Outcome after laminectomy for lumbar spinal stenosis. Part I: Clinical correlations.

Abstract:

:All patients who underwent decompressive lumbar laminectomy in the Washtenaw County, Michigan metropolitan area during a 7-year period were studied for the purpose of defining long-term outcome, clinical correlations, and the need for subsequent fusion. Outcome was determined by questionnaire and physical examination from a cohort of 119 patients with an average follow-up evaluation interval of 4.6 years. Patients graded their outcome as much improved (37%), somewhat improved (29%), unchanged (17%), somewhat worse (5%), and much worse (12%) compared to their condition before surgery. Poor outcome correlated with the need for additional surgery, but there were few additional significant correlations. No patient had a lumbar fusion during the study interval. The outcome after laminectomy was found to be less favorable than previously reported, based on a patient questionnaire administered to an unbiased patient population. Further randomized, controlled trials are therefore necessary to determine the efficacy of lumbar fusion as an adjunct to decompressive lumbar laminectomy.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Tuite GF,Stern JD,Doran SE,Papadopoulos SM,McGillicuddy JE,Oyedijo DI,Grube SV,Lundquist C,Gilmer HS,Schork MA

doi

10.3171/jns.1994.81.5.0699

subject

Has Abstract,Author List Incomplete

pub_date

1994-11-01 00:00:00

pages

699-706

issue

5

eissn

0022-3085

issn

1933-0693

journal_volume

81

pub_type

杂志文章
  • Rapid termination of intraoperative stimulation-evoked seizures with application of cold Ringer's lactate to the cortex. Technical note.

    abstract::One major risk of intraoperative stimulation mapping is the production of stimulation-evoked seizures. Cold Ringer's lactate solution was applied directly to the irritated cortex in 22 patients with stimulation-induced seizures that occurred during intraoperative brain mapping procedures. The irrigation rapidly and re...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1998.88.2.0349

    authors: Sartorius CJ,Berger MS

    更新日期:1998-02-01 00:00:00

  • Neuroepithelial cyst of the fourth ventricle. Case report.

    abstract::Developmental cysts lined by neuroepithelium are a distinctive form of neural tube dysgenesis. Neuropathological study of fourth ventricular cysts that caused symptomatic hydrocephalus indicated its neuroepithelial origin. The cyst arose from the ventral surface of cerebellar vermis. Evagination of the rhombencephalic...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1977.46.6.0820

    authors: Sharpe JA,Deck JH

    更新日期:1977-06-01 00:00:00

  • Vertebroplasty in focal Paget disease of the spine. Case report.

    abstract::Paget disease is an idiopathic metabolic disease of bone that may involve the axial and appendicular skeleton. In up to one third of patients there may be pagetoid involvement of the spine, which can cause back pain and vertebral collapse, with instability or myeloradiculopathy. Although medical therapy is the mainsta...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.2003.99.1.0110

    authors: Kremer MA,Fruin A,Larson TC 3rd,Roll J,Weil RJ

    更新日期:2003-07-01 00:00:00

  • Magnetoencephalographic mapping of the language-specific cortex.

    abstract:OBJECT:In this paper the authors introduce a novel use of magnetoencephalography (MEG) for noninvasive mapping of language-specific cortex in individual patients and in healthy volunteers. METHODS:The authors describe a series of six experiments in which normative MEG data were collected and the reliability, validity,...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1999.90.1.0085

    authors: Papanicolaou AC,Simos PG,Breier JI,Zouridakis G,Willmore LJ,Wheless JW,Constantinou JE,Maggio WW,Gormley WB

    更新日期:1999-01-01 00:00:00

  • Treatment of moyamoya disease with STA-MCA anastomosis.

    abstract::Moyamoya disease is a chronic occlusive cerebrovascular disease of unknown etiology for which no effective treatment has been found. The authors report the result of 23 superficial temporal-middle cerebral artery (STA-MCA) anastomoses and seven encephalomyosynangioses, performed on 13 cases with moyamoya disease and o...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1978.49.5.0679

    authors: Karasawa J,Kikuchi H,Furuse S,Kawamura J,Sakaki T

    更新日期:1978-11-01 00:00:00

  • Localization of vertex lesions seen on CT scan.

    abstract::A simple method is presented for localizing the anatomical site of vertex lesions seen on a computerized tomography (CT) brain scan, using the patient's plain lateral skull film. ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1978.49.1.0071

    authors: O'Leary DH,Lavyne MH

    更新日期:1978-07-01 00:00:00

  • Magnetic resonance imaging-monitored conservative management of traumatic spinal epidural hematomas. Report of four cases.

