A ligamentum flavum-preserving approach to the lumbar spinal canal.

Abstract:

STUDY DESIGN:This is a retrospective study of a consecutive series of patients undergoing spinal decompression or disc enucleation with preservation of the ligamentum flavum. MacNab criteria and Prolo scoring was used to assess them pre- and after surgery. OBJECTIVES:The aim of the study was to assess the incidence of perioperative complications and long-term clinical outcome of the procedure. SUMMARY OF THE BACKGROUND DATA:One previous study has shown this technique to be effective in reducing the rate of perioperative complications and recurrences in patients undergoing microscopic disc enucleation. However, this study does not comment on the long-term clinical results or the use of the technique in a wider range of spinal procedures. METHODS:Between 1991 and 1999, we operated on 214 patients for peripheral lumbar radiculopathy. MacNab criteria and Prolo scoring was used for their pre- and postoperative assessment. Postoperative assessment was with the help of a postal questionnaire. In addition, clinical notes were studied to look for any further procedures or operative complications. RESULTS:All 214 patients returned the postoperative questionnaires. There were 104 males and 110 females. The mean follow-up was 5.97 years. Thirty-eight patients had an associated fusion or Graf ligament stabilization. Two hundred ninety-six levels were operated in all. There were four instances of dural tear and one of nerve root injury. Five patients underwent revision. There was a statistically significant improvement in the MacNab criteria (P < 0.001) and Prolo score (P < 0.001) after surgery. CONCLUSIONS:We recommend a ligamentum flavum preserving approach because it decreases the rate of perioperative complications while giving comparable long-term results.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Askar Z,Wardlaw D,Choudhary S,Rege A

doi

10.1097/01.BRS.0000085100.10349.15

keywords:

subject

Has Abstract

pub_date

2003-10-01 00:00:00

pages

E385-90

issue

19

eissn

0362-2436

issn

1528-1159

journal_volume

28

pub_type

杂志文章

相关文献

SPINE文献大全
  • Clinical experience using Cortoss for treating vertebral compression fractures with vertebroplasty and kyphoplasty: twenty four-month follow-up.

    abstract:STUDY DESIGN:Forty patients were enrolled in 2 FDA-approved pilot Investigational Device Exemption (IDE) studies using Cortoss for the treatment of vertebral compression fractures (VCF). Twenty patients were treated at 3 centers, using vertebroplasty (VP) and 20 patients were treated at 5 centers, using kyphoplasty (KP...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0b013e3181dcda75

    authors: Bae H,Shen M,Maurer P,Peppelman W,Beutler W,Linovitz R,Westerlund E,Peppers T,Lieberman I,Kim C,Girardi F

    更新日期:2010-09-15 00:00:00

  • A systematic review of cross-cultural adaptation of the neck disability index.

    abstract:STUDY DESIGN:Systematic review of cross-cultural adaptation. OBJECTIVE:To perform a systematic review of cross-cultural adaptations of the Neck Disability Index (NDI) and to give a critical assessment to improve its translation. SUMMARY OF BACKGROUND DATA:The NDI is used to assess functional capacity and physical act...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0000000000000788

    authors: Yao M,Sun YL,Cao ZY,Dun RL,Yang L,Zhang BM,Jiang HR,Wang YJ,Cui XJ

    更新日期:2015-04-01 00:00:00

  • The mechanical function of the lumbar apophyseal joints.

    abstract::Experiments were carried out on cadaveric lumbar spines to determine the mechanical function of the apophyseal joints. It was found that they resist most of the intervertebral shear force and share in resisting the intervertebral compressive force, but only in lordotic postures. They prevent excessive movement from da...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198304000-00017

    authors: Adams MA,Hutton WC

    更新日期:1983-04-01 00:00:00

  • Effect of cervical spine motion on the neuroforaminal dimensions of human cervical spine.

