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Full-Text Articles in Medicine and Health Sciences
Surgical Management Of Juxtafacet Cysts, Hosam Habib
Surgical Management Of Juxtafacet Cysts, Hosam Habib
Advanced Spine Journal
Background Data: Synovial cysts occur most frequently in the lumbar spine (88-99%). They are viewed as regenerative changes that are associated with hypermobility and instability of a motion segment as seen with spondylolisthesis and facet joint instability and facet degeneration. There is extensive controversy regarding the definition, prevalence, pathogenesis, risk factors, and most importantly, treatment options for synovial cysts management. Purpose: To assess the outcome of various surgical procedures done for the treatment of lumbar juxtafacet cysts.Study Design: Retrospective clinical case study. Patients and Methods: The data of 26 patients (17 males and 9 females) who underwent surgery for lumbar …
Predictive Factors Of Efficacy Of Transforamenal Epidural Steroid Injection For Patients With Lumbar Discogenic Radiculopathy In Neurosurgery Department, Hassan Al-Shatoury, Ali Khedr, Ali Abou- Madawi,, Medhat Marzouk
Predictive Factors Of Efficacy Of Transforamenal Epidural Steroid Injection For Patients With Lumbar Discogenic Radiculopathy In Neurosurgery Department, Hassan Al-Shatoury, Ali Khedr, Ali Abou- Madawi,, Medhat Marzouk
Advanced Spine Journal
Background Data: Transforaminal Epidural Steroid Injection is one of the nonsurgical treatment methods for sciatic pain. The clinical outcome and predictive factors that affect its results are still under debate.Purpose: The purpose of this study is to evaluate the results of transforaminal epidural steroid injection and identify factors for predicting success. Study Design: A descriptive analytic cross sectional prospective study involving 45patients with lumbar radiculopathy. Patients and Methods: Forty-Five patients with lumbar radiculopathy wereprospectively followed up at 2 weeks and 6 months after Transforaminal Epidural Steroid Injection. The intensity of radicular pain was scored on the Visual Analog Scale (VAS). …
Sagittal Balance Improvement In Surgical Treatment Of Low- Grade Isthmic Lumbosacral Spondylolisthesis, Samir El-Ghandour, Mohamed Radwan, Hassan Alshatoury
Sagittal Balance Improvement In Surgical Treatment Of Low- Grade Isthmic Lumbosacral Spondylolisthesis, Samir El-Ghandour, Mohamed Radwan, Hassan Alshatoury
Advanced Spine Journal
Background Data: The role of surgical correction of sagittal plane deformity in cases of lytic spondylolisthesis is essential. While evidence is emerging of the possible short- and long-term benefits of restoring spinal balance, some surgeonshave been concerned about the associated risks especially if instrumentation has to be used for reduction of the slipping.Purpose: To evaluate the Sagittal Balance improvement in surgical Treated Lowgrade Isthmic Lumbosacral Spondylolisthesis Study Design: Prospective clinical case study Patients and Methods: Twenty two patients with low-grades (<50%) of isthmic spondylolisthesis of lumbosacral junction (L5-S1) were managed by a surgical intervention aiming for correction of the deformity even with partial reduction of the slipping. Sagittal alignment at the lumbosacral junction was tried to be achieved by appropriate positioning of the patient during the surgery and by rod contouring. Posterior decompression of nerve structures by laminectomy in conjunction with posterior instrumented fusion from L5 to sacrum were also done. They were fourteen females and eight males with a mean age of 40.45 years. The mean follow up period was 20 months. Results: All patients achieved satisfactory results as regards the back pain, radicular pain and neurologic deficits. The mean preoperative estimated values of slip percentage, L1-S1 lordosis, sacral inclination angle and lumbosacral kyphosis were 30.2%, 48.8°, 46.04°, and 35°. The mean reconstructed values were 25%, 34.9°, 36.86°, and 28° postoperative. Pelvic version improved in patients with unbalanced spondylolisthesis as evidenced by decreased sacral slope [from 46.04 degrees to 36.86 degrees] (P<0.5). All patients could return to their normal activities of daily living.Conclusion: This study suggests that, the described technique can yield satisfactory clinical outcomes and substantial deformity correction using single posterior approach with proper patient position before surgery. (2013ESJ040)
Reduction Of Lumbar Spondylolisthesis, Surgical Technique And Clinical Outcome., Mohamed Eshra
Reduction Of Lumbar Spondylolisthesis, Surgical Technique And Clinical Outcome., Mohamed Eshra
Advanced Spine Journal