    abstract::Spinal epidural hematomas (SEHs) are uncommon complications of traumatic injury to the spine. Emergency surgical evacuation is the standard treatment. Although it is recognized in the literature, the possibility of nonsurgical treatment of traumatic SEH is far from being codified. The authors report excellent outcomes...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/spi.1999.91.1.0128

    authors: La Rosa G,d'Avella D,Conti A,Cardali S,La Torre D,Cacciola F,Longo M,Tomasello F

    更新日期:1999-07-01 00:00:00

  • Factors predicting language lateralization in patients with perisylvian vascular malformations. Clinical article.

    abstract:OBJECT:The authors conducted a study to determine the factors associated with right-sided language dominance in patients with cerebrovascular malformations. METHODS:Twenty-two patients with either arteriovenous malformations (AVMs [15 cases]) or cavernous malformations (7 cases) underwent functional MR (fMR) imaging s...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2010.2.JNS091595

    authors: Lee DJ,Pouratian N,Bookheimer SY,Martin NA

    更新日期:2010-10-01 00:00:00

  • Acquired Chiari I malformation secondary to spontaneous spinal cerebrospinal fluid leakage and chronic intracranial hypotension syndrome in seven cases.

    abstract:OBJECT:Spontaneous spinal cerebrospinal fluid (CSF) leakage with development of the intracranial hypotension syndrome and acquired Chiari I malformation due to lumbar spinal CSF diversion procedures have both been well described. However, concomitant presentation of both syndromes has rarely been reported. The object o...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1998.88.2.0237

    authors: Atkinson JL,Weinshenker BG,Miller GM,Piepgras DG,Mokri B

    更新日期:1998-02-01 00:00:00

  • A brief history of carotid-cavernous fistula.

    abstract::Carotid-cavernous fistula was one of the first intracranial vascular lesions to be recognized. This paper focuses on the historical progression of our understanding of the condition and its symptomatology-from the initial hypothesis of ophthalmic artery aneurysm as the cause of pulsating exophthalmos to the recognitio...

    journal_title:Journal of neurosurgery

    pub_type: 历史文章,杂志文章

    doi:10.3171/2016.5.JNS152372

    authors: Lang M,Habboub G,Mullin JP,Rasmussen PA

    更新日期:2017-06-01 00:00:00

  • Effect of subthalamic deep brain stimulation on postural abnormality in Parkinson disease.

    abstract:OBJECT:Parkinson disease (PD) is often accompanied by various postural abnormalities such as camptocormia (bent spine) or Pisa syndrome (lateral flexion). The authors studied the effect of subthalamic nucleus deep brain stimulation (STN DBS) on postural abnormality in patients with PD. METHODS:The authors retrospectiv...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2009.10.JNS09917

    authors: Umemura A,Oka Y,Ohkita K,Yamawaki T,Yamada K

    更新日期:2010-06-01 00:00:00

  • Bilateral subthalamic stimulation for Parkinson's disease by using three-dimensional stereotactic magnetic resonance imaging and electrophysiological guidance.

    abstract:OBJECT:Several methods are used for stereotactically guided implantation of electrodes into the subthalamic nucleus (STN) for continuous high-frequency stimulation in the treatment of Parkinson's disease (PD). The authors present a stereotactic magnetic resonance (MR) method relying on three-dimensional (3D) T1-weighte...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.2000.92.4.0615

    authors: Bejjani BP,Dormont D,Pidoux B,Yelnik J,Damier P,Arnulf I,Bonnet AM,Marsault C,Agid Y,Philippon J,Cornu P

    更新日期:2000-04-01 00:00:00

  • Effect of perioperative aspirin use on hemorrhagic complications in elective craniotomy for brain tumors: results of a single-center, retrospective cohort study.

    abstract:OBJECTIVE:In daily practice, neurosurgeons face increasing numbers of patients using aspirin (acetylsalicylic acid, ASA). While many of these patients discontinue ASA 7-10 days prior to elective intracranial surgery, there are limited data to support whether or not perioperative ASA use heightens the risk of hemorrhagi...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2018.12.JNS182483

    authors: Hanalioglu S,Sahin B,Sahin OS,Kozan A,Ucer M,Cikla U,Goodman SL,Baskaya MK

    更新日期:2019-04-05 00:00:00

  • Acidophil stem-cell pituitary adenoma in a prepubescent female. Case report.

    abstract::Acidophil stem-cell pituitary adenomas account for less than 5% of pituitary tumors. Only 15 cases have previously been reported, with a mean age of occurrence of 38.7 years. A case of this unusual tumor is reported in a prepubertal girl. Clinical symptoms included prominent behavioral disturbance with associated head...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1989.70.2.0266

    authors: Marks WA,Brumback RA,Schaefer GB,Pendleton BD,Farris BK,Culbertson JL

    更新日期:1989-02-01 00:00:00

  • The oculomotor-tentorial triangle. Part 2: a microsurgical workspace for vascular lesions in the crural and ambient cisterns.

