Abstract:
STUDY DESIGN:Surgeon- and patient-based (SF-36) outcome measures were used to assess the results of decompressive laminectomies for the excision of synovial cysts with coexistent lumbar spinal stenosis (45 patients) or for synovial cysts with coexistent lumbar stenosis and degenerative spondylolisthesis (35 patients). OBJECTIVES:To evaluate the results following laminectomy and the excision of synovial cysts/stenosis with or without olisthy. SUMMARY OF BACKGROUND DATA:SF-36 outcome studies evaluating these surgical results deserve further investigation. METHODS:Before surgery, patients with synovial cysts/ stenosis (45 patients) or cysts/stenosis/degenerative spondylolisthesis (35 patients), respectively, exhibited low back pain (40 and 33 patients), radiculopathy (43 and 33 patients), and neurogenic claudication (41 and 26 patients). Surgery required average 3.8 and 3.5 level laminectomies, respectively, for patients with cysts/stenosis and cysts/stenosis and olisthy. Outcomes were assessed 2 years after surgery. RESULTS:Five of 45 patients undergoing laminectomy alone for cysts/stenosis developed postoperative olisthy. Of 35 patients with cysts/stenosis and preoperative Grade 1 degenerative spondylolisthesis, olisthy increased after surgery to Grade 2 in 11 patients. Good/excellent results (58% and 63%) and SF-36 improvement on the Physical Function Scale (+44 and +38 points) were, respectively, documented for these two groups. CONCLUSIONS:Using both surgeon and SF-36 outcome measures, 2 years following laminectomy for synovial cysts/lumbar stenosis with or without olisthy, patients exhibited a moderate degree of improvement. As synovial cysts reflect disruption of the facet joint and some degree of instability, primary fusion should be considered to improve operative results for patients in both categories.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Epstein NEdoi
10.1097/00007632-200405010-00018keywords:
subject
Has Abstractpub_date
2004-05-01 00:00:00pages
1049-55; discussion 1056issue
9eissn
0362-2436issn
1528-1159pii
00007632-200405010-00018journal_volume
29pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:Stiffness and load to failure were studied in a human cadaver model of Type II odontoid fractures stabilized with either a single partially threaded lag screw and washer or a headless fully threaded variable pitch screw. OBJECTIVE:To determine whether a headless fully threaded variable pitch screw provide...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31811ec2bb
更新日期:2007-08-01 00:00:00
abstract:STUDY DESIGN:To record prospectively combined motor- and somatosensory-evoked potentials in children during scoliosis surgery using Cotrel-Dubousset instrumentation, without using special anesthetic or muscle relaxant regimens. OBJECTIVE:To determine the outcome of scoliosis surgery guided by a new technique of monito...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199611010-00008
更新日期:1996-11-01 00:00:00
abstract:STUDY DESIGN:Controlled laboratory and cross-sectional study designs. OBJECTIVE:To determine psoas major (PM) muscle architectural properties, in vivo sarcomere-length operating range, and passive mechanical properties. SUMMARY OF BACKGROUND DATA:PM is an important hip flexor but its role in lumbar spine function is ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31821847b3
更新日期:2011-12-15 00:00:00
abstract:STUDY DESIGN:Prospective study of 92 patients who underwent anterior cervical surgery. Intraoperative esophagus retraction and postoperative dysphagia were recorded and evaluated. OBJECTIVE:Early dysphagia after anterior cervical discectomy and fusion is an underestimated side effect. The aim of this study was to inve...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000261627.04944.cf
更新日期:2007-05-01 00:00:00
abstract:STUDY DESIGN:Psychomotor speed (reaction time) and postural control (center point of force velocity) among healthy control volunteers and patients with chronic low back pain (LBP) were studied at the beginning of an active, functional, restoration back rehabilitation program and 5 months after the program. OBJECTIVES:...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199611150-00012
更新日期:1996-11-15 00:00:00
abstract::The purpose of this study was to determine the incidence and severity of degenerative changes seen on lateral roentgenograms in 200 asymptomatic men and women in five age groups with an age range of 20-65 years and to determine the normal values of cervical lordosis and spinal canal sagittal diameters and their relati...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198607000-00003