Background Data: Reduction of the slipped vertebrae as a part of surgical approach is now attempted. In the current literature, the studies have paid attention to the surgical reduction of the slippage or in situ spinal fixationtechnique. These studies have a lack of comparison between these variable techniques. Purpose: To define the role and benefits of reduction and stabilization of lumbar spondylolisthesis. Study Design: A retrospective clinical case study.Patients and Methods: 24 patients with low grade isthmic lumbar spondylolisthesis between January 2008 and June 2010 were enrolled for this study. Patients were treated by slip reduction, interbody fusion with or …
Posterior Lumbar Interbody Fusion (Plif) Augmented With Pedicle Screw Fixation Versus Plif Augmented With Percutaneous Pedicle Screw Fixation In Low Grade Lumbar Spondylolisthesis, Esam Elkhatib,
Advanced Spine Journal
Background Data: The optimal treatment for patients with Spondylolisthesis has been the subject of many recent studies which provide some of the best evidence for lumbar spinal fusion. Purpose: Compare the clinical and radiological outcome of treating low grade lumbar spondylolisthesis patients with PLIF augmented with PSF versus those treated with PLIF augmented with Percutaneous PSF. Study Design: This is a prospective comparative clinical case study.Patients and Methods: Seventeen patients with low grade spondylolisthesis who underwent instrumented fixation were retrospectively analyzed from the period of 2011 to 2012. A PLIF and PSF (Group A) was performed in 9 patients, andPLIF …
Adjacent Segment Degeneration (Asd) Following Lumber Arthrodesis; Risk Factors And Management., Mohammed Eshra
Adjacent Segment Degeneration (Asd) Following Lumber Arthrodesis; Risk Factors And Management., Mohammed Eshra
Advanced Spine Journal
Background Data: Spinal bony fusion is considered to be a good method for treating deformity, trauma, and degenerative lesions. Fusion rates have a good outcome due to improvements in instrumented fixation and bone graft sources. In contrast, numerous complications of fusion surgery may occur and are considered as the predisposing factors for clinical failure after instrumented lumbar fusion. Adjacent segment disease after lumbar spine fusion has been found to occur nowadays with a variable incidence. The risk factors for ASD have not been precisely documented.Purpose: To identify the possible risk factors responsible for adjacent segment affection following lumbosacral fixation and …
Comparison Between Computed Tomography & Fluoroscopy Guided Facet Joint Block In Lumbar Spine, Hassan Al-Shatoury, Mohammad Al-Shatouri, Samir Alghandour
Comparison Between Computed Tomography & Fluoroscopy Guided Facet Joint Block In Lumbar Spine, Hassan Al-Shatoury, Mohammad Al-Shatouri, Samir Alghandour
Advanced Spine Journal
Background Data: Facet joint disorders are main source of chronic low back pain with a prevalence of 16.7%. Facet joint block is performed for diagnostic or therapeutic purposes and generally is carried out under computed tomograpy(CT) or fluoroscopy. Facet joint block is the gold standard in diagnosis of facet joint syndrome. It can also relief pain for up to 6 months. Purpose: To identify which imaging modality (CT or fluoroscopy) is more suitable to guide the procedure of lumbar facet joint block, and results in better relieve of symptoms.Study Design: Prospective analytic clinical case study.Patients and Methods: Sixty eight lumbar …
Lumbar Herniated Degenerated Disc: Simple Discectomy Or Fusion?, Alaa Abou-Shousha
Lumbar Herniated Degenerated Disc: Simple Discectomy Or Fusion?, Alaa Abou-Shousha
Advanced Spine Journal
Background Data: Low back pain is estimated to occur in 84% of individuals at some point of their life. Lumbar disc degeneration is one of the most common finding in the work up of low back pain. Mechanical, nutritional, and genetic factors may play a role in the pathogenesis of disc degeneration. The etiology of back pain in degenerated discis a complex process, and appears to be a combination of mechanical deformation and the release of inflammatory mediators. Being a recently highlighted illness, still there is a great controversy concerning the surgical treatment of degenerated lumbar disc hernia. Study Design: …
Post-Operative Complications In Patients Older Than 60 Years Old With Lumbar Stenosis After Spinal Decompressive Surgery, Esam Elkhatib
Post-Operative Complications In Patients Older Than 60 Years Old With Lumbar Stenosis After Spinal Decompressive Surgery, Esam Elkhatib
Advanced Spine Journal
Background Data: Morbidity and mortality tend to increase with advancing in age, surgical interference and its outcome may be influenced by age. In elderly stenotic canal decompressive surgery outcome is affected by age.Purpose: To assess complications in patients older than 60 years old with lumbar canal stenosis after spinal decompressive surgery. Study Design: This is a retrospective clinical case study. Patients and Methods: All postoperative complications of patients with spinal canal stenosis older than 60 years old who went through spinal decompressive surgery were reviewed and evaluated using the Charlson Weighted Index. Fifty-five patients treated between 2004 and 2010 were …