Abstract:
STUDY DESIGN:A retrospective analysis of the clinical outcomes of eight patients with the lumbar pars interarticulars defects treated by direct repair with the aid of intraoperative O-arm based navigation and microendoscopic techniques. OBJECTIVE:The aim of this study was to investigate the efficacy and safety of direct screw repair by using minimally invasive surgery for the lumbar pars interarticulars defects in a pilot study. SUMMARY OF BACKGROUND DATA:Direct repair of pars interarticulars defects has been used to treat young adult patients. Reports concerning direct repair by minimally invasive techniques for pars interarticulars defects are quite rare. METHODS:Review of medical records identified eight consecutive patients treated with intraoperative O-arm based navigation and microendoscopic techniques. Debridement and autograft of pars interarticularis defects was performed under microendoscopic procedure. Then, percutaneous bilateral intralaminar screws were inserted by utilizing intraoperative navigation. The clinical and radiological data were collected and analyzed retrospectively. RESULTS:Eight patients had a mean age of 28.4 years, and five were 30 years or younger at the time of treatment. Symptoms included axial back pain in 100% of patients without concomitant radiculopathy. Autograft was used in all cases. The average follow-up duration was 27.4 months with a range of 20 to 33 months. Symptoms resolved completely or partially in all patients. Low back pain visual analog scores decrease from preoperative 6.8 to postoperative 1.4 of eight cases. Of 16 pars defects, healing was observed in 13 (81.3%) at last radiological follow-up. One patient with bilateral fusion failure refused revision surgery because of mild complaint. No complications such as dural tear, nerve root injury, and infection occurred. CONCLUSION:Minimally invasive direct repair of the pars interarticularis defects with intralaminar screws by using microendoscopic system and navigation procedure can provide safe and effective treatment of spondylolysis with satisfactory clinical and radiological outcomes, which need some special tools with steep learning curve. LEVEL OF EVIDENCE:4.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Jia M,Wang J,Zhang Z,Zheng W,Zhou Ydoi
10.1097/BRS.0000000000001815subject
Has Abstractpub_date
2016-10-01 00:00:00pages
B6-B13eissn
0362-2436issn
1528-1159journal_volume
41 Suppl 19pub_type
杂志文章相关文献
SPINE文献大全abstract::Since abnormal motion is a quantitative phenomenon and present primarily in the two lowest vertebral spaces, a roentgen examination method yielding the maximum mobility would appear to be suitable. When performing extension-flexion radiographs of the lumbar spine, positioning of patients varies considerably. The prese...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199002000-00011
更新日期:1990-02-01 00:00:00
abstract:STUDY DESIGN:Characterization of the analytic profile of proteoglycans in the intervertebral discs at L4-L5 of nondiabetic (n = 5) and diabetic (n = 5) age-matched subjects. The discs used were discarded material from operations. OBJECTIVES:To clarify the reason for the higher risk of disc prolapse in diabetic patient...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199804150-00001
更新日期:1998-04-15 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:In vitro biomechanics. OBJECTIVE:To determine if osteoporotic vertebral compression fracture (VCF) augmentation increases adjacent level load transfer. SUMMARY OF BACKGROUND DATA:Osteoporotic VCF subsequent to augmentation may result from disease progression or increased adjacent level load transfer, or ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000238690.09903.4c
更新日期:2006-10-01 00:00:00
abstract:STUDY DESIGN:Prospective study with follow-up by a postal questionnaire to 6626 men nearly 40 years of age who had been examined for the first time at the age of 18. OBJECTIVES:To study the predictability of frequent musculoskeletal problems, health, lifestyle, and work situation from the examination 20 years earlier....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200012010-00016
