Transforaminal endoscopic decompression and uninstrumented allograft lumbar interbody fusion: A feasibility study in patients with end-stage vacuum degenerative disc disease.

Abstract:

OBJECTIVE:The authors investigated the feasibility of a transforaminal endoscopic decompression and un-instrumented lumbar interbody fusion procedures with cancellous bone allograft in patients painful with end-stage degenerative vacuum disc disease. PATIENTS & METHODS:Twenty-nine patients who underwent endoscopic transforaminal foraminal and lateral recess decompression and direct intraoperative endoscopic visualization of a painful, hollow collapsed, rigid intervertebral disc space were grafted with cancellous allograft chips. In addition to the radiographic assessment of fusion, patients were followed for a minimum of 2 years postoperatively, and clinical outcomes were evaluated with VAS, ODI, and modified MacNab criteria. RESULTS:At the final follow, mean VAS and ODI scores reduced from 7.34 ± 1.63 and 50.03 ± 10.64 preoperatively to 1.62 ± 1.741 and 6.69 ± 4.294 postoperatively (p < 0.0001). Excellent and Good clinical outcomes, according to Macnab criteria, were obtained in 34.5 % and 62.1 % of patients, respectively. Only one patient had minimal improvement from "Poor" preoperatively to "Fair" postoperatively. This female patient was treated for lumbar disc herniation L5/S1 and had an incomplete fusion at the final follow up. Computed tomography assessment of interbody fusion at the last follow-up showed successful fusion in 91.4 % of patients. CONCLUSIONS:Un-instrumented interbody fusion by packing a hollow interspace with cancellous bone allograft chips can be considered as an adjunct to endoscopic foraminal and lateral recess decompression in select patients with validated painful, collapsed, and rigid motion segments. It can be safely done in an outpatient setting at a low burden to patients.

journal_name

Clin Neurol Neurosurg

authors

Dowling Á,Bárcenas JGH,Lewandrowski KU

doi

10.1016/j.clineuro.2020.106002

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

106002

eissn

0303-8467

issn

1872-6968

pii

S0303-8467(20)30345-0

journal_volume

196

pub_type

杂志文章
  • Hemorrhage rates of external ventricular drain (EVD), intracranial pressure gauge (ICP) or combined EVD and ICP gauge placement within 48 h of endovascular coil embolization of cerebral aneurysms.

    abstract:OBJECT:In single patients with a cerebral aneurysm an external ventricular drain (EVD), an intracranial pressure (ICP) gauge or a combined EVD and ICP gauge placement is necessary after coil embolization and initiation of postprocedural anticoagulation. The aim of this study was to examine the hemorrhage rates of drain...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2013.01.023

    authors: Scholz C,Hubbe U,Deininger M,Deininger MH

    更新日期:2013-08-01 00:00:00

  • Rupture of intracranial aneurysms in patients with blunt head trauma: Review of the literature.

    abstract:INTRODUCTION:With a prevalence of 1-5 %, intracranial aneurysms are common. However, only 20-50 % of these aneurysms will rupture during a person's lifetime. This often happens spontaneously without exogenous factors. In the present study we reviewed the literature concerning the relation between trauma and rupture of ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2020.106208

    authors: Steinmann J,Hartung B,Bostelmann R,Kaschner M,Karadag C,Muhammad S,Li L,Büttner A,Petridis AK

    更新日期:2020-12-01 00:00:00

  • Tacrolimus-related polyneuropathy: case report and review of the literature.

    abstract::Patients, in particular recipients of orthotopic liver transplants, receiving the immunosuppressant tacrolimus (FK-506), are at risk for developing central neurotoxic adverse events. We report the occurrence of a tacrolimus-induced peripheral neurotoxic event, i.e. pure motor axonal polyneuropathy of the lower limbs i...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2007.10.014

    authors: De Weerdt A,Claeys KG,De Jonghe P,Ysebaert D,Chapelle T,Roeyen G,Jorens PG

