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[PMID]:29443791
[Au] Autor:Zhang H; Jiang Y; Wang B; Zhao Q; He S; Hao D
[Ad] Endereço:Department of Spine Surgery.
[Ti] Título:Direction-changeable lumbar cage versus traditional lumbar cage for treating lumbar spondylolisthesis: A retrospective study.
[So] Source:Medicine (Baltimore);97(7):e9984, 2018 Feb.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Despite the diverse designs for the lumbar interbody fusion cage, there is no consensus on the optimal design to date. The current study aimed to compare the efficacy and complications associated with the direction-changeable and traditional lumbar cages for treating lumbar spondylolisthesis.We conducted a retrospective study including 109 patients with lumbar spondylolisthesis, who were admitted to our hospital from January 2013 to December 2014. The patients were divided into the direction-changeable (group A) and traditional (group B) lumbar cage group.All patients underwent single-level transforaminal lumbar interbody fusion and were followed up for 12 to 24 months. There were 52 cases in group A and 57 cases in group B. Surgery-related parameters, including operation time, bleeding volume, and hospitalization time, were recorded; there was no significant difference between the 2 groups regarding these parameters. The visual analog scale and Oswestry disability index at the last follow-up showed significant improvement compared with preoperative values in both groups (P < .05). Patients in group A demonstrated more intervertebral space height maintenance postoperatively than patients in group B but the difference was not statistically significant (P > .05). In group A, complications included 3 cases of nonunion (5.77%) and 1 case of cerebrospinal fluid leakage (1.92%). In group B, complications included 9 cases of nonunion (15.79%) and 1 case of postoperative infection (1.75%). There was a significant difference between both groups in terms of the nonunion rate and total complication rate (P < .05).The direction-changeable lumbar cage has merits such as a higher bone fusion rate and fewer postoperative complications compared to the traditional lumbar cage.
[Mh] Termos MeSH primário: Fusão Vertebral/instrumentação
Espondilolistese/cirurgia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Tempo de Internação
Masculino
Meia-Idade
Duração da Cirurgia
Complicações Pós-Operatórias
Estudos Retrospectivos
Fusão Vertebral/efeitos adversos
Fusão Vertebral/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009984


  2 / 3779 MEDLINE  
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[PMID]:29180614
[Au] Autor:Özdogan S; Kaya M; Demirel N; Düzkalir AH; Yaltirik CK
[Ad] Endereço:Department of Neurosurgery, Istanbul Training and Research Hospital, Istanbul, Turkey.
[Ti] Título:Isolated C5 Vertebrae Dislocation with Trauma: An Extremely Rare Case of Isolated C5 Dislocation.
[So] Source:Am J Case Rep;18:1256-1260, 2017 Nov 28.
[Is] ISSN:1941-5923
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND Total spondylolisthesis, or dislocation of 1 cervical vertebrae, is only caused by high-energy trauma and is usually fatal. Cervical spine fractures and dislocations often cause 3-column structural damage to the cervical spine, injury to the spinal cord, and precipitating alignment of the cervical vertebrae, as well as cervical instability, which are detrimental, show poor prognosis, and are associated with high rates of mortality rate and disability. CASE REPORT We report an extremely rare case of isolated C5 dislocation caused by falling out of a tree, with sudden tetraplegia. CONCLUSIONS Total spondylolisthesis or dislocation of 1 cervical vertebrae can be surgically treated with anterior approach because it is possible to completely remove the vertebra body, intervertebral disc, and bone fragments, to directly decompress the spinal cord with stabilization.
[Mh] Termos MeSH primário: Acidentes por Quedas
Vértebras Cervicais/lesões
Espondilolistese/etiologia
[Mh] Termos MeSH secundário: Adulto
Vértebras Cervicais/diagnóstico por imagem
Feminino
Seres Humanos
Quadriplegia/etiologia
Espondilolistese/diagnóstico por imagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180109
[Lr] Data última revisão:
180109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


  3 / 3779 MEDLINE  
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[PMID]:29182113
[Au] Autor:Li X; Xu L; Kong Q
[Ti] Título:Fusion-segment of high-grade Lumbar Spondylolisthesis: 2-year follow-up.