更新日期:1986-07-01 00:00:00
abstract::Twenty-five patients with metastatic thoracic and lumbar spine disease were initially treated by the authors with posterolateral debridement and decompression, along with posterior segmental spinal instrumentation. Ten patients had marked paresis, nine had signs of spinal cord or cauda equina compression without pares...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198812000-00010
更新日期:1988-12-01 00:00:00
abstract::Six patients with lumbar fractures were studied at the Pathokinesiology laboratory at Rancho Los Amigos Hospital following posterior Harrington distraction instrumentation to identify changes in posture and gait associated with iatrogenic loss of lumbar lordosis. Three patients, all with painful rods, were treated wit...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198307000-00007
更新日期:1983-07-01 00:00:00
abstract::Fifteen professional baseball pitchers underwent active pitching motion analysis of the abdominal oblique, rectus abdominis, lumbar paraspinous and gluteus maximus muscles bilaterally via surface electrode evaluation. Baseline resting and isometric maximum values were obtained and active data referenced against these ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198904000-00011
更新日期:1989-04-01 00:00:00
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
更新日期:2004-09-15 00:00:00
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
更新日期:1998-01-15 00:00:00
abstract:STUDY DESIGN:Controlled laboratory study in a cadaveric model. OBJECTIVE:To determine if removing shoulder pads using the elevated torso technique generated less spinal segment motion than using the flat torso method. SUMMARY OF BACKGROUND DATA:Guidelines for care of the injured football player with a suspected spina...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31819794e7
更新日期:2009-04-01 00:00:00
abstract:STUDY DESIGN:Technical note. OBJECTIVE:To describe a technique for performing percutaneous vertebroplasty of C1 for treatment of osteolytic metastatic disease involving the lateral portions of the atlas in which precautions are taken to protect the vertebrobasilar arterial supply and a posterior access route is used f...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200211150-00022
更新日期:2002-11-15 00:00:00
abstract:STUDY DESIGN:Basic fibroblast growth factor immunoreactivity was studied in disc herniation tissue. OBJECTIVES:The first objective was to analyze in which tissue components, if any, fibroblast growth factor is expressed in the disc herniation. The second objective was to compare such expression with that in fresh cada...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199502000-00003
更新日期:1995-02-01 00:00:00
abstract:STUDY DESIGN:Human lumbar intervertebral discs from individuals of varying ages were obtained at autopsy and analyzed for collagen crosslinks. OBJECTIVES:To analyze alterations in collagen crosslinks in human lumbar intervertebral discs with aging and disc degeneration. Crosslinks studied were pyridinoline, which is a...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199808010-00005
更新日期:1998-08-01 00:00:00
abstract::An analysis of lateral predominance of 51 patients with adolescent idiopathic scoliosis is presented. Determination of handedness, the dominant foot, and the dominant eye was performed. Postural equilibrium was studied by stabilometry, and the vestibular function was evaluated with electronystagmography. Central and p...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198011000-00005
更新日期:1980-11-01 00:00:00
abstract:STUDY DESIGN:A prospective follow-up study to detect the early neurological improvement after decompression surgery and to clarify its correlation with the late neurological outcome in patients with cervical compression myelopathy. OBJECTIVE:To reveal the suitability of a simple performance, 15-second grip-and-release...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31824ac3d4
更新日期:2012-07-01 00:00:00
abstract:STUDY DESIGN:A normative, single-group study was conducted. OBJECTIVE:To investigate the flexion relaxation phenomenon in the thoraco-lumbopelvic muscles among a pain-free population when moving from an upright to a slump sitting posture. SUMMARY OF BACKGROUND DATA:The presence of the flexion relaxation phenomenon (F...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000228845.27561.e0
更新日期:2006-08-01 00:00:00