    更新日期:2008-03-01 00:00:00

  • Trigeminal schwannomas: a report of 42 cases and review of the relevant surgical approaches.

    abstract::This study aims to achieve the complete removal of trigeminal schwannoma (TS) while preserving cranial nerve function. We focused on the outcomes of different surgical approaches and address the contributions of different operative techniques. Forty-two TS cases, treated surgically in Qilu Hospital during a 12-year pe...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2008.10.014

    authors: Zhang L,Yang Y,Xu S,Wang J,Liu Y,Zhu S

    更新日期:2009-04-01 00:00:00

  • Prevalence and determinants of depression in Mexican patients with Parkinson's disease.

    abstract:OBJECTIVE:To assess the prevalence and associated factors of depression in a Mexican Parkinson's disease (PD) population. BACKGROUND:Depressive symptoms are frequent in PD and have been recognized as a major determinant of quality of life. Only two previous studies have partially addressed depression in Mexican PD pat...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2012.03.035

    authors: Rodríguez-Violante M,Cervantes-Arriaga A,Berlanga-Flores C,Ruiz-Chow A

    更新日期:2012-12-01 00:00:00

  • A comparison of two stroke cohorts cared for by two different specialties in a practice-based tele-stroke population.

    abstract:OBJECTIVES:Neurologists have continually led the assessment and management of Acute Ischemic Stroke(AIS) by use of IV-rtPA, anti-platelet therapy, antihypertensives, and other pharmacologic agents. Since the advent of mechanical thrombectomy(MT) and its proven efficacy, neurovascular surgeons(NS) are playing an increas...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2018.02.033

    authors: Atallah E,Bekelis K,Saad H,Chalouhi N,Dang S,Li J,Kumar A,Turpin J,Barsoom R,Tjoumakaris S,Hasan D,Deprince M,Labella G,Rosenwasser RH,Jabbour P

    更新日期:2018-05-01 00:00:00

  • Atypical presentation of an extradural hematoma on the grounds of a temporal arachnoid cyst.

    abstract::We report a 56-year-old man, with atypical presentation of an extradural hematoma caused by head injury after a fall. The presence of a temporal arachnoid cyst on the grounds of temporal lobe agenesis altered the clinical image of this man, causing only mild symptoms where an otherwise acute neurologic deterioration w...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/s0303-8467(03)00022-2

    authors: Boviatsis EJ,Maratheftis NL,Kouyialis AT,Sakas DE

    更新日期:2003-07-01 00:00:00

  • Surgical outcomes of Supra- Infra Tentorial Extradural Hematoma (SIEDH): A retrospective study from a single institution.

    abstract:INTRODUCTION:Bicompartmental Supra plus Infratentorial Extra Dural Hematoma (SIEDH) is an uncommon yet important category of Extradural Hematoma (EDH) straddling the transverse sinus. It requires quick decision making and proper surgical evacuation. METHODS:We did a retrospective chart review of all SIEDH cases from p...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2020.106369

    authors: Uppar A,Kadregula S,Sadashiva N,Konar S,Chakrabarti D,Thombre B,Ar P,Rao KN,Shukla D

    更新日期:2021-01-01 00:00:00

  • Endoscopy in the management of intra-ventricular lesions: preliminary experience in the Middle East.

    abstract:OBJECTIVES:The study is aimed at evaluating neuroendoscopic procedures in the management of various intra-cranial intra-ventricular lesions. METHODS:We retrospectively review 24 consecutive patients harboring various intra-ventricular lesions with or without associated hydrocephalus, operated and managed by the author...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2009.08.027

    authors: Najjar MW,Azzam NI,Baghdadi TS,Turkmani AH,Skaf G

    更新日期:2010-01-01 00:00:00

  • Characterization of pituitary tumor transforming gene in meningiomas.

