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1,817 Possible Causes for Approach,, Diagnostic, Disc,, Excision, Lumbar, Percutaneous, Vertebral, of

  • Hemivertebra

    416 Distal Angular Femoral Osteotomy 527 417 Distal Rotational Femoral Osteotomy using External Fixation 537 418 Distal Femoral Epiphysiodesis Phemister Technique 544 419 Percutaneous[books.google.ro] Abstract This study evaluates the effectiveness of hemivertebra excision in children via simultaneous anterior and posterior operative exposures.[ncbi.nlm.nih.gov] Abstract Dipygus or pygomelia is an incomplete form of twinning due to the incomplete division of the embryonic disc.[ncbi.nlm.nih.gov] […] stenosis between the L5 transverse process and sacral alar, whereby the L5 spinal nerve was pinched ("far-out lesion"), and an abnormal nerve root passage in the assimilated vertebral[ncbi.nlm.nih.gov] PURPOSE: To compare the results after hemivertebra resection through a single posterior approach and through a combined anterior and posterior approach.[ncbi.nlm.nih.gov] Additionally, the diagnostic value of the history and the physical examination in predicting the presence of intraspinal anomalies was determined.[ncbi.nlm.nih.gov] BACKGROUND: A single lumbar hemivertebra can be expected to cause progressive scoliosis.[ncbi.nlm.nih.gov] As two independent risk factors of postoperative coronal decompensation, preoperative LIV translation ( 15.1 mm) and postoperative LIV disc angle ( 5.5 ) should on all accounts[ncbi.nlm.nih.gov]

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  • Synovial Cyst

    Lumbar symptomatic cases are treated by percutaneous cyst aspiration with or without corticoid injection or by surgical resection, but synovial cysts at the C1-C2 level are[ncbi.nlm.nih.gov] This fact could be explained by the technical difficulties of surgical excision related to anatomical location.[ncbi.nlm.nih.gov] We describe a lumbar ventral cystic mass with cauda equina compression that mimicked a disc prolapse due to synovial metaplasia.[ncbi.nlm.nih.gov] MRI showed a 1.1-cm extradural cystic lesion with a low signal on T1 and high signal on T2-weighted images lying in the spinal canal at the L4 vertebral body level.[ncbi.nlm.nih.gov] An intradural cyst resection without fusion was performed via the anterolateral approach. The diagnosis of a synovial cyst was histologically confirmed.[ncbi.nlm.nih.gov] The medical history revealed a recent diagnostic cardiac catheterization at the same site and rheumatoid arthritis under oral treatment.[ncbi.nlm.nih.gov] KEY WORDS: Fluoroscopically guided lumbar synovial cyst rupture, lumbar synovial cyst, lumbar zygapophyseal joint cyst, nonsurgical intervention, radiculopathy, spondylosis[ncbi.nlm.nih.gov] […] resonance imaging showed a 1.1-cm extradural cystic lesion with a low signal on T1-weighted images and high signal on T2-weighted images lying in the spinal canal at the L4 vertebral[ncbi.nlm.nih.gov]

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  • Vertebral Osteomyelitis

    STUDY DESIGN: A case report of anaerobic vertebral osteomyelitis after percutaneous epidural adhesiolysis.[ncbi.nlm.nih.gov] The key to the effective treatment of Aspergillus osteomyelitis is not to excise the abscess, but to administer systemic antifungal drug therapy.[ncbi.nlm.nih.gov] PLD can be used to resect diseased discs to relieve pain quickly and to prevent herniation of lumbar discs.[ncbi.nlm.nih.gov] Vertebral osteomyelitis caused by this organism has only been reported in 21 cases over the last 75 years.[ncbi.nlm.nih.gov] […] case, to our knowledge, of a vertebral osteomyelitis caused by M. abscessus in a heart transplant recipient, and review the risk factors, manifestations, and therapeutic approaches[ncbi.nlm.nih.gov] One shortening factor is a high CRP value, which could be a useful diagnostic tool in case of back pain.[ncbi.nlm.nih.gov] MRI of the lumbar spine revealed a spondylodiscitis at L4-L5. She underwent anterior lateral approach debridement and percutaneous posterior instrumentation.[ncbi.nlm.nih.gov] The patient was successfully treated by surgical excision and antibiotic administration. Case 2 is a 68-year-old woman who presented with upper back pain.[ncbi.nlm.nih.gov]

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  • Spinal Tuberculosis

    Abstract The study aimed to investigate the efficacy of computed tomography (CT)-guided percutaneous focal catheter infusion for the treatment of spinal tuberculosis.[ncbi.nlm.nih.gov] Laminectomy and excision followed by a complete course of ATT is the usual practice. C) Intradural intramedullary involvement : Much less frequent .[thamburaj.com] Eight of these patients had noncontiguous multisegmental TB without intervertebral disc involvement.[ncbi.nlm.nih.gov] The vertebral body was normal, with no erosion or bone loss. However, bilateral pedicle and facet joint involvement was seen.[ncbi.nlm.nih.gov] (PO) approach for the treatment of CTSTB.[ncbi.nlm.nih.gov] Publication type, MeSH terms, Substance Publication type Case Reports MeSH terms Adult Antitubercular Agents/therapeutic use Diagnosis, Differential Humans Lung/diagnostic[ncbi.nlm.nih.gov] Lumbar kyphosis results in early degenerative lumbar canal stenosis and is cosmetically unacceptable.[ncbi.nlm.nih.gov] Abstract An unusual case is reported of a 53-year-old woman presenting with spinal tuberculosis involving cervical, thoracic and lumbar vertebrae.[ncbi.nlm.nih.gov]

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  • Osteoid Osteoma

    Osteoid osteoma: percutaneous resection with CT guidance. Radiology 1993 ; 188:541-547.[doi.org] OBJECTIVE: To describe a microendoscopic posterior approach for excision of an osteoid osteoma of C2.[ncbi.nlm.nih.gov] The patient was initially misdiagnosed as lumbar disc herniation for more than 10 years.[ncbi.nlm.nih.gov] In vertebral locations, conventional radiographs show increased density of the pedicle, loss of a distinct contour, or both features.[web.archive.org] A small safety and feasibility clinical trial by Yarmolenko et al found that this approach appeared to be both feasible and safe in children with painful osteoid osteoma.[emedicine.medscape.com] Osteoid osteoma may be a diagnostic and therapeutic problem. 2.[ncbi.nlm.nih.gov] He was diagnosed with lumbar spondylolysis on initial MRI and computed tomography (CT).[ncbi.nlm.nih.gov] There was one complication (case of lower limb paresthesia for 30 days after the ablation) and one possible complication (a disc herniation).[ncbi.nlm.nih.gov]

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  • Psoas Abscess

    BACKGROUND: Reports on CT-guided percutaneous drainage within the intervertebral space for pyogenic spondylodiscitis with a secondary psoas abscess are limited.[ncbi.nlm.nih.gov] At laparotomy, a large retroperitoneal cyst containing turbid fluid was found and was excised completely.[ncbi.nlm.nih.gov] STUDY DESIGN: In this article, we report a rare case of a sequestrated disc fragment in the psoas muscle, discrete from the adjacent disc space, which presented with features[ncbi.nlm.nih.gov] The diagnosis of lumbar vertebral osteomyelitis, discitis, epidural and psoas abscesses was made one month later when she was referred to our institution.[ncbi.nlm.nih.gov] […] this clinical study was to compare the outcome of posterior lumbar debridement and spinal fusion, combined with either a one-stage anteroposterior (AP) or posterior (P) approach[ncbi.nlm.nih.gov] It stresses the necessity of adequate diagnostics to initiate successful therapy.[ncbi.nlm.nih.gov] The authors present herein a rare case of posterior septic arthritis related to A aphrophilus involving lumbar spine with contiguous abscesses of psoas and paravertebral muscles[ncbi.nlm.nih.gov] Plain films of the lumbar spine showed destruction of L1-3 vertebral bodies.[clinicalcorrelations.org]

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  • Spondylolisthesis

    Here, we report 23 consecutive patients who underwent anterior lumbar interbody fusion (ALIF) with percutaneous pedicle screw fixation (PPF) for multiple-level isthmic spondylolisthesis[ncbi.nlm.nih.gov] An autograft excised from a complete posterior arch containing a facet joint for interbody fusion is effective and affordable for treating isthmic spondylolisthesis.[ncbi.nlm.nih.gov] There was no predisposing disc space narrowing at any vertebral level.[ncbi.nlm.nih.gov] Dynamic angiography confirmed partial stenosis of the right vertebral artery upon rightward head rotation.[ncbi.nlm.nih.gov] Abstract AIM: To investigate the clinical outcomes of bilateral decompression via unilateral approach (BDUA) on degenerative spondylolisthesis with spinal stenosis in patients[ncbi.nlm.nih.gov] Multivariate logistic regression analysis was performed to evaluate these parameters as a diagnostic index for DCS.[ncbi.nlm.nih.gov] The current study aimed to compare the efficacy and complications associated with the direction-changeable and traditional lumbar cages for treating lumbar spondylolisthesis.We[ncbi.nlm.nih.gov] The patients underwent anterior lumbar interbody fusion with a stand-alone cage as well as percutaneous pedicle screw fixation.[ncbi.nlm.nih.gov]

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  • Tarlov Cyst

    A percutaneous endoscopic surgical procedure to address this problem has not been described to date.[ncbi.nlm.nih.gov] CONCLUSIONS: Cyst excision is an effective and safe technique for symptomatic sacral perineural (Tarlov) cysts.[ncbi.nlm.nih.gov] Key Words: Sacral perineural cyst ; Disc herniation[doi.org] Tethered spinal cord and intramedullary teratoma at L3