Postoperative computed tomography three months after lumbar disc surgery. A prospective single-blind study.

Abstract:

:In a prospective single-blind study, 60 patients surgically treated for lumbar disc herniation underwent clinical examination and computed tomography preoperatively and 3 months after surgery. At follow-up (58 patients; median, 31 months; range, 21-37 months), 29 patients had an excellent outcome (51%), 20 improved (33%), and 9 were unchanged or worse (16%). Dural or radicular scar tissue was present by computed tomography in 88% of the patients, but the findings could not be correlated with the clinical outcome. Recurrent or persistent disc herniation was found in 9% of the patients. The clinical outcome of patients with abnormal computed tomography did not differ significantly from patients without this finding. A relation between facet joint degeneration and less successful clinical outcome was demonstrated. Computed tomography (without contrast) 3 months after surgery gave little information which could be correlated with the clinical outcome. Patients with an excellent outcome had all degrees of intraspinal scar tissue.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Jensen TT,Overgaard S,Thomsen NO,Kramp S,Petersen OF,Hansen JH

doi

10.1097/00007632-199106000-00004

subject

Has Abstract

pub_date

1991-06-01 00:00:00

pages

620-2

issue

6

eissn

0362-2436

issn

1528-1159

journal_volume

16

pub_type

杂志文章

相关文献

SPINE文献大全
  • Lumbar spinal fusion using recombinant human bone morphogenetic protein in the canine. A comparison of three dosages and two carriers.

    abstract:STUDY DESIGN:A randomized, prospective and controlled animal study. OBJECTIVE:To evaluate lumbar spinal fusion using recombinant human bone morphogenetic protein 2 in a canine model. SUMMARY OF BACKGROUND DATA:Spinal fusion using autogenous bone grafting is associated with donor site morbidity and a nonunion rate of ...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007632-199910010-00002

    authors: David SM,Gruber HE,Meyer RA Jr,Murakami T,Tabor OB,Howard BA,Wozney JM,Hanley EN Jr

    更新日期:1999-10-01 00:00:00

  • Optimization of Scaffolds and Surface-Based Treatments for Orthopedic Applications.

    abstract::Improving spinal fusion by optimizing scaffold and surface engineering is a topic of interest for both surgeons and researchers. Concerns regarding patient safety with off-label use of bone morphogenetic protein (BMP) have increased, and patients are choosing minimally invasive spine surgery to lessen morbidity by avo...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001426

    authors: Chaput CD

    更新日期:2016-04-01 00:00:00

  • Association Between Surgeon Experience and Complication Rates in Adult Scoliosis Surgery: A Review of 5117 Cases From the Scoliosis Research Society Database 2004-2007.

    abstract:STUDY DESIGN:Retrospective review of a multicenter database. OBJECTIVE:To evaluate whether surgeon experience is associated with complication rates in adult spinal deformity (ASD) surgery. SUMMARY OF BACKGROUND DATA:Multiple patient- and surgery-related factors have been shown to increase the risk of complications in...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000993

    authors: Skovrlj B,Cho SK,Caridi JM,Bridwell KH,Lenke LG,Kim YJ

    更新日期:2015-08-01 00:00:00

  • Quality of Life and Slip Progression in Degenerative Spondylolisthesis Treated Nonoperatively.

    abstract:STUDY DESIGN:A prospective cohort study of consecutive patients. OBJECTIVE:Determination of the quality of life (QoL) and prevalence of slip progression in patients with degenerative lumbar spondylolisthesis managed nonoperatively. SUMMARY OF BACKGROUND DATA:Lumbar spinal stenosis secondary to degenerative lumbar spo...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002429

    authors: Cushnie D,Johnstone R,Urquhart JC,Gurr KR,Bailey SI,Bailey CS

    更新日期:2018-05-15 00:00:00

  • Impact of Smoking on 30-day Morbidity and Mortality in Adult Spinal Deformity Surgery.

    abstract:STUDY DESIGN:A retrospective cohort study of a prospectively collected surgical database. OBJECTIVE:The aim of this study was to investigate the effect of smoking on 30-day morbidity and mortality in patients undergoing surgery for adult spinal deformity (ASD). SUMMARY OF BACKGROUND DATA:There is conflicting evidence...

    journal_title:Spine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/BRS.0000000000001795

    authors: De la Garza Ramos R,Goodwin CR,Qadi M,Abu-Bonsrah N,Passias PG,Lafage V,Schwab F,Sciubba DM

    更新日期:2017-04-01 00:00:00

  • Minimal clinically important change of the Neck Disability Index and the Numerical Rating Scale for patients with neck pain.