    abstract:BACKGROUND:Pituitary tumor transforming gene (PTTG) is an oncogene and has been detected in several tumors of unrelated histological origin. However, its role in meningiomas is unknown so far. We aim to investigate PTTG expression in intracranial meningiomas, and clarify the relationship between PTTG and the histopatho...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2014.04.028

    authors: Zhang H,Du R,Huang YH,She L,Dong L,Wang X,Kwan AL

    更新日期:2014-07-01 00:00:00

  • Surgical treatment of traumatic carotid cavernous fistulas.

    abstract::Six cases of traumatic corotid cavernous fistulae treated by a combination of trapping and embolization are reported. The advantages and disadvantages of various operative procedures in the treatment of carotid cavernous fistulas are discussed. In our opinion a combination of trapping and embolization has advantages o...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/s0303-8467(79)80024-4

    authors: Gökalp HZ,Ozkal E

    更新日期:1979-01-01 00:00:00

  • Supraorbital keyhole approach: Pure endoscopic and endoscope-assisted perspective.

    abstract:OBJECTIVE:To assess the assumed advantages of pure endoscopic and endoscope-assisted methods for the supraorbital keyhole approach. The aim is to demonstrate visibility and accessibility of the pure endoscope approach as a possible standard approach for the supraorbital keyhole approach. PATIENTS AND METHODS:We perfor...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2019.105623

    authors: Arnaout MM,Luzzi S,Galzio R,Aziz K

    更新日期:2020-02-01 00:00:00

  • Trends in the incidence of primary malignant brain tumors in Taiwan and correlation with comorbidities: A population-based study.

    abstract:OBJECTIVE:Primary malignant brain tumors are relatively uncommon, and their incidence and survival rates have seldom been reported. PATIENTS AND METHODS:We identified all patients with malignant brain tumors in Taiwan between 1997 and 2012 using the National Health Insurance database. We estimated the stratified incid...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2017.05.021

    authors: Lin YJ,Chiu HY,Chiou MJ,Huang YC,Wei KC,Kuo CF,Hsu JT,Chen PY

    更新日期:2017-08-01 00:00:00

  • Vertebra-disc ratio as a new predictor for curve progression in early thoracic AIS with bracing treatment.

    abstract:OBJECTIVES:Previous studies have reported various predictors for curve progression in braced adolescent idiopathic scoliosis (AIS) patients. However, the reported predictors might be insufficient for patients with early AIS. The aim was to investigate whether the initial vertebra-disc ratio (VDR) could serve as an effe...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2019.04.012

    authors: Li S,Qiu Y,Zhu ZZ,Chen ZH,Chen X,Du CZ,Xu L,Zhou QS,Sun X

    更新日期:2019-06-01 00:00:00

  • Efficacy of perioperative anticonvulsant prophylaxis in seizure-naïve glioma patients: A meta-analysis.

    abstract::The efficacy of perioperative seizure prophylaxis in seizure-naïve glioma patients is still controversial. Thus we conducted this meta-analysis to assess the effectiveness of perioperative prophylactic antiepileptic drugs (AEDs) on postoperative seizures in seizure-naïve glioma for the first time. We systematically se...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.clineuro.2019.105529

    authors: Wang X,Zheng X,Hu S,Xing A,Wang Z,Song Y,Chen J,Tian S,Mao Y,Chi X

    更新日期:2019-11-01 00:00:00

  • Survival outcomes in patients with recurrent glioblastoma treated with Laser Interstitial Thermal Therapy (LITT): A systematic review.

    abstract:OBJECTIVE:To study the role of laser interstitial thermal therapy in recurrent glioblastoma and to assess its effect in the overall survival and in progression-free survival. METHODS:A MEDLINE and Pubmed search was performed for the key words "laser interstitial thermal therapy", "LITT" and "glioblastoma". Studies inv...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2020.105942

    authors: Montemurro N,Anania Y,Cagnazzo F,Perrini P

    更新日期:2020-08-01 00:00:00

  • Facial motor evoked potentials in cerebellopontine angle surgery: technique, pitfalls and predictive value.