    abstract::A nerve root impingement within a stenotic neuroforamen is a common sequela of cervical degenerative arthritis and herniated nucleus pulposus. Understanding of the effects of cervical position on foraminal size is important in the assessment of pathology and injury, for selection of a provocative maneuver to elicit sy...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199210000-00001

    authors: Yoo JU,Zou D,Edwards WT,Bayley J,Yuan HA

    更新日期:1992-10-01 00:00:00

  • Understanding peripartum pelvic pain. Implications of a patient survey.

    abstract:STUDY DESIGN:An analysis was made of the self-reported medical histories of patients with peripartum pelvic pain. OBJECTIVES:To compile an inventory of the disabilities of patients with peripartum pelvic pain, analyze factors associated with the risk for development of the disease, and to formulate a hypothesis on pat...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199606010-00017

    authors: Mens JM,Vleeming A,Stoeckart R,Stam HJ,Snijders CJ

    更新日期:1996-06-01 00:00:00

  • Symptomatic epidural gas cyst associated with discal vacuum phenomenon.

    abstract:STUDY DESIGN:Four cases of computed tomography and magnetic resonance imaging documented lumbar nerve root compression associated with a vacuum disc communicating with the epidural space are presented. OBJECTIVE:To give an insight into the mechanism of nerve root compression associated with vacuum disc phenomenon. SU...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181b35301

    authors: Kakitsubata Y,Theodorou SJ,Theodorou DJ,Yuko M,Ito Y,Yuki Y,Wada S,Maehara T

    更新日期:2009-10-01 00:00:00

  • Platelet-rich plasma (PRP) stimulates the extracellular matrix metabolism of porcine nucleus pulposus and anulus fibrosus cells cultured in alginate beads.

    abstract:STUDY DESIGN:In vitro assessment of the effects of platelet-rich plasma on the extracellular matrix metabolism of porcine intervertebral disc cells. OBJECTIVES:To determine whether platelet-rich plasma is effective in stimulating cell proliferation and extracellular matrix metabolism by porcine disc cells cultured in ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000214942.78119.24

    authors: Akeda K,An HS,Pichika R,Attawia M,Thonar EJ,Lenz ME,Uchida A,Masuda K

    更新日期:2006-04-20 00:00:00

  • National Trends in Ambulatory Surgery for Intervertebral Disc Disorders and Spinal Stenosis: A 12-Year Analysis of the National Surveys of Ambulatory Surgery.

    abstract:STUDY DESIGN:A descriptive epidemiology study. OBJECTIVE:The aim of this study is to investigate changes in the utilization of ambulatory surgical procedures performed for intervertebral disc disorders and spinal stenosis between 1994 and 2006 in the United States. SUMMARY OF BACKGROUND DATA:Understanding trends in t...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001109

    authors: Best MJ,Buller LT,Eismont FJ

    更新日期:2015-11-01 00:00:00

  • Higher electrical stimulus intensities are required to activate chronically compressed nerve roots. Implications for intraoperative electromyographic pedicle screw testing.

    abstract:STUDY DESIGN:A comparison of the electrical thresholds required to evoke myogenic responses from direct stimulation of normal and chronically compressed nerve roots. OBJECTIVE:To determine whether intraoperative electromyographic testing to confirm the integrity of instrumented pedicles should be performed at higher s...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199801150-00014

    authors: Holland NR,Lukaczyk TA,Riley LH 3rd,Kostuik JP

    更新日期:1998-01-15 00:00:00

  • Electronic monitoring improves brace-wearing compliance in patients with adolescent idiopathic scoliosis: a randomized clinical trial.

    abstract:STUDY DESIGN:Randomized controlled trial. OBJECTIVE:To assess whether monitoring increases brace-wearing compliance in patients with adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA:Noncompliance is a barrier to brace treatment of AIS. Studies have demonstrated that monitoring improves medication com...