    abstract:STUDY DESIGN:Prospective, single-cohort study. OBJECTIVE:To assess the minimal clinically important change (MCIC) on the Neck Disability Index (NDI) and the Numerical Rating Scale (NRS) for pain in patients with neck pain. SUMMARY OF BACKGROUND DATA:Both measurement instruments are frequently used in research and cli...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31815cf75b

    authors: Pool JJ,Ostelo RW,Hoving JL,Bouter LM,de Vet HC

    更新日期:2007-12-15 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

  • 1995 Volvo Award in basic sciences. The use of an osteoinductive growth factor for lumbar spinal fusion. Part I: Biology of spinal fusion.

    abstract:STUDY DESIGN:The histology of lumbar intertransverse process spinal fusion was studied in an experimental model in rabbits. OBJECTIVES:To qualitatively and quantitatively analyze the sequential histology of spinal fusion using a previously validated animal model. SUMMARY OF BACKGROUND DATA:Few previous studies have d...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199512150-00003

    authors: Boden SD,Schimandle JH,Hutton WC,Chen MI

    更新日期:1995-12-15 00:00:00

  • Acupuncture for neck disorders.

    abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To determine the effects of acupuncture for individuals with neck pain. SUMMARY OF BACKGROUND DATA:Neck pain is one of the 3 most frequently reported complaints of the musculoskeletal system. Treatments for neck pain are varied, as are the perceptions of benefits. METHODS.: W...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/01.brs.0000252100.61002.d4

    authors: Trinh K,Graham N,Gross A,Goldsmith C,Wang E,Cameron I,Kay T

    更新日期:2007-01-15 00:00:00

  • Is camptocormia a primary muscular disease?

    abstract:STUDY DESIGN:This study analyzed computed tomographic scans, magnetic resonance images, and biopsies of the paravertebral muscles of patients with camptocormia and age-matched patients with lumbar interapophyseal osteoarthritis or lumbar vertebral stenosis. OBJECTIVES:To define the muscular lesions and clarify their n...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199505000-00007

    authors: Laroche M,Delisle MB,Aziza R,Lagarrigue J,Mazieres B

    更新日期:1995-05-01 00:00:00

  • Posterior migration of fusion cages in degenerative lumbar disease treated with transforaminal lumbar interbody fusion: a report of three patients.

    abstract:STUDY DESIGN:A case report of 3 patients with posterior migration of bullet-shaped fusion cages after transforaminal lumbar interbody fusion (TLIF). One patient required emergency revision surgery; the other 2 patients are being observed during conservative treatment. OBJECTIVE:To review cases of posterior migration o...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181918aae

    authors: Aoki Y,Yamagata M,Nakajima F,Ikeda Y,Takahashi K

    更新日期:2009-01-01 00:00:00

  • The injured canine cervical spine after six months of healing. An in vitro three-dimensional study.

    abstract::The cervical spine is a common site of spinal injuries. The stability of an injured cervical spine is not only dependent on injury severity, but also on the degree of healing time. Using a canine model, three injuries of varying degrees of severity were surgically produced at the C4-C5 level and allowed to heal for 6 ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199015100-00012

    authors: Crisco JJ,Panjabi MM,Wang E,Price MA,Pelker RR

    更新日期:1990-10-01 00:00:00

  • Abdominal Vascular Injury During Posterior Lumbar Discectomy, Experience from Three Cases and Review of Literature.

    abstract:STUDY DESIGN:Case series and review of literature. OBJECTIVE:To report three cases of vascular injury during posterior lumbar disc surgery, two of these occurred during open discectomy, and one during an endoscopic surgery. Aim is to highlight importance of early diagnosis and prompt steps taken to prevent morbidity a...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0000000000003100

    authors: Goel A,Kumar P,Bahadur R

    更新日期:2019-10-15 00:00:00

  • Bone mineral density in patients with ossification of the posterior longitudinal ligament. Minimal decrease of bone mineral density with aging.

    abstract:STUDY DESIGN:Bone mineral density of individuals with ossification of the posterior longitudinal ligament and that of normal people was determined by dual-energy x-ray absorptiometry. OBJECTIVES:To determine whether bone mineral density in the people with ossification of the posterior longitudinal ligament is higher t...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199710150-00013

    authors: Mamada T,Nakamura K,Hoshino Y,Saita K,Kurokawa T

    更新日期:1997-10-15 00:00:00

  • Preservation of thoracic kyphosis is critical to maintain lumbar lordosis in the surgical treatment of adolescent idiopathic scoliosis.

    abstract:STUDY DESIGN:Retrospective analysis of prospectively collected multicenter series. OBJECTIVE:To evaluate the sagittal profile of surgically treated adolescent idiopathic scoliosis (AIS) patients. SUMMARY OF BACKGROUND DATA:With the increasing popularity of segmental pedicle screw spinal instrumentation, thoracic kyph...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181dccd63

    authors: Newton PO,Yaszay B,Upasani VV,Pawelek JB,Bastrom TP,Lenke LG,Lowe T,Crawford A,Betz R,Lonner B,Harms Study Group.