更新日期:2000-12-01 00:00:00
abstract:STUDY DESIGN:A case of primary Ewing sarcoma of the lumbar spine is presented. OBJECTIVE:To present and review a rare case of primary Ewing sarcoma of the lumbar spine that required differentiation from spinal infection. SUMMARY OF BACKGROUND DATA:Primary Ewing sarcoma originating from the spinal column is very rare....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181995ec2
更新日期:2009-04-20 00:00:00
abstract::Spinal muscular atrophy patients present with weakness, greater in the proximal muscles, leading to scoliosis and limited upper extremity function. The purpose of this study is to identify unique aspects of these patients and to understand how spinal fusion affects their function. Forty patients underwent Harrington o...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198907000-00021
更新日期:1989-07-01 00:00:00
abstract:STUDY DESIGN:A literature review and the authors' clinical experience for the indication of fusion in the degenerative lumbar and cervical spine is provided. OBJECTIVE:To establish absolute and relative criteria for the indication for fusion in the degenerative cervical and lumbar spine. SUMMARY OF BACKGROUND DATA:Fu...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/01.brs.0000174509.31291.26
更新日期:2005-08-15 00:00:00
abstract:STUDY DESIGN:Observational. OBJECTIVE:To estimate the radiation dose imparted to patients during typical thoracolumbar spinal surgical scenarios. SUMMARY OF BACKGROUND DATA:Minimally invasive techniques continue to become more common in spine surgery. Computer-assisted navigation systems coupled with intraoperative c...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318281d70b
更新日期:2013-03-01 00:00:00
abstract:STUDY DESIGN:This is a report of a prospective case series. OBJECTIVE:The purpose of this study was to determine whether evoked potential activity recorded from occipital scalp electrodes in humans is similar to that recorded in animals, and to evaluate the independence of this activity from the classical somatosensor...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199511000-00010
更新日期:1995-11-01 00:00:00
abstract::The prospective study was undertaken to find out preoperative or perioperative factors predicting the results of the first surgery for lumbar disc herniation. The results were evaluated 1 and 6 months postoperatively using, in addition to the patient evaluation, indices for pain, activities of daily living (ADL), and ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198711000-00016
更新日期:1987-11-01 00:00:00
abstract:STUDY DESIGN:Investigation of the effects of recombinant human cathepsin L on intervertebral discs and comparison with the effects of chymopapain. OBJECTIVE:To evaluate the effects of cathepsin L on intervertebral discs as an agent for chemonucleolysis. SUMMARY BACKGROUND DATA:Cathepsin L is a typical cysteine protei...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199901150-00004
更新日期:1999-01-15 00:00:00
abstract:STUDY DESIGN:Pre-/poststudy comparing surgical and nonsurgical treatment. OBJECTIVE:To identify whether orthopedic spinal surgery can effectively improve life satisfaction and self-esteem in patients with adolescent idiopathic scoliosis. SUMMARY OF BACKGROUND DATA:There have been many studies about the effect of spin...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181e0f034
更新日期:2011-04-20 00:00:00
abstract::STUDY DESIGN A prospective, observational, human, study was conducted. OBJECTIVES To evaluate the incidence of vascular penetration during fluoroscopically guided, contrast-enhanced transforaminal cervical epidural steroid injections, and to determine whether the observation of blood in the needle hub can be used to p...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200301010-00007
更新日期:2003-01-01 00:00:00
abstract:STUDY DESIGN:Survey. OBJECTIVE:The purpose of this research was to help determine whether sedation is indicated before lumbar and cervical interventional pain management procedures, and additionally, to determine whether benzodiazepams are effective at controlling anxiety for these procedures. SUMMARY OF BACKGROUND D...
