3,882 results match your criteria: "Spondylolisthesis Imaging"

Objective: To examine the mid-term efficacy and imaging results of using the Mobi-C and Bryan implants after cervical hybrid surgery for 2-level cervical spondylolisthesis, and to observe their postoperative changes and differences in the flexion-extension center of rotation (FE-COR) for the anterior cervical disc replacement (ACDR) segment.

Methods: Patients who underwent cervical hybrid surgery between June 2014 and June 2019 were included in this study. The mJOA, NDI, and VAS scores were used to assess clinical outcomes, and the FE-COR of the ACDR segment was measured.

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Background: Prior studies have linked sarcopenia and fat infiltration in paraspinal muscles with lumbar pain, spinal pathology, and adverse postoperative outcomes in lumbar spine surgery. A recent magnetic resonance imaging (MRI)-based method for assessing muscle health, incorporating parameters such as Goutallier Classification (GC) and the Paralumbar Muscle Cross-Sectional Area to Body Mass Index ratio (PL-CSA/BMI), has shown that higher muscle grades correlate with significant improvements in patient-reported outcomes. Despite these advancements, there is limited research on the associations between paralumbar muscle health and factors such as age, BMI, walking tolerability, and spondylolisthesis.

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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.

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Risk 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.

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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.

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Traumatic lumbosacral instability (TLSI) generally refers to a traumatic disruption of the lumbopelvic junction. The ambiguous use of this term has contributed to confusion and limited understanding of injuries that can impact lumbosacral stability. As of now, TLSI lacks a clear definition, and the underlying injury patterns remain inadequately characterized.

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Study Design: Retrospective radiological database analysis.

Objective: The aim of this study was to assess the value of functional radiography (FRF = flexion; FRE = extension) compared to MRI and standing sagittal plane full spine radiography (SP) with low-grade spondylolisthesis.

Methods: Sagittal translation (ST) and rotation (SR) were measured between all lumbar levels to assess instability.

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The letter responds to a study on the role of erector spinae muscle quality in surgical decision-making for lumbar spondylolisthesis. It highlights the potential of paraspinal muscle fatty infiltration as a predictive factor, suggesting that early rehabilitation targeting these muscles may reduce the need for surgery. The authors propose improvements for future research, such as using advanced MRI techniques for better fat infiltration assessment, controlling patient activity levels, and incorporating multidimensional imaging analyses with machine learning.

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Background: In recent years, the integration of Artificial Intelligence (AI) models has revolutionized the diagnosis of Low Back Pain (LBP) and associated disc pathologies. Among these, SpineNetV2 stands out as a state-of-the-art, open-access model for detecting and grading various intervertebral disc pathologies. However, ensuring the reliability and applicability of AI models like SpineNetV2 is paramount.

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Background: Selective dorsal rhizotomy (SDR) is commonly used to reduce spasticity in children with cerebral palsy (CP). Children with CP have an increased risk of spinal deformities that increase with age and Gross Motor Function Classification System (GMFCS) level. Few studies have considered the risk of spinal deformity post-SDR by GMFCS level.

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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.
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Purpose: To investigate positional lumbar changes by weight-bearing MRI in low back pain (LBP) patients with hypermobile joints (Beighton score ≥ 4).

Methods: Patients referred to weight-bearing MRI went through a clinical examination, including Beighton's test, answered back pain-related questionnaires, and were hereafter imaged in supine and standing in a 0.25-T MRI unit.

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Proximal junctional kyphosis above long spinal fusions.

Orthop Traumatol Surg Res

November 2024

Service de chirurgie orthopédique, Hôpital Européen Georges Pompidou, APHP, Université Paris Cité, 20 rue Leblanc, Paris, France. Electronic address:

Article Synopsis
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Is There a Relation Between High Pelvic Incidence and Sagittal Angle of Posterior Lumbar Facets?

World Neurosurg

December 2024

Spine Unit, Orthopedic Department, Hotel Dieu de France Hospital, Beirut, Lebanon; School of Medicine, Saint Joseph University, Beirut, Lebanon.

Article Synopsis
  • Recent studies indicate a correlation between pelvic incidence (PI) and spondylolisthesis, but no research has explored the link between facet sagittal angle and spinopelvic parameters like PI in healthy individuals.
  • Abdominopelvic CT scans were reviewed from patients under 40 with no spinal issues, focusing on spinopelvic parameters and facet angles at different lumbar levels.
  • The study found a significant association between facet sagittal angle and increased PI at the L5-S1 level, suggesting that PI is related to other risk factors like facet tropism and female gender, which could lead to spinal instability and related conditions.
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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
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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.
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Article Synopsis
  • In degenerative lumbar spondylolisthesis, traditional interbody fusion surgery is considered the gold standard, but it's risky for high-risk patients like the elderly due to its complexity and potential complications.
  • The study explores a less invasive alternative method that focuses on posterior lumbar reinforcement using interspinous fixation and decompression instead of interbody fusion.
  • Results show significant improvements in spinal stability without worsening pain or disability, suggesting this technique could be a safe option for certain patients.
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Classification 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.
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Background/objectives: Nowadays, posterior lumbar cages remain a popular choice among the available options for interbody fusion even when compared with anterior approaches. As the posterior lumbar anatomy permits a relatively easy exposure to the spinal anatomy of interest, expandable cages prove to be a reliable tool for 360-degree fusion. Our study aspires to investigate the postoperative effects of Flarehawk 9 after open posterior lumbar fixation.

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Background And Objective: Spondylolysis is a lysis of the pars interarticularis, a component of the posterior arch of the vertebral body, in the face of repeated overuse and stress phenomena generally associated with sports in children and adolescent patients. This entity is one of the most common causes of low back pain in this age group. The diagnosis can be made using various imaging techniques, with computed tomography (CT) being considered the gold standard, as it provides the best visualization of the fracture, its extension and orientation, as well as an assessment of the entire bony skeleton.

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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.
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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.*
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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).

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Introduction: To investigate the short-term clinical effect of transforaminal endoscopic lumbar discectomy (TELD) versus coblation nucleoplasty (CN) combined with collagenase chemonucleolysis (CCNL) in the treatment of lumbar disc herniation (LDH) with grade I degenerative spondylolisthesis.

Methods: From January 2019 to December 2020, 60 patients who had LDH with grade I degenerative spondylolisthesis were divided into two groups. Group A adopted TELD while Group B adopted CN combined with CCNL.

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