    journal_title:Spine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/BRS.0b013e31822f4306

    authors: Miller DJ,Franzone JM,Matsumoto H,Gomez JA,Avendaño J,Hyman JE,Roye DP Jr,Vitale MG

    更新日期:2012-04-20 00:00:00

  • A prospective and consecutive study of surgically treated lumbar spinal stenosis. Part II: Five-year follow-up by an independent observer.

    abstract:STUDY DESIGN:A prospective and consecutive study of surgical results obtained during serial follow-up investigations in patients who underwent surgery for central lumbar spinal stenosis. OBJECTIVES:To evaluate the result after surgical decompression for lumbar spinal stenosis, at regular intervals after surgery, and t...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199712150-00017

    authors: Jönsson B,Annertz M,Sjöberg C,Strömqvist B

    更新日期:1997-12-15 00:00:00

  • The role of torsion in cervical spine trauma.

    abstract::A dynamic servocontrolled torsion machine has been used to characterize cervical injury due to pure rotation of the head. Resultant force moment, torque, and applied rotation have been measured. Torque applied to the base of the skull resulted in injury to the atlantoaxial joint. No evidence of lower cervical injury w...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199108000-00002

    authors: Myers BS,McElhaney JH,Doherty BJ,Paver JG,Gray L

    更新日期:1991-08-01 00:00:00

  • Intraarticular atlantooccipital fusion for the treatment of traumatic occipitocervical dislocation in a child: a new technique for selective stabilization with nine years follow-up.

    abstract:STUDY DESIGN:A case report of traumatic atlantooccipital dislocation (AOD) managed by intraarticular-posterior fusion from a posterior approach at the C0-C1 level with preservation of C1-C2 motion. OBJECTIVE:To present a new technique for atlantooccipital fusion with long-term follow-up. SUMMARY OF BACKGROUND DATA:Th...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181c91fa1

    authors: Jeszenszky D,Fekete TF,Lattig F,Bognár L

    更新日期:2010-05-01 00:00:00

  • Cauda equina syndrome secondary to lumbar disc herniation: a meta-analysis of surgical outcomes.

    abstract:STUDY DESIGN:A meta-analysis of surgical outcomes of cauda equina syndrome secondary to lumbar disc herniation. OBJECTIVES:To determine the relationship between time to decompression after onset of cauda equina syndrome and clinical outcome, and to identify preoperative variables that were associated with outcomes. S...

    journal_title:Spine

    pub_type: 杂志文章,meta分析

    doi:10.1097/00007632-200006150-00010

    authors: Ahn UM,Ahn NU,Buchowski JM,Garrett ES,Sieber AN,Kostuik JP

    更新日期:2000-06-15 00:00:00

  • Experimental study on the dynamics of lumbosacral nerve root circulation.

    abstract:STUDY DESIGN:Experimental investigation of the dynamics of nerve root circulation. OBJECTIVES:To study the dynamics of lumbosacral nerve root circulation by using seriography in dogs. SUMMARY OF BACKGROUND DATA:The vascular distribution to the nerve root has been discussed mainly from the morphologic aspects, and no ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200002010-00007

    authors: Kobayashi S,Yoshizawa H,Nakai S

    更新日期:2000-02-01 00:00:00

  • Axis fractures resulting from motor vehicle accidents. The need for occupant restraints.

    abstract::A total of 625 patients who sustained acute cervical spine fractures were evaluated by the Spinal Cord Injury Service at Barrow Neurological Institute, Phoenix, Arizona, between January 1976 and January 1984. Of them, 107 had fractures of the second cervical vertebra. In a retrospective review, motor vehicle accidents...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198611000-00002

    authors: Hadley MN,Sonntag VK,Grahm TW,Masferrer R,Browner C

    更新日期:1986-11-01 00:00:00

  • Mechanical properties of human lumbar spine motion segments. Influence of age, sex, disc level, and degeneration.