abstract::An anatomic study of lumbar nerve root lesions in the foraminal zone was performed on 35 cadavers. Two morphologic abnormalities of the nerve roots in the intervertebral foramen were found. The first was an abnormal transverse course of the nerve roots. The second was an indentation on the dorsal root ganglia caused b...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199311000-00017
更新日期:1993-11-01 00:00:00
abstract:STUDY DESIGN:A technical report of fluoroscopically assisted percutaneous translaminar facet screw fixation after anterior lumbar interbody fusion (ALIF). OBJECTIVES:To describe a minimally invasive translaminar facet screw fixation technique that was modified from the Magerl method, and to assess its technical feasib...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000157473.17313.6f
更新日期:2005-04-01 00:00:00
abstract::Almost 20% of joint replacement implants fail at 15 to 20 years. Reports suggest that systemic effects of metal-on-metal implants and local effects of total joint arthroplasty implants contributing to implant failure are immune system based. Sometimes implant wear debris can cause implant failure resulting from bone f...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001436
更新日期:2016-04-01 00:00:00
abstract:STUDY DESIGN:A prospective, randomized, controlled, multicenter clinical study. OBJECTIVE:To evaluate the safety and feasibility of osteogenic protein (OP)-1 in 1-level lumbar spine instrumented posterolateral fusions. SUMMARY OF BACKGROUND DATA:Instrumented posterolateral fusion with the use of autograft is a common...
journal_title:Spine
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1097/BRS.0b013e3181d3cf28
更新日期:2010-05-20 00:00:00
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
更新日期:2012-04-20 00:00:00
abstract::This paper described 27 patients who had seemingly stable compression cervical vertebral fractures. All were treated in cervicothoracic orthoses. None was initially treated in a Halo device or with surgery. Twenty patients were stable and healed without progressive displacement, angulation, or pain. One patient demons...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198310000-00002
更新日期:1983-10-01 00:00:00
abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:The purpose of this investigation was to evaluate the regional variations in the use of nonoperative therapies in patients diagnosed with a lumbar intervertebral disc herniation 3 months prior to undergoing microdiscectomy surgery. SUMMARY OF BACKGROUND DATA:Regional...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003125
更新日期:2019-11-15 00:00:00
abstract:STUDY DESIGN:A review of the current literature on the role of matrix metalloproteinases in intervertebral disc degeneration. OBJECTIVE:To detail the characteristics of matrix metalloproteinases (classification, structure, substrate specificity and regulation) and to report previous studies of intervertebral discs. S...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-199807150-00021
更新日期:1998-07-15 00:00:00
abstract:STUDY DESIGN:This was an experimental study to compare various methods of storing rib autograft between stages of spinal surgery. OBJECTIVE:The authors' goal was to determine the optimum conditions for storing bone graft, while preserving its osteogenic potential. SUMMARY OF BACKGROUND DATA:It never has been demonstr...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199404000-00004
更新日期:1994-04-01 00:00:00
abstract::Quantitative theoretical analyses of the ability of trunk muscle contraction forces to reduce lateral curves in the spine are presented. The effects of contraction of each of 68 muscle slips on each of 13 configurations of scoliosis were examined using biomechanical models of the trunk. The lateral curve, sagittal cur...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198109000-00008
更新日期:1981-09-01 00:00:00
abstract:STUDY DESIGN:Retrospective clinical study of a prospective database. OBJECTIVE:This study aims to determine whether revision spinal fusion surgery is worthwhile in patients older than 75 from a risk-benefit perspective. SUMMARY OF BACKGROUND DATA:The benefits of spinal fusion in patients older than 65 is well documen...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000067
更新日期:2014-01-01 00:00:00
abstract:STUDY DESIGN:Methodologic systematic review. OBJECTIVE:To determine the validity of reported risk factors for mortality in elderly patients with cervical spine injury. SUMMARY OF BACKGROUND DATA:In elderly patients with cervical spine injury, mortality has frequently been associated with the type of treatment. To dat...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3181bc9fd2
更新日期:2010-05-01 00:00:00