[So] Source:Acta Orthop Belg;82(4):730-736, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:The clinical efficacy of reduction and fusion surgery and the suitable range of fusion-segment were evaluated in 12 pediatric patients treated for high-grade spondylolisthesis. Pre/post-operative clinical and radiological assessments were analyzed. A transient L5 nerve root paralysis was observed in one patient with L5 spondylolisthesis. No degenerative spondylolisthesis or adjacent segmental instability occurred above the fusion segments. In conclusion, we suggest that, in case of spondylolisthesis without severe structural scoliosis deformity or only associated with lumbosacral deformity, the posterior ligament complex should be protected in case of adjacent segmental instability and spondylolisthesis. If the spondylolisthesis is complicated with severe structural scoliosis deformity (Cobb ≥ 70°), in principle, the treatment should be performed according to the characteristics of the two diseases respectively.
[Mh] Termos MeSH primário: Vértebras Lombares/cirurgia
Fusão Vertebral/métodos
Espondilolistese/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Transplante Ósseo
Criança
Descompressão Cirúrgica
Feminino
Seguimentos
Seres Humanos
Imagem por Ressonância Magnética
Masculino
Complicações Pós-Operatórias/epidemiologia
Radiculopatia/epidemiologia
Remissão Espontânea
Índice de Gravidade de Doença
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:29069048
[Au] Autor:Kong L; Tian W; Cao P; Wang H; Zhang B; Shen Y
[Ad] Endereço:Department of Orthopedics, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, P.R. China.
[Ti] Título:Predictive factors associated with neck pain in patients with cervical disc degeneration: A cross-sectional study focusing on Modic changes.
[So] Source:Medicine (Baltimore);96(43):e8447, 2017 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The predictive factors associated with neck pain remain unclear. We conducted a cross-sectional study to assess predictive factors, especially Modic changes (MCs), associated with the intensity and duration of neck pain in patients with cervical disc degenerative disease.We retrospectively reviewed patients in our hospital from January 2013 to December 2016. Severe neck pain (SNP) and persistent neck pain (PNP) were the 2 main outcomes, and were assessed based on the numerical rating scale (NRS). Basic data, and also imaging data, were collected and analyzed as potential predictive factors. Univariate analysis and multiple logistic regression analysis were performed to assess the predictive factors for neck pain.In all, 381 patients (193 males and 188 females) with cervical degenerative disease were included in our study. The number of patients with SNP and PNP were 94 (24.67%) and 109 (28.61%), respectively. The NRS of neck pain in patients with type 1 MCs was significantly higher than type 2 MCs (4.8 ±â€Š0.9 vs 3.9 ±â€Š1.1; P = .004). The multivariate logistic analysis showed that kyphosis curvature (odds ratio [OR] 1.082, 95% confidence interval [CI] 1.044-1.112), spondylolisthesis (OR 1.339, 95% CI 1.226-1.462), and annular tear (OR 1.188, 95% CI 1.021-1.382) were factors associated with SNP, whereas kyphosis curvature (OR 1.568, 95% CI 1.022-2.394), spondylolisthesis (OR 1.486, 95% CI 1.082-2.041), and MCs (OR 1.152, 95% CI 1.074-1.234) were associated with PNP.We concluded that kyphosis curvature, spondylolisthesis, and annular tear are associated with SNP, whereas kyphosis curvature, spondylolisthesis, and MCs are associated with PNP. This study supports the view that MCs can lead to a long duration of neck pain.
[Mh] Termos MeSH primário: Vértebras Cervicais
Degeneração do Disco Intervertebral/complicações
Cervicalgia/etiologia
[Mh] Termos MeSH secundário: Adulto
Fenômenos Biomecânicos
Estudos Transversais
Feminino
Seres Humanos
Cifose/complicações
Modelos Logísticos
Lordose/complicações
Masculino
Meia-Idade
Análise Multivariada
Medição da Dor
Estudos Retrospectivos
Fatores de Risco
Doenças da Coluna Vertebral/complicações
Espondilolistese/complicações
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171123
[Lr] Data última revisão:
171123
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171026
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008447


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[PMID]:28906383
[Au] Autor:Zhang D; Mao K; Qiang X
[Ad] Endereço:aPuyang Oilfield General Hospital, Puyang bDepartment of Orthopaedics, Chinese PLA General Hospital (301 Hospital), Beijing, PR China.
[Ti] Título:Comparing minimally invasive transforaminal lumbar interbody fusion and posterior lumbar interbody fusion for spondylolisthesis: A STROBE-compliant observational study.