    abstract::The influences of age, sex, disc level, and degree of degenration on the mechanical behavior of 42 fresh cadaver lumbar motion segments are reported. The motions and intradiscal pressure changes that result from the application of flexion, extension, lateral bending, and torsional moments; compression; and anterior, p...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-197901000-00001

    authors: Nachemson AL,Schultz AB,Berkson MH

    更新日期:1979-01-01 00:00:00

  • Behavioral responses to examination. A reappraisal of the interpretation of "nonorganic signs".

    abstract::Waddell et al in 1980 developed a standardized assessment of behavioral responses to examination. The signs were associated with other clinical measures of illness behavior and distress, and are not simply a feature of medicolegal presentations. Despite clear caveats about the interpretation of the signs, they have be...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199811010-00025

    authors: Main CJ,Waddell G

    更新日期:1998-11-01 00:00:00

  • Temporary Iliac Fixation to Salvage an Acute L4 Chance Fracture: Following Pedicle Screw Fixation for Adolescent Idiopathic Scoliosis.

    abstract:STUDY DESIGN:A case report. OBJECTIVE:The aim of this study was to describe a technique of temporary distal fixation to the ilium to salvage an acute L4 fracture following a T3-L4 kyphoscoliosis correction. SUMMARY OF BACKGROUND DATA:Pedicle fracture is a possible complication in pedicle screw fixation for scoliosis,...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001786

    authors: Kato S,Lewis SJ

    更新日期:2017-03-01 00:00:00

  • Preoperative Opioid Weaning Before Major Spinal Fusion: Simulated Data, Real-World Insights.

    abstract:STUDY DESIGN:Retrospective cohort. OBJECTIVE:To identify gaps in opioid prescription immediately prior to spinal fusion and to study the effect of such simulated "opioid weaning/elimination" on risk of long-term postoperative opioid use. SUMMARY OF BACKGROUND DATA:Numerous studies have described preoperative opioid d...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003744

    authors: Jain N,Phillips FM,Malik AT,Khan SN

    更新日期:2021-01-15 00:00:00

  • Comparing the clinical and radiological outcomes of pedicular transvertebral screw fixation of the lumbosacral spine in spondylolisthesis versus unilateral transforaminal lumbar interbody fusion (TLIF) with posterior fixation using anterior cages.

    abstract:STUDY DESIGN:This study retrospectively compares the clinical and radiologic outcomes of unilateral transforaminal lumbar interbody fusion (TLIF) with those of transvertebral screw fixation of the lumbosacral spine in high-grade spondylolisthesis. OBJECTIVE:To examine the outcome and perioperative complications of uni...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31817ecc01

    authors: Rodriguez-Olaverri JC,Zimick NC,Merola A,Vicente J,Rodriguez J,Tabuenca A,Loste A,Suñen E,Burgos J,Hevia E,Piza-Vallespir G

    更新日期:2008-08-15 00:00:00

  • Internal carotid artery thrombosis after cervical corpectomy.

    abstract:SUMMARY OF BACKGROUND DATA:A 74-year-old man suffered an extensive right hemispheric infarct 72 hours after undergoing anterior corpectomies of the C4 and C5 vertebrae for cervical myelopathy resulting from ossification of the posterior longitudinal ligament. RESULTS:Angiography revealed proximal right internal caroti...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199410000-00020

    authors: Chozick BS,Watson P,Greenblatt SH

    更新日期:1994-10-01 00:00:00

  • Metastatic pulmonary intimal sarcoma presenting as cauda equina syndrome: first report of a case.

    abstract:STUDY DESIGN:Case report and clinical discussion. OBJECTIVE:To describe a rare case of metastatic pulmonary intimal sarcoma presenting as cauda equine syndrome. SUMMARY OF BACKGROUND DATA:Pulmonary artery sarcoma is a rare tumor, frequently misdiagnosed as pulmonary embolism, and although it is highly aggressive, met...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31817cf7ef

    authors: Rashid A,Molloy S,Lehovsky J,Tirabosco R,Hughes R,Butt S

    更新日期:2008-07-01 00:00:00

  • Combined anterior and posterior spine fusion in cerebral palsy.