journal_title:Spine
pub_type: 临床试验,杂志文章
doi:10.1097/BRS.0b013e31815b7e9f
更新日期:2007-12-01 00:00:00
abstract:STUDY DESIGN:A case of cervical myelopathy with a severe nape and upper arm pain caused by anomalous bilateral vertebral arteries is reported. OBJECTIVE:To report over six and a half years results of a microsurgical decompression for high cervical myelopathy with a severe pain of nape and upper arm resulting from spin...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31817c6c17
更新日期:2008-08-01 00:00:00
abstract:STUDY DESIGN:A three-dimensional finite element investigation. OBJECTIVES:To create a three-dimensional finite element model of the cervical spinal cord enlargement and to simulate a hyperextension injury of the cervical cord. SUMMARY OF BACKGROUND DATA:Experimental studies are difficult to simulate the complex mecha...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31819e2af1
更新日期:2009-05-15 00:00:00
abstract::Twenty-two adolescent patients with severe (more than 50%) slip were surgically treated. Eleven were reduced with Magerl/Dick transpedicular screw devices and fused posteriorly from L4 to S1, and 2 weeks later anteriorly L5-S1; the other 11 were fused in situ L4-S1 (6 patients) or L5-S1 (5 patients) using a circumfere...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199306000-00014
更新日期:1993-06-01 00:00:00
abstract:STUDY DESIGN:Retrospective radiographic and clinical study. OBJECTIVE:To examine the long-term outcome of selective thoracic fusion (STF) performed for lumbar "C" modifier curves in adolescent idiopathic scoliosis. SUMMARY OF BACKGROUND DATA:The efficacy of STF in lumbar "C" false double major curves is controversial...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181e5e36e
更新日期:2010-11-15 00:00:00
abstract:STUDY DESIGN:This clinical study examined the association between pulmonary function and thoracic cage deformities in scoliosis. OBJECTIVE:To determine the factors in spinal and thoracic cage deformities that affect pulmonary function in scoliosis. SUMMARY OF BACKGROUND DATA:Pulmonary function in scoliosis has genera...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000251005.31255.25
更新日期:2007-01-01 00:00:00
abstract::Metabolic changes induced by axial vibratory load to the spine were investigated based on water metabolism in normal intervertebral discs of rabbits with or without pentobarbital anesthesia. Tritiated water concentration in the intervertebral discs of unanesthetized rabbits was reduced remarkably by axial vibration fo...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198811000-00016
更新日期:1988-11-01 00:00:00
abstract:STUDY DESIGN:Case-control study. OBJECTIVE:To examine factors influencing cervical alignment after corrective surgery for adult patients with adolescent idiopathic scoliosis (AdIS) SUMMARY OF BACKGROUND DATA.: Corrective surgery for spinal deformity influences postoperative cervical spinal alignment, but changes in th...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003410
更新日期:2020-07-01 00:00:00
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
更新日期:2015-08-01 00:00:00
abstract::Fracture and fracture-dislocations of the cervical spine are serious injuries that rarely go undiagnosed. A case report of a bilateral facet dislocation with anterior displacement is presented that went undiagnosed and untreated, and healed without neurologic sequelae. No previous similar reports are known. ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-197806000-00004
更新日期:1978-06-01 00:00:00
abstract:STUDY DESIGN:A prospective, randomized, controlled, multicenter clinical study was conducted. OBJECTIVE:To compare the clinical and radiographic outcomes of patients treated with OP-1 (BMP-7) Putty to autogenous iliac crest bone graft for one-level uninstrumented posterolateral fusion of the lumbar spine following dec...
journal_title:Spine
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1097/01.brs.0000137062.79201.98
更新日期:2004-09-01 00:00:00
abstract:STUDY DESIGN:This study compared preoperative and postoperative saggittal curves and spinal balance in patients undergoing spinal fusion with Cotrel-Dubousset instrumentation for severe kyphosis secondary to Scheuermann's disease. Also determined was patient satisfaction regarding relief of pain and correction of the d...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199408000-00005
更新日期:1994-08-01 00:00:00
abstract:STUDY DESIGN:Retrospective clinical study. OBJECTIVE:The aim of this study was to examine whether the Tokuhashi score correlates with the neurologic outcome in early surgical treatment in metastatic spinal cord compression (MSCC). A retrospective analysis of 35 consecutive incomplete tetraplegic and paraplegic patient...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318188b98f
更新日期:2008-11-15 00:00:00
abstract:STUDY DESIGN:To investigate the incidence of acute neurologic complications of use of sublaminar wires with third-generation spine instrumentation for the treatment of idiopathic scoliosis. OBJECTIVES:To assess the safety of sublaminar wires in the surgical treatment of idiopathic scoliosis. SUMMARY OF BACKGROUND DAT...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200003150-00007
更新日期:2000-03-15 00:00:00
abstract::An electronic digital inclinometer was used to obtain normative data on cervical mobility from 58 normal subjects. They consisted of 28 males (age range, 17-61) and 30 females (age range, 19-62). The measurements were taken from occiput to T1 in flexion-extension, lateral bend, and axial rotation, isolating the region...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199311000-00007
更新日期:1993-11-01 00:00:00
abstract::Two hundred five patients with neck pain were evaluated clinically and roentgenographically for a minimum of 10 years after onset of symptoms. Seventy-nine percent had a decrease in pain, and 43% were free of pain; however, 32% had moderate or severe residual pain. Patients who had been injured and initially had sever...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198701000-00001
更新日期:1987-01-01 00:00:00