[So] Source:Medicine (Baltimore);96(37):e8011, 2017 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Although spondylolisthesis was traditionally treated with posterior lumbar interbody fusion (PLIF), minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) was recently proposed as an alternative treatment for spondylolisthesis. However, no studies have focused on the comparison of these 2 techniques' outcome on spondylolisthesis.The operative reports and perioperative data of patients who underwent single-level primary open PLIF (n = 29) and MIS-TLIF (n = 26) for I/II spondylolisthesis were retrospectively evaluated. Patients' demographics, operative blood loss, hospital length of stay, creatine kinase (CK) level, radiographic fusion, complications, and patient-reported outcomes were evaluated. Radiographic fusion was assessed using the Bridwell grading criteria. Preoperative and postoperative patient-reported outcomes included the visual analog scale (VAS) and Oswestry Disability Index (ODI).Average follow-up was 28 ±â€Š3.6 months (range 24-32 months). Bed rest time, hospital stay, estimated blood loss, and operative time in the MIS-TLIF group were significantly lower than those in the PLIF group (P < .05). The 3-month postoperative ODI and VAS in the MIS-TLIF group were significantly better than the PLIF group (P < .05). However, at the time of the last follow-up, both groups had similar ODI scores and complication, slip reduction, and spinal fusion rates (P > .05).Compared with PLIF, MIS-TLIF for grade I/II spondylolisthesis can achieve similar reduction and fusion results with better short-term quality of life, shorter hospital stays, less estimated blood loss, and shorter operative times.
[Mh] Termos MeSH primário: Vértebras Lombares
Fusão Vertebral/métodos
Espondilolistese/cirurgia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Masculino
Meia-Idade
Procedimentos Cirúrgicos Minimamente Invasivos
Estudos Retrospectivos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170915
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008011


  6 / 3779 MEDLINE  
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[PMID]:28816975
[Au] Autor:Li H; Wang H; Zhu Y; Ding W; Wang Q
[Ad] Endereço:aDepartment of Spine Surgery, the Halison International Peace Hospital, Hengshui bDepartment of Spine Surgery, The Third Hospital of HeBei Medical University cHebei Medical University dFinancial Statistics Department, The Third Hospital of HeBei Medical University, Shijiazhuang, China.
[Ti] Título:Incidence and risk factors of posterior cage migration following decompression and instrumented fusion for degenerative lumbar disorders.
[So] Source:Medicine (Baltimore);96(33):e7804, 2017 Aug.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to explore the incidence and risk factors for posterior cage migration (PCM) following decompression and instrumented fusion for degenerative lumbar disorders, and hope to provide references in decision making and surgical planning for spine surgeons.By retrieving the medical records from January 2011 to December 2015, 286 patients were retrospectively reviewed. According to the occurrence of PCM, patients were divided into 2 groups: PCM group and non-PCM (N-PCM). To investigate risk values for PCM, 3 categorized factors were analyzed statistically: patient characteristics: age, sex, body mass index, bone mineral density, duration of disease, diagnosis, comorbidity, smoke; surgical variables: surgery time, blood loss, surgical strategy, cage morphology, cage size, surgical segment, fusion number, source of bone graft, surgeon experience; radiographic parameters: preoperative lumbar lordosis, correction of lumbar lordosis, preoperative lumbar mobility, preoperative intervertebral height, change of intervertebral height, Modic changes, paraspinal muscle degeneration.PCM was detected in 18 of 286 patients (6.3%) at follow-up. There was no statistically significant difference between the 2 groups in patient characteristics, except diagnosis, as lumbar spondylolisthesis was more prevalent in PCM group than that in N-PCM group. There was no difference between the 2 groups in surgical variables, except cage size and surgeon experience, as size of cage was smaller in PCM group than that in N-PCM group, and the surgeons with less experience (less than 3 years) were more prevalent in PCM group than that in N-PCM group. There was no statistically significant difference between 2 groups in radiographic parameters. Logistic regression model revealed that less than 3 years of surgeons' experience, small cage size, and lumbar spondylolisthesis were independently associated with PCM.For patients with lumbar spondylolisthesis, they should be fully informed about the risk of PCM before operation. While for spinal surgeons, large cage should be preferred, and careful manipulation should be adopted, especially for new learners with less than 3-year experience of fusion surgery.