    abstract::Two-staged anterior and posterior spine fusion with instrumentation was evaluated in 17 cerebral palsy patients, ages 11 to 30 years. Functional benefits included improved sitting balance and, in ambulators, no loss of independence. Curve correction averaged 60%. The pseudarthrosis rate of 18% was lower than previousl...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198211000-00010

    authors: Brown JC,Swank S,Specht L

    更新日期:1982-11-01 00:00:00

  • Disc pathology after whiplash injury. A prospective magnetic resonance imaging and clinical investigation.

    abstract:STUDY DESIGN:This study was used to evaluate the relationship between magnetic resonance imaging findings and clinical findings after whiplash injury. OBJECTIVES:To identify initial soft-tissue damage after whiplash injury, the development of disc pathology, and the relationship of disc pathology to clinical findings....

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199702010-00010

    authors: Pettersson K,Hildingsson C,Toolanen G,Fagerlund M,Björnebrink J

    更新日期:1997-02-01 00:00:00

  • Long adult deformity fusions to L5 and the sacrum. A matched cohort analysis.

    abstract:STUDY DESIGN:A matched cohort analysis of long adult deformity fusions according to distal fusion level (L5 vs. S1). OBJECTIVE.: To compare the results of long adult deformity fusions to either L5 or the sacrum in the presence of a "healthy" 5-1 disc using a matched cohort analysis. SUMMARY OF BACKGROUND DATA:For adul...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/01.brs.0000138272.54896.33

    authors: Edwards CC 2nd,Bridwell KH,Patel A,Rinella AS,Berra A,Lenke LG

    更新日期:2004-09-15 00:00:00

  • Left thoracic scoliosis configurations. Why so different?

    abstract:STUDY DESIGN:Patients in the scoliosis screening database were analyzed with respect to curve convexity, severity, and outcome, using standard statistical methods. OBJECTIVES:This study assessed whether left thoracic scoliosis is always pathologic and inquired why this is the case. SUMMARY OF BACKGROUND DATA:Left tho...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199406000-00013

    authors: Goldberg CJ,Dowling FE,Fogarty EE

    更新日期:1994-06-15 00:00:00

  • Posterior instrumentation of the spine. An experimental comparison of various possible techniques.

    abstract::Fourteen variations of posterior instrumentation were tested experimentally, using models based on polyester imitation vertebrae, to determine the most effective method for stabilization of a section of the spine following fracture and, in particular, pathologic fracture. The most rigid construction was a well-fitting...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198605000-00014

    authors: Fidler MW

    更新日期:1986-05-01 00:00:00

  • Delayed distant spinal metastasis in thymomas.

    abstract:STUDY DESIGN:A case report. OBJECTIVE:To demonstrate 2 cases of delayed distant spinal metastasis from a thymoma with comprehensive immunohisto-chemical analysis. SUMMARY OF BACKGROUND DATA:Thymoma is a rare slow-growing cancer arising in the mediastinum. Thymomas usually grow invasively into surrounding structures. ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000029

    authors: Hong B,Nakamura M,Hartmann C,Brandis A,Ganser A,Krauss JK

    更新日期:2013-12-15 00:00:00

  • The urgency of surgical decompression in acute central cord injuries with spondylosis and without instability.

    abstract:STUDY DESIGN:Systematic review, ambispective analysis of observational data. OBJECTIVE:To make recommendations as to whether or not urgent surgical decompression is ever indicated as the optimal treatment for enhancing neurologic recovery in a patient with acute central cord injury without fracture or instability. SU...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0b013e3181f32a44

    authors: Lenehan B,Fisher CG,Vaccaro A,Fehlings M,Aarabi B,Dvorak MF

    更新日期:2010-10-01 00:00:00