    更新日期:2010-06-15 00:00:00

  • Biomechanical comparisons of spinal fracture models and the stabilizing effects of posterior instrumentations.

    abstract::In this study, the authors evaluated the stiffness of motion segments in intact spines in two spine fracture models, and with each of five implant systems used for posterior fixation of thoracolumbar spine fractures. The devices represented a cross-section of types, including those employing sublaminar wires with and ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198805000-00003

    authors: Ferguson RL,Tencer AF,Woodard P,Allen BL Jr

    更新日期:1988-05-01 00:00:00

  • Hospital readmission rates after surgical treatment of primary and metastatic tumors of the spine.

    abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:This study aimed to identify the rates and causes of unplanned hospital readmission at 30 days and 1 year after surgical treatment of primary and metastatic spinal tumors. SUMMARY OF BACKGROUND DATA:Primary spine tumors and non-spine tumors metastatic to the spine ca...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000000517

    authors: Schairer WW,Carrer A,Sing DC,Chou D,Mummaneni PV,Hu SS,Berven SH,Burch S,Tay B,Deviren V,Ames C

    更新日期:2014-10-01 00:00:00

  • Cervical electromyogram profile differences between patients of neck pain and control.

    abstract:STUDY DESIGN:A comparative analysis of electromyogram (EMG) signals of patients of cervical pain and normal controls. OBJECTIVES:To determine the differences between frequency and time domain parameters of EMG signals of patients of cervical pain and normal controls. SUMMARY OF BACKGROUND DATA:No diagnostic technique...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000259927.85981.31

    authors: Kumar S,Narayan Y,Prasad N,Shuaib A,Siddiqi ZA

    更新日期:2007-04-15 00:00:00

  • mRNA expression of cytokines and chemokines in herniated lumbar intervertebral discs.

    abstract:STUDY DESIGN:The mRNA expressions of cytokines and chemokines were assessed in herniated lumbar disc specimens. OBJECTIVES:To investigate whether the mRNAs of interleukin (IL)-1alpha, tumor necrosis factor (TNF)-alpha, RANTES, IL-8, IL-10, and transforming growth factor (TGF)-beta are expressed in surgically obtained ...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/00007632-200205010-00005

    authors: Ahn SH,Cho YW,Ahn MW,Jang SH,Sohn YK,Kim HS

    更新日期:2002-05-01 00:00:00

  • A biomechanical study of a cervical spine stabilization device: Roy-Camille plates.

    abstract:STUDY DESIGN:Three-hole Roy-Camille posterior plates (Howmedica, Inc., Rutherford, NJ) were used to fix severely destabilized fresh cadaveric cervical spines. Fixed spine constructs were tested mechanically in flexion-extension and torsion, and the results were compared with the same characteristics in the intact spine...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199701010-00007

    authors: Smith ME,Cibischino M,Langrana NA,Lee CK,Parsons JR

    更新日期:1997-01-01 00:00:00

  • Selective arterial embolization with n-butyl cyanoacrylate in the treatment of aneursymal bone cyst of the thoracic vertebra: a case report.

    abstract:STUDY DESIGN:A case report of aneurysmal bone cyst of the mobile spine. OBJECTIVE:To present a pediatric case of aneurysmal bone cyst (ABC) of the mobile spine treated successfully by selective arterial embolization (SAE) with n-butyl cyanoacrylate (NBCA). SUMMARY OF BACKGROUND DATA:The endovascular treatment is an i...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31818f8f7c

    authors: Marushima A,Matsumaru Y,Suzuki K,Takigawa T,Kujiraoka Y,Anno I,Matsumura A

    更新日期:2009-03-15 00:00:00

  • Does Decreased Surgical Stress Really Improve the Psychosocial Health of Early-onset Scoliosis Patients?: A Comparison of Traditional Growing Rods and Magnetically-controlled Growing Rods Patients Reveals Disappointing Results.

    abstract:STUDY DESIGN:Cross-sectional case-control study. OBJECTIVE:Compare psychosocial profile of magnetically-controlled growing rod (MCGR) patients to traditional-growing rod (TGR) with an array of psychiatric tools, expecting improvement in MCGR due to decreased number of surgical procedures. SUMMARY OF BACKGROUND DATA:T...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000002938

    authors: Aslan C,Olgun ZD,Ayik G,Karaokur R,Ozusta S,Demirkiran GH,Unal F,Yazici M