[Mh] Termos MeSH primário: Descompressão Cirúrgica/métodos
Migração de Corpo Estranho/epidemiologia
Fixadores Internos/efeitos adversos
Vértebras Lombares/cirurgia
Doenças da Coluna Vertebral/cirurgia
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Índice de Massa Corporal
Densidade Óssea
Feminino
Seres Humanos
Incidência
Masculino
Meia-Idade
Duração da Cirurgia
Estudos Retrospectivos
Fatores de Risco
Fatores Sexuais
Espondilolistese/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170818
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007804


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[PMID]:28655085
[Au] Autor:Cui GY; Tian W; He D; Xing YG; Liu B; Yuan Q; Wang YQ; Sun YQ
[Ad] Endereço:Department of Spinal Surgery, Beijing Jishuitan Hospital, Fourth Medical College of Peking University, Beijing 100035, China.
[Ti] Título:[Effects of robot-assisted minimally invasive transforaminal lumbar interbody fusion and traditional open surgery in the treatment of lumbar spondylolisthesis].
[So] Source:Zhonghua Wai Ke Za Zhi;55(7):543-548, 2017 Jul 01.
[Is] ISSN:0529-5815
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:To compare the clinical effects of robot-assisted minimally invasive transforaminal lumbar interbody fusion (TLIF) and traditional open TLIF in the treatment of lumbar spondylolisthesis. A total of 41 patients with lumbar spondylolisthesis accepted surgical treatment in Department of Spinal Surgery of Beijing Jishuitan Hospital From July 2015 to April 2016 were retrospectively analyzed. There were 16 cases accepted robot-assisted minimally invasive TLIF and 25 accepted traditional open TLIF. The operation time, X-ray radiation exposure time, perioperative bleeding, drainage volume, time of hospitalization, time for pain relief, time for ambulatory recovery, visual analogue scale (VAS), Oswestry disability index (ODI) and complications were compared. test and χ(2) were used to analyze data. There were no significant difference in gender, age, numbers, degrees, pre-operative VAS and ODI in spondylolisthesis (all >0.05). Compared with traditional open TLIF group, the robot-assisted minimally invasive TLIF group had less perioperative bleeding ((187.5±18.4) ml . (332.1±23.5) ml), less drainage volume ((103.1±15.6) ml . (261.3±19.8) ml), shorter hospitalization ((7.8±1.9) days . (10.0±1.6) days), shorter time for pain relief ((2.8±1.0) days . (5.2±1.1) days), shorter time for ambulatory recovery ((1.7±0.9) days . (2.9±1.3) days) and less VAS of the third day postoperatively (2.2±0.9 . 4.2±2.4) ( =2.762-16.738, all <0.05), but need more operation time ((151.3±12.3) minutes . (102.2±7.1) minutes) and more X-ray radiation exposure ((26.1±3.3) seconds . (5.5±2.1) seconds) ( =6.125, 15.168, both <0.01). In both groups ODI was significantly lower in final follow-up than that of the pre-operation ( =12.215, 14.036, <0.01). Intervertebral disc height of the final follow-up in both groups were significantly larger than that of the preoperation (robot-assisted minimally invasive TLIF group: (11.8 ± 2.8) mm . (7.5 ± 1.9) mm, traditional open TLIF group: (12.7 ± 2.5) mm . (7.9±2.0) mm), and so was the lumbar lordosis angle (robot-assisted minimally invasive TLIF group: (48.7±9.2)° . (39.6±7.9)°, traditional open TLIF group: (50.1±10.8)° . (41.4±8.8)°), the lordosis angle of the slippage segment (robot-assisted minimally invasive TLIF group: (18.7±5.6)° . (10.9±3.8)°, traditional open TLIF group: (17.6±6.1)° .(8.7±3.2)°) ( =4.128-16.738, all <0.01). Slippage rate of the final follow-up in both groups were significantly smaller than those of the pre-operation (robot-assisted minimally invasive TLIF group: (5.3±2.3) % . (27.8±7.2) %, traditional open TLIF group: (6.6±2.8) % . (29.1±9.5) %) ( =11.410, 18.504, both <0.01). There was no difference of the upper data between two groups ( =0.106-1.227, >0.05). The results of the post-operative CT showed that the pedicle screws in the robot-assisted minimally invasive TLIF group were more precisely placed than traditional open TLIF group (χ(2)=4.247, =0.039). The mean follow-up time was 8 months (ranging from 3 to 12 months). There were no significant difference in outcomes between the two groups (χ(2)=0.366, =0.545). In the treatment of lumbar spondylolisthesis, Robot-assisted minimally invasive TLIF can lead to less perioperative bleeding, less post-operative pain, and quicker recovery than traditional open TLIF surgery, but it needs more operation time and radiation exposure.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos Robóticos
Fusão Vertebral
Espondilolistese/cirurgia
[Mh] Termos MeSH secundário: Drenagem
Seres Humanos
Lordose
Vértebras Lombares
Região Lombossacral
Meia-Idade
Procedimentos Cirúrgicos Minimamente Invasivos
Procedimentos Neurocirúrgicos
Duração da Cirurgia
Medição da Dor
Parafusos Pediculares
Período Pós-Operatório
Estudos Retrospectivos
Robótica
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170807
[Lr] Data última revisão:
170807
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170628
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.0529-5815.2017.07.013


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[PMID]:28602928
[Au] Autor:Lee CW; Yoon KJ; Ha SS
[Ad] Endereço:Department of Neurosurgery, St. Peter's Hospital, Seoul, Korea. Electronic address: mannitol240@gmail.com.
