case Presentation: We encountered a patient who developed femoral nerve paralysis due to psoas muscle hematoma following posterior lumbar fusion surgery. A 69-year-old female with lumbar spinal canal stenosis underwent posterior lumbar fusion at the L3-4 and L4-5 levels.
Neurol Sci
March 2025
Department of Neurosciences, Università Cattolica del Sacro Cuore, Rome, Italy.
Transthyretin amyloidosis (ATTR amyloidosis) is a rare systemic disorder characterized by the extracellular deposition of amyloid fibrils, which can affect multiple tissues. Lumbar spinal stenosis (LSS), a condition involving narrowing of the lumbar spinal canal, has been frequently associated with amyloid deposition in the ligamentum flavum (LF). This study aimed to evaluate the prevalence of ATTR deposits in LF samples obtained from patients undergoing LSS surgery at two Italian centers.
View Article and Find Full Text PDFN Am Spine Soc J
March 2025
Department of Orthopedics and Physical Rehabilitation, UMass Chan Medical School, Worcester, MA, United States.
Purpose: Despite numerous studies, the factors contributing to clinical success after a lumbar transforaminal epidural steroid injection (LTFESI) for radicular pain remain unclear. The aim of this study was to systematically review literature evaluating preprocedural predictive factors for improved outcomes in patients receiving a LTFESI.
Methods: We searched databases including PubMed/MEDLINE, Cochrane Library, and Scopus for studies published from 2006 through 2023.
Objective: L5/S1 segment is one of the most common lumbar degenerative segments with high clinical failure rate. When the clinically responsible segment consists of one or more segments including L4/L5 segment, whether to merge the severely degraded L5/S1 segment together is a common problem plaguing clinicians. Therefore, the purpose of this study was to explore the risk factors for preoperative adjacent segment degeneration L5/S1 segment occuring Postoperative adjacent segment disease(ASDis), analyze the correlation between the high risk factors and the occurrence of adjacent segment disease, clarify the preventive measures and direction, and provide references for clinical selection of personalized treatment.
View Article and Find Full Text PDFJ Orthop Surg Res
March 2025
Department of Orthopaedic Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Background: The sedimentation sign offers an efficient method for evaluating lumbar spinal stenosis. However, limited research exists regarding its applicability to post-operative MRI scans. This study aims to assess the viability of utilizing the nerve root sedimentation sign (NRSS) and Schizas classification (SC) in the evaluation of post-operative lumbar stenosis.
View Article and Find Full Text PDFPurpose: This retrospective cohort study aimed to compare the clinical outcomes of percutaneous transforaminal endoscopic decompression (PTED) with those of posterior lumbar interbody fusion (PLIF) for the treatment of degenerative lumbar scoliosis (DLS) with lumbar spinal stenosis (LSS).
Methods: In this study, 143 DLS patients who met the inclusion criteria from January 2016 to March 2019 were retrospectively analyzed and divided into the PTED and PLIF groups. The propensity score matching (PSM) method was used to adjust for imbalanced confounding variables between the groups.
J Matern Fetal Neonatal Med
December 2025
Dipartimento di Scienze Cardiovascolari, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma.
Purpose: Pregnancy in women with adult congenital heart disease (ACHD), whether in its natural history or after surgical correction, represents a unique pathophysiological model that requires careful, multidisciplinary management to ensure favorable maternal, fetal and neonatal outcomes. Investigating the impact of congenital cardiac conditions on maternal and feto-neonatal health, the effect of pregnancy-related cardiovascular changes on maternal cardiac health, and the outcomes for offspring born from ACHD mothers is highly relevant, due to the increasing number of ACHD women reaching adulthood and the significant burden these pregnancies can pose. The aim of this article is to provide food for thought to those who have always been involved in ACHD and pregnancy, but also to provide a training tool for young doctors who are approaching at this wonderful world for the first time.
View Article and Find Full Text PDFCureus
February 2025
Department of Spine Surgery, Tokyo Spine Clinic, Tokyo, JPN.
Purpose Minimally invasive surgical techniques are advancing in spinal surgery, creating a need for the development of surgical support systems. This study evaluates the efficacy of a compact navigation system with smart delivery tools in percutaneous pedicle screw insertion. Methods This retrospective observational study included consecutive thoracic or lumbar spinal fusion patients with percutaneous pedicle screw placement treated from November 2022 to July 2023 in a Japanese private hospital.
View Article and Find Full Text PDFJOR Spine
March 2025
Spine Labs, Department of Orthopedic Surgery, St George and Sutherland Clinical School University of New South Wales Sydney Australia.
Introduction: Low back pain (LBP), a global disability leader, is often linked to intervertebral disc (IVD) degeneration. Traditional diagnostics like T2-weighted MRI provide qualitative but imprecise evaluations. A novel post-processing MRI technique, Decay Variance (DeVa), has shown promise in differentiating degenerate from healthy discs in animal studies.
View Article and Find Full Text PDFJ Pain Res
March 2025
Pain Department, the Eighth People's Hospital of Hefei, Hefei, People's Republic of China.
Objective: This study compared the efficacy and safety of unilateral biportal endoscopic (UBE) decompression and transforaminal route percutaneous endoscopic lumbar decompression (PELD) for lumbar spinal stenosis (LSS), assessing 1-year clinical outcomes.