    abstract:OBJECTIVE:To obtain information on functional integrity of the facial nerve by transcranial electrical motor evoked potentials independent of nerve visualization and to improve prediction of postoperative function. PATIENTS AND METHODS:In a prospective clinical study, 68 patients with cerebello-pontine angle tumors an...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2011.06.011

    authors: Matthies C,Raslan F,Schweitzer T,Hagen R,Roosen K,Reiners K

    更新日期:2011-12-01 00:00:00

  • Diagnostic performance of iodine-123-metaiodobenzylguanidine scintigraphy in differential diagnosis between Parkinson's disease and multiple-system atrophy: a systematic review and a meta-analysis.

    abstract:BACKGROUND AND PURPOSE:This study was designed to review the diagnostic performance of iodine-123-metaiodobenzylguanidine (MIBG) scintigraphy in differential diagnosis between Parkinson's disease (PD) and multiple-system atrophy (MSA). METHODS:A comprehensive computer literature search of studies published through Mar...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.clineuro.2011.09.004

    authors: Treglia G,Stefanelli A,Cason E,Cocciolillo F,Di Giuda D,Giordano A

    更新日期:2011-12-01 00:00:00

  • Pitfalls, fallacies and false positive rates.

    abstract::True and false positive rates of auditory and visual evoked potentials, as well as multi-modal evoked potentials, were assessed in groups of 30 multiple sclerosis patients and 19 healthy age-matched subjects. Sensitivity (true positive rate) generally proved to be high confirming published reports. False positive rate...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/0303-8467(92)90058-b

    authors: van Dijk JG

    更新日期:1992-01-01 00:00:00

  • Multiple sclerosis in Brazil: A systematic review.

    abstract:BACKGROUND:The natural history of multiple sclerosis (MS) in Brazil has been available in different regions of country. There is no nationwide population-based studies that express general data in Brazil. OBJECTIVE:To review and synthesize available data about MS in Brazil. MATERIAL AND METHODS:Systematic review was ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2016.07.011

    authors: Vasconcelos CC,Thuler LC,Rodrigues BC,Calmon AB,Alvarenga RM

    更新日期:2016-12-01 00:00:00

  • Higher mean platelet volume determined shortly after the symptom onset in acute ischemic stroke patients is associated with a larger infarct volume on CT brain scans and with worse clinical outcome.

    abstract:OBJECTIVE:Mean platelet volume (MPV) determined shortly after the onset of acute ischemic stroke represents the pre-stroke values. Data on its relationship to stroke severity/outcome have been conflicting. We related MPV to infarct volume on CT brain scans and risk of death/dependence 7 days and 3 months post-stroke. ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2009.04.002

    authors: Pikija S,Cvetko D,Hajduk M,Trkulja V

    更新日期:2009-09-01 00:00:00

  • Unilateral versus bilateral pedicle screw fixation in lumbar interbody fusion: a meta-analysis of complication and fusion rate.

    abstract::Unilateral or bilateral pedicle screw (PS) fixation in lumbar interbody fusion remains controversial. The aim of this study was to evaluate the complication and fusion rate for both surgical techniques based on published studies. Pubmed, Cochrane Library and Embase Databases were searched to identify studies reporting...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.clineuro.2013.11.016

    authors: Yuan C,Chen K,Zhang H,Zhang H,He S

    更新日期:2014-02-01 00:00:00

  • The correlation of helios and neuropilin-1 frequencies with parkinson disease severity.

    abstract:OBJECTIVES:Parkinson disease (PD), a neurodegenerative disease, has also some immunologic basis in which several regulatory factors, like Helios and Neuropilin-1 (NRP-1) may show some roles in its pathogenesis. We aimed to evaluate the circulatory frequency of T regulatory cells (Tregs) expressing Helios and NRP-1 in P...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2020.105833

    authors: Daneshvar Kakhaki R,Kouchaki E,Dadgostar E,Behnam M,Tamtaji OR,Nikoueinejad H,Akbari H

    更新日期:2020-05-01 00:00:00

  • Neuromyotonia, myocloni, sensory neuropathy and cerebellar symptoms in a patient with antibodies to neuronal nucleoproteins (anti-Hu-antibodies).

    abstract::A middle-aged patient presented with subacute muscular stiffness, myocloni of both extremity and facial muscles, gait ataxia and symmetrical distal painful paraesthesias. Electrophysiologically, neuromyotonia was confirmed. High titer anti-Hu antibodies were detected, but no other paraneoplastic antibodies were found....