[Ti] Título:Which Approach Is Advantageous to Preventing Development of Adjacent Segment Disease? Comparative Analysis of 3 Different Lumbar Interbody Fusion Techniques (ALIF, LLIF, and PLIF) in L4-5 Spondylolisthesis.
[So] Source:World Neurosurg;105:612-622, 2017 Sep.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The purpose of this study was to compare radiologic and clinical outcomes in patients with L4-5 lumbar spondylolisthesis who have undergone either instrumented anterior lumbar interbody fusion (ALIF), lateral lumbar interbody fusion (LLIF), or posterior lumbar interbody fusion (PLIF), especially with regard to the development of adjacent segment disease (ASD). METHODS: Eighty-two patients with preoperative L4-5 spondylolisthesis and minimal ASD who underwent instrumented L4-5 fusion were divided into 3 groups according to the surgical approach used for treatment (ALIF: 27 patients, LLIF: 24 patients, PLIF: 31 patients). Radiographic measurements including preoperative and postoperative foraminal and disk height, segmental and lumbar lordosis, percentage of vertebral slippage, and reduction rate were reviewed. The incidence of ASD and clinical outcomes were evaluated and compared between the 3 groups. RESULTS: ASD was found in 37.0% (10/27), 41.7% (10/24), and 64.5% (20/31) of the patients in the ALIF, LLIF, and PLIF groups, respectively (mean follow-up duration: 35.42 ± 9.35 months). The ALIF and LLIF groups had significantly increased disk and foraminal height compared with the PLIF group. The ALIF group had significantly improved lordosis compared with the PLIF and LLIF groups. There were no statistically significant intergroup differences in clinical outcomes assessed by visual analog scale and Oswestry Disability Index. CONCLUSION: The 3 different fusion techniques investigated can all produce good outcomes in treating lumbar spondylolisthesis in L4-5, but ALIF and LLIF are more advantageous in preventing the development of ASD.
[Mh] Termos MeSH primário: Vértebras Lombares/cirurgia
Complicações Pós-Operatórias/prevenção & controle
Fusão Vertebral/métodos
Espondilolistese/cirurgia
[Mh] Termos MeSH secundário: Idoso
Feminino
Seguimentos
Seres Humanos
Vértebras Lombares/diagnóstico por imagem
Masculino
Meia-Idade
Complicações Pós-Operatórias/diagnóstico por imagem
Fusão Vertebral/instrumentação
Espondilolistese/diagnóstico por imagem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170613
[St] Status:MEDLINE


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[PMID]:28549642
[Au] Autor:Eroglu A; Çarli BA; Pusat S; Simsek H
[Ad] Endereço:Department of Neurosurgery, Haydarpasa Sultan Abdülhamid Education and Research Hospital, Istanbul, Turkey. Electronic address: drahmeteroglu@gmail.com.
[Ti] Título:The Role of the Features of Facet Joint Angle in the Development of Isthmic Spondylolisthesis in Young Male Patients with L5-S1 Isthmic Spondylolisthesis.