Methods: A total of 120 patients (64 UBE, 56 PELD) diagnosed with LSS in 2021 were evaluated. Perioperative outcomes included overall operation time, extracanal operative time, intracanal decompression time, incision length, fluoroscopy time, estimated blood loss, preoperative and postoperative day 3 hb levels, length of post-operative hospital stays, total expenses, postoperative complications.
J Craniovertebr Junction Spine
January 2025
Edinburgh Spinal Surgery Outcome Studies Group, Scotland, UK.
Background: Cauda equina syndrome (CES) is a rare spinal emergency. Paradoxically, in the British NHS, suspected CES requiring an emergency magnetic resonance imaging constitutes one of the commonest reasons for acute referrals to neurosurgery/spine surgery. Further acute referrals also occur with the reverse scenario, when radiological evidence of cauda equina compression is not accompanied by the clinical red flags of the syndrome.
View Article and Find Full Text PDFWorld Neurosurg
March 2025
Spine Center, Department of Orthopedics, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China. No.17, Lijiang Road, Hefei, China 230041. Electronic address:
Purpose: Lumbar foraminal stenosis combined with severe lumbar degenerative disease causing instability, radiculopathy and claudication may require surgery. The surgical treatment goals are decompression, restoration of the height of the disc and foramina and stabilize the spine. We used a modified minimally invasive transforaminal lumbar interbody fusion (TLIF) approach in those patients and evaluated its clinical efficacy.
View Article and Find Full Text PDFWorld Neurosurg
March 2025
Department of Orthopaedics, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.
Purpose: To evaluate the safety and efficacy of percutaneous endoscopic transforaminal lumbar interbody fusion (PE-TLIF) with an expandable cage for the treatment of single-level degenerative lumbar spinal stenosis (LSS) with instability.
Methods: The clinical data of 42 patients (14 males and 28 females) with single-level LSS with instability who underwent PE-TLIF from September 2019 to April 2023 were retrospectively reviewed. All the patients underwent a minimum follow-up of 12 months.
Surgery
March 2025
Department of Nursing, Yongqing County People's Hospital, Yongqing, China. Electronic address:
Background: Bilateral 3-portal endoscopy is a novel minimally decompression surgery based on the modification of unilateral biportal endoscopy, which achieves complete decompression through a bilateral approach for patients with lumbar spinal stenosis. This study tested the hypothesis that bilateral 3-portal endoscopy could improve clinical outcomes and satisfaction versus unilateral biportal endoscopy in these patients.
Methods: In this multicenter, retrospective, cohort study, 87 patients with lumbar spinal stenosis who received bilateral 3-portal endoscopy or unilateral biportal endoscopy were divided into bilateral 3-portal endoscopy (N = 35) and unilateral biportal endoscopy (N = 52) groups, respectively.
Eur Spine J
March 2025
Division of Orthopedic Surgery, Department of Sensory and Motor Organs, School of Medicine, Faculty of Medicine, Tottori University, 36-1 Nishi-cho, Yonago, 683-8504, Tottori, Japan.
Purpose: The purpose of the present study was to quantitatively assess the characteristics of lumbar spine motor function in patients with lumbar spinal stenosis (LSS) who experienced falls and to determine the association between falls and lumbar spine motion.
Methods: This cross-sectional study enrolled consecutive patients with clinically and radiologically defined LSS indicated for surgical treatment at a single center. The lumbar motion task consisted of bending forward to the maximum range of motion of the lumbar spine in the standing position, followed by a return to the upright position.
Clin Spine Surg
March 2025
Second Department of Spinal Surgery, Yantaishan Hospital, Keji Avenue, Laishan District, Yantai City, Shandong Province, China.
Study Design: Retrospective cohort study.
Objective: To investigate the clinical and radiologic outcomes of unilateral biportal endoscopic lumbar interbody fusion (ULIF) for single-segment lumbar spinal stenosis with instability.
Background: Unilateral biportal endoscopic technology has developed rapidly, and ULIF is a new type of minimally invasive fusion surgery.
Int J Spine Surg
March 2025
Department of Orthopedics, Nanjing Medical University Affiliated Wuxi People's Hospital, Wuxi, Jiangsu Province, China.
Background: Endoscopic unilateral laminectomy for bilateral decompression (ULBD) is gaining attention as a minimally invasive procedure for treating spinal stenosis. However, comprehensive studies on its outcomes remain limited.
Purpose: This study aims to evaluate the changes in radiologic parameters and clinical outcomes associated with endoscopic ULBD for treating spinal stenosis.
J Pain Res
February 2025
Department of Spinal Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, People's Republic of China.
Purpose: This study aimed to investigate the feasibility of interlaminar endoscopic surgery for the treatment of adjacent segment disease (ASD) after posterior instrumented lumbar fusion.
Materials And Methods: Between January 2019 and March 2023, the data of 22 patients with ASD who underwent revision interlaminar technique (R-ILT) endoscopic surgery after posterior instrumented lumbar fusion were retrospectively analyzed. For comparison, the data of 30 patients with single segment lumbar spinal stenosis who underwent primary interlaminar technique (P-ILT) endoscopic surgery were collected.
Front Physiol
February 2025
Department of Spine Surgery, The Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.
Objectives: Lumbar spinal stenosis (LSS) is an increasingly important issue related to back pain in elderly patients, resulting in significant socioeconomic burdens. Postoperative complications and socioeconomic effects are evaluated using the clinical parameter of hospital length of stay (LOS). This study aimed to develop a machine learning-based tool that can calculate the risk of prolonged length of stay (PLOS) after surgery and interpret the results.
View Article and Find Full Text PDF