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/s0303-8467(99)00037-2

    authors: Toepfer M,Schroeder M,Unger JW,Lochmüller H,Pongratz D,Müller-Felber W

    更新日期:1999-09-01 00:00:00

  • Manifestations of Neuro-Behcet's disease. Report of two cases and review of the literature.

    abstract::Behcet's disease (BD) is a rare condition, more commonly seen in Turkey, the Middle East, the Mediterranean, and the Far Eastern countries. It is a multifaced disease involving the central nervous system (CNS), skin, joints, intestines and blood vessels. CNS involvement occurs in 10-25% of the patients with BD. We rep...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2004.07.002

    authors: Ho CL,Deruytter MJ

    更新日期:2005-06-01 00:00:00

  • Rebleeding from a primary brain tumor manifesting as intracerebral hemorrhage (CNN 04/077, revised version).

    abstract::Symptomatic spontaneous intratumoral hemorrhage is a rare event in a patient with a brain tumor (BT). Although the treatment of choice in such a case is surgical removal of both the tumor and the hemorrhage, the optimal timing for surgical intervention has not been clearly established, particularly in those who presen...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2004.12.023

    authors: Inamasu J,Nakamura Y,Saito R,Kuroshima Y,Mayanagi K,Ichikizaki K

    更新日期:2005-12-01 00:00:00

  • Role of the ketogenic diet in acute neurological diseases.

    abstract::The current review outlines the role of ketogenic diet (KD) in the management of acute neurological conditions namely traumatic brain injury, ischemic stroke, status epilepticus and primary aggressive brain tumor. An overview of the scientific literature- both clinical and pre-clinical studies is presented along with ...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.clineuro.2020.105727

    authors: Arora N,Mehta TR

    更新日期:2020-05-01 00:00:00

  • The dorsoscapular nerve in traumatic brachial plexus lesions.

    abstract::The origin and course of the nerval innervation of the levator scapulae and rhomboid muscles was studied in four human cadavers. Special attention was given to surgical anatomy. The levator scapulae muscle receives two small segmental nerves from C3 and C4, respectively. The rhomboid muscle receives two segmental nerv...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/0303-8467(93)90029-g

    authors: Malessy MJ,Thomeer RT,Marani E

    更新日期:1993-01-01 00:00:00

  • Angiographic features, surgical management and outcomes of proximal middle cerebral artery aneurysms.

    abstract:OBJECTIVE:Understanding the microanatomy of the proximal middle cerebral artery (M1) and its early branches is very important for aneurysm surgery in this region. However, few articles provide detailed descriptions of such aneurysms. We report the angiographic characteristics of a series of M1 aneurysms and our experie...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/j.clineuro.2008.02.014

    authors: Park DH,Kang SH,Lee JB,Lim DJ,Kwon TH,Chung YG,Lee HK

    更新日期:2008-06-01 00:00:00

  • Maturation of a primitive neuroectodermal brain tumor? A case study with some remarks on the classification and nomenclature of 'primitive' CNS tumors.

    abstract::A brain tumor in a 4-year-old child is described. The neoplasm was partly cystic and showed an a-typical multi-differentiated aspect. Microscopically the neoplasm had a clear-cut 'malignant' morphology. This tumor represents possibly a partly maturated primitive neuroectodermal brain tumor. The term PNET is briefly di...

    journal_title:Clinical neurology and neurosurgery

    pub_type: 杂志文章

    doi:10.1016/s0303-8467(86)80011-7

    authors: Troost D,Hageman LM,van der Werf AJ

    更新日期:1986-01-01 00:00:00