[So] Source:World Neurosurg;104:709-712, 2017 Aug.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate facet tropism and its role in development of lumbar isthmic spondylolisthesis (IS) in young men. METHODS: From March 2013 to May 2016, bilateral facet joint angles were measured axially at L3-4, L4-5, and L5-S1 on lumbar computed tomography (CT) in 97 participants (46 patients with IS and 51 control subjects) 20-29 years old. A difference between the 2 corresponding facet angles of <6° was classified as no tropism; a difference of 6°-12°, moderate tropism; and a difference of >12°, severe tropism. RESULTS: We measured 276 facet angles from 46 patients with IS and 306 facet angles from 51 control subjects. For patients with IS, there was no tropism in 43.5% (n = 20), moderate tropism in 50% (n = 23), and severe tropism in 6.5% (n = 3) at L3-4. For L4-5, there was no tropism in 28.3% (n = 13), moderate tropism in 60.9% (n = 28), and severe tropism in 10.9% (n = 5). For L5-S1, there was no tropism in 32.6% (n = 15), moderate tropism in 39.1% (n = 18), and severe tropism in 28.3% (n = 13). For the control group, there was no tropism in 86.3% (n = 44), moderate tropism in 13.7% (n = 7), and no severe tropism at L3-4. For L4-5, there was no tropism in 80.4% (n = 41), moderate tropism in 17.6% (n = 9), and severe tropism in 1.9% (n = 1). For L5-S1, there was no tropism in 68.6% (n = 35), moderate tropism in 29.4% (n = 15), and severe tropism in 1.9% (n = 1). CONCLUSIONS: Facet angle tropism is seen in a high proportion of patients with IS and seems to be a predisposing factor in the etiology of IS.
[Mh] Termos MeSH primário: Vértebras Lombares/fisiopatologia
Sacro/fisiopatologia
Espondilolistese/fisiopatologia
Articulação Zigapofisária/fisiopatologia
[Mh] Termos MeSH secundário: Adulto
Causalidade
Seres Humanos
Vértebras Lombares/diagnóstico por imagem
Masculino
Valores de Referência
Fatores de Risco
Sacro/diagnóstico por imagem
Espondilolistese/diagnóstico por imagem
Espondilolistese/epidemiologia
Tomografia Computadorizada por Raios X
Adulto Jovem
Articulação Zigapofisária/diagnóstico por imagem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170528
[St] Status:MEDLINE


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[PMID]:28427985
[Au] Autor:Lee HJ; Kim JS; Ryu KS; Park CK
[Ad] Endereço:Department of Neurosurgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
[Ti] Título:Ureter Injury as a Complication of Oblique Lumbar Interbody Fusion.
[So] Source:World Neurosurg;102:693.e7-693.e14, 2017 Jun.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Oblique lumbar interbody fusion is a commonly used surgical method of achieving lumbar interbody fusion. There have been some reports about complications of oblique lumbar interbody fusion at the L2-L3 level. However, to our knowledge, there have been no reports about ureter injury during oblique lumbar interbody fusion. We report a case of ureter injury during oblique lumbar interbody fusion to share our experience. CASE DESCRIPTION: A 78-year-old male patient presented with a history of lower back pain and neurogenic intermittent claudication. He was diagnosed with spinal stenosis at L2-L3, L4-L5 level and spondylolisthesis at L4-L5 level. Symptoms were not improved after several months of medical treatments. Then, oblique lumbar interbody fusion was performed at L2-L3, L4-L5 level. During the surgery, anesthesiologist noticed hematuria. A retrourethrogram was performed immediately by urologist, and ureter injury was found. Ureteroureterostomy and double-J catheter insertion were performed. The patient was discharged 2 weeks after surgery without urologic or neurologic complications. At 2 months after surgery, an intravenous pyelogram was performed, which showed an intact ureter. CONCLUSIONS: Our study shows that a low threshold of suspicion of ureter injury and careful manipulation of retroperitoneal fat can be helpful to prevent ureter injury during oblique lumbar interbody fusion at the upper level.
[Mh] Termos MeSH primário: Fusão Vertebral/efeitos adversos
Estenose Espinal/cirurgia
Espondilolistese/cirurgia
Ureter/lesões
[Mh] Termos MeSH secundário: Idoso
Hematúria/etiologia
Seres Humanos
Claudicação Intermitente/etiologia
Claudicação Intermitente/cirurgia
Complicações Intraoperatórias/etiologia
Dor Lombar/etiologia
Dor Lombar/cirurgia
Imagem por Ressonância Magnética
Masculino
Espondilolistese/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170422
[St] Status:MEDLINE



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