    更新日期:2019-06-01 00:00:00

  • Hypertrophic spinal pachymeningitis.

    abstract::A patient with idiopathic hypertrophic spinal pachymeningitis (HSP) with predominant involvement of the cervical and thoracic dura is reported. Serial magnetic resonance (MR) images detected isolated thickening and ridges of the dura mater. There has been no report describing the serial changes of MR images in idiopat...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/00007632-199403000-00021

    authors: Mikawa Y,Watanabe R,Hino Y,Hirano K

    更新日期:1994-03-01 00:00:00

  • Utility of Intraoperative Neuromonitoring for Lumbar Pedicle Screw Placement Is Questionable: A Review of 9957 Cases.

    abstract:STUDY DESIGN:A retrospective database study. OBJECTIVE:The goal of this study was to (1) evaluate the trends in the use of electromyography (EMG) for instrumented posterolateral lumbar fusions (PLFs) in the United States and (2) assess the risk of neurological injury following PLFs with and without EMG. SUMMARY OF BA...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001980

    authors: Ajiboye RM,Zoller SD,D'Oro A,Burke ZD,Sheppard W,Wang C,Buser Z,Wang JC,Pourtaheri S

    更新日期:2017-07-01 00:00:00

  • Ultrastructure of the human intervertebral disc during aging and degeneration: comparison of surgical and control specimens.

    abstract:STUDY DESIGN:Human intervertebral disc tissue from the annulus was obtained in a prospective study investigating the ultrastructural features of disc cells and extracellular matrix. Experimental studies were approved by the authors' Human Subjects Institutional Review Board. Discs were obtained from surgical specimens ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200204150-00004

    authors: Gruber HE,Hanley EN Jr

    更新日期:2002-04-15 00:00:00

  • Effect of the increase in the height of lumbar disc space on facet joint articulation area in sagittal plane.

    abstract:STUDY DESIGN:Computerized tomography (CT) of the lumbar spine cadaveric specimens was used to evaluate the effect of increasing the height of the disc space in the lumbar spine to the facet joint articulation in the sagittal plane. OBJECTIVE:To show how the facet joint articulation is affected by increasing the height...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000206387.67098.a0

    authors: Liu J,Ebraheim NA,Haman SP,Shafiq Q,Karkare N,Biyani A,Goel VK,Woldenberg L

    更新日期:2006-04-01 00:00:00

  • Does incorrect level needle localization during anterior cervical discectomy and fusion lead to accelerated disc degeneration?

    abstract:STUDY DESIGN:Retrospective radiographic analysis. OBJECTIVE:To retrospectively review a group of patients undergoing anterior cervical discectomy and fusion (ACDF) to determine the relative risk of adjacent level disc degeneration after incorrect needle localization. SUMMARY OF BACKGROUND DATA:The needle puncture tec...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181913872

    authors: Nassr A,Lee JY,Bashir RS,Rihn JA,Eck JC,Kang JD,Lim MR

    更新日期:2009-01-15 00:00:00

  • Smokers show less improvement than nonsmokers two years after surgery for lumbar spinal stenosis: a study of 4555 patients from the Swedish spine register.

    abstract:STUDY DESIGN:A cohort study based on the Swedish Spine Register. OBJECTIVE:To determine the relation between smoking status and disability after surgical treatment for lumbar spinal stenosis. SUMMARY OF BACKGROUND DATA:Smoking and nicotine have been shown to inhibit lumbar spinal fusion and promote disc degeneration....

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181e92b36

    authors: Sandén B,Försth P,Michaëlsson K

    更新日期:2011-06-01 00:00:00

  • Risk Factors for Facial Pressure Ulcers in Patients Underwent Prolonged Prone Orthopedic Spine Surgery.

    abstract:STUDY DESIGN:Retro-prospective study. OBJECTIVES:To identify the incidence and the risk factors associated with the development of Facial pressure ulcers (FPU) in patients underwent spine surgery in prone position for at least 3 hours. SUMMARY OF BACKGROUND DATA:FPU is a serious complication that can occur after prol...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000003892

    authors: Techanivate A,Athibai N,Siripongsaporn S,Singhatanadgige W

    更新日期:2020-12-17 00:00:00

  • Role of sodium in the pathophysiology of secondary spinal cord injury.

    abstract:STUDY DESIGN:Experimental study using an in vitro model of compressive injury to isolated adult rat dorsal column axons. OBJECTIVES:To examine the role of extracellular Na+ (Na+e) in mediating secondary injury to spinal cord axons after compressive trauma. The mechanisms of intracellular sodium entry were examined usi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199510001-00002

    authors: Fehlings MG,Agrawal S

    更新日期:1995-10-15 00:00:00