    abstract::OBJECTIVEPathology in the region of the basilar quadrifurcation, anterolateral midbrain, medial tentorium, and interpeduncular and ambient cisterns may be accessed anteriorly via an orbitozygomatic (OZ) craniotomy. In Part 1 of this series, the authors explored the anatomy of the oculomotor-tentorial triangle (OTT). I...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2018.2.JNS173141

    authors: Mascitelli JR,Gandhi S,Tayebi Meybodi A,Lawton MT

    更新日期:2018-06-01 00:00:00

  • High-resolution in vivo imaging of peripheral nerves using optical coherence tomography: a feasibility study.

    abstract:OBJECTIVE:Because of their complex topography, long courses, and small diameters, peripheral nerves are challenging structures for radiological diagnostics. However, imaging techniques in the area of peripheral nerve diseases have undergone unexpected development in recent decades. They include MRI and high-resolution ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2019.2.JNS183542

    authors: Carolus AE,Lenz M,Hofmann M,Welp H,Schmieder K,Brenke C

    更新日期:2019-04-26 00:00:00

  • Factors affecting postoperative cerebrospinal fluid leaks after retrosigmoidal craniotomy for vestibular schwannomas.

    abstract:OBJECT:The aim of this study was to identify patients likely to develop CSF leaks after vestibular schwannoma surgery using a retrospective analysis for the identification of risk factors. METHODS:Between January 2001 and December 2006, 420 patients underwent retrosigmoidal microsurgical tumor removal in a standardize...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,评审

    doi:10.3171/2009.2.JNS081380

    authors: Stieglitz LH,Wrede KH,Gharabaghi A,Gerganov VM,Samii A,Samii M,Luedemann WO

    更新日期:2009-10-01 00:00:00

  • Anatomic variations of venous sinuses in the region of the torcular Herophili.

    abstract::In this study of 110 cranial cavities from adult cadavers, the superior sagittal sinus was found to divide into two channels. In most cases, the division was associated with a dural partition. Essentially, the variations as observed in this study could be grouped into three types: Type 1 includes those specimens in wh...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1985.62.1.0090

    authors: Bisaria KK

    更新日期:1985-01-01 00:00:00

  • Occipital neuralgia and the C1-2 arthrosis syndrome.

    abstract::Occipital neuralgia syndromes have been ascribed to a great many pathological alterations, some demonstrable and some hypothetical. Recently, occipital neuralgia has been attributed to developmental and posttraumatic lesions in the cervicocranial junction region, with the nerve roots at C-1 and C-2 considered to be th...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.61.5.0961

    authors: Ehni G,Benner B

    更新日期:1984-11-01 00:00:00

  • Cerebral sparganosis diagnosed and treated with stereotactic techniques. Report of two cases.

    abstract::Infestation of the central nervous system with sparganum, the larva of Spirometra mansoni, is rare. Only 27 cases have been reported in the literature; however, the true incidence might be underestimated. Two cases are reported that were definitively diagnosed by stereotactic biopsy techniques. Without a positive hist...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1993.78.1.0129

    authors: Tsai MD,Chang CN,Ho YS,Wang AD

    更新日期:1993-01-01 00:00:00

  • Prognostic value of globus pallidus internus volume in primary dystonia treated by deep brain stimulation.

    abstract:OBJECT:Given that improvement is variable from one patient to another, the authors analyzed the impact of globus pallidus internus (GPi) volume on the result of deep brain stimulation (DBS) by comparing highly and less improved patients with primary dystonodyskinetic syndromes. METHODS:A stereotactic model was develop...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2008.3.17433

    authors: Vasques X,Cif L,Hess O,Gavarini S,Mennessier G,Coubes P

    更新日期:2009-02-01 00:00:00

  • Outcome following aneurysm wrapping: a 10-year follow-up review of clipped and wrapped aneurysms.

    abstract::One hundred and eighty-one patients with single aneurysms involving the anterior circulation were treated either by wrapping (60 cases) or clipping (121 cases), and 96.1% of them were followed for 10 years. The rate of early rebleeding (less than 6 months) from wrapped aneurysms was 8.6% (confidence interval 1.4% to 1...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1989.70.6.0841

    authors: Todd NV,Tocher JL,Jones PA,Miller JD

    更新日期:1989-06-01 00:00:00

  • Dorsal root entry zone lesions for the treatment of post-herpetic neuralgia.

    abstract::Post-herpetic pain was treated in 12 patients using dorsal root entry zone ( DREZ ) lesions. All patients had failed to receive adequate pain relief from conservative therapy consisting of transcutaneous nerve stimulation, carbamazepine, and/or amitriptyline. Dorsal root entry zone lesions were made to include the inv...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1984.60.6.1258

    authors: Friedman AH,Nashold BS Jr,Ovelmen-Levitt J

    更新日期:1984-06-01 00:00:00

  • Gamma Knife surgery for the management of glomus tumors: a multicenter study.

    abstract:OBJECT:Glomus tumors are rare skull base neoplasms that frequently involve critical cerebrovascular structures and lower cranial nerves. Complete resection is often difficult and may increase cranial nerve deficits. Stereotactic radiosurgery has gained an increasing role in the management of glomus tumors. The authors ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章,多中心研究

    doi:10.3171/2012.4.JNS11214

    authors: Sheehan JP,Tanaka S,Link MJ,Pollock BE,Kondziolka D,Mathieu D,Duma C,Young AB,Kaufmann AM,McBride H,Weisskopf PA,Xu Z,Kano H,Yang HC,Lunsford LD

    更新日期:2012-08-01 00:00:00

  • Brainstem gangliogliomas: a retrospective series.

    abstract:OBJECT:The authors retrospectively analyzed data on brainstem gangliogliomas treated in their department and reviewed the pertinent literature to foster understanding of the preoperative characteristics, management, and clinical outcomes of this disease. METHODS:In 2006, the authors established a database of treated l...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/2013.1.JNS121323

    authors: Zhang S,Wang X,Liu X,Ju Y,Hui X

    更新日期:2013-04-01 00:00:00

  • Nonhyperemic blood flow restoration and brain edema in experimental focal cerebral ischemia.

    abstract::The effect of suppression of postischemic reactive hyperemia on the blood-brain barrier (BBB) and ischemic brain edema after temporary focal cerebral ischemia was studied in cats under ketamine and alpha-chloralose anesthesia. Regional cerebral blood flow (rCBF) was measured by a thermal diffusion method and a hydroge...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1989.70.1.0073

    authors: Kuroiwa T,Shibutani M,Okeda R

    更新日期:1989-01-01 00:00:00

  • Efficacy of chymopapain chemonucleolysis. A long-term review of 105 patients.

    abstract::A 9- to 12-year follow-up review was conducted in 105 of 124 patients who were treated with chymopapain chemonucleolysis for herniated lumbar disc. The data were obtained from responses to a questionnaire. Seventy-nine patients (75.2%) reported marked improvement, six (5.7%) had slight improvement, and 20 (19.0%) had ...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1985.62.5.0662

    authors: Javid MJ

    更新日期:1985-05-01 00:00:00

  • Cerebral revascularization to a main limb of the middle cerebral artery in the Sylvian fissure. An alternative approach to conventional anastomosis.

    abstract::Thirteen patients underwent an anastomosis of the superficial temporal artery (STA) or a saphenous vein graft to one of the secondary trunks of the middle cerebral artery (MCA). They included five patients with giant MCA trifurcation aneurysms, four patients in whom an earlier conventional STA-MCA anastomosis had beco...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1985.63.1.0021

    authors: Diaz FG,Umansky F,Mehta B,Montoya S,Dujovny M,Ausman JI,Cabezudo J

    更新日期:1985-07-01 00:00:00

  • Stenosis of the central canal of the spinal cord following inoculation of suckling hamsters with reovirus type I.

    abstract::The central canal of the human spinal cord is partially or completely occluded in the vast majority of individuals by the early years of adult life. The authors describe an experimental lesion following virus-induced ependymitis that bears a striking resemblance to the condition in man. Suckling hamsters were inoculat...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1994.81.1.0103

    authors: Milhorat TH,Kotzen RM

    更新日期:1994-07-01 00:00:00

  • Giant intracranial aneurysm and fibromuscular dysplasia in an adolescent with alpha 1-antitrypsin deficiency.

    abstract::Recent studies have suggested that a deficiency of alpha 1-antitrypsin may be a genetic risk factor for the development of intracranial aneurysms and arterial fibromuscular dysplasia. The authors report a 16-year-old girl with a history of lung disease who suffered a cerebral hemorrhage due to the rupture of a giant i...

    journal_title:Journal of neurosurgery

    pub_type: 杂志文章

    doi:10.3171/jns.1996.85.3.0503

    authors: Schievink WI,Puumala MR,Meyer FB,Raffel C,Katzmann JA,Parisi JE

    更新日期:1996-09-01 00:00:00