5,707 results match your criteria: "Spondylolisthesis Spondylolysis and Spondylosis"

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: 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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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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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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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).

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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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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).

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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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This review presents the current updated knowledge of the treatment of spondylolisthesis (SL). The prevalence of SL is dependent on age, gender, and race. Symptoms include lower back pain, radiating pain and neurological deficits.

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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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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.

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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.

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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.

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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.

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Surgical 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.
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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.
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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.
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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.
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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.

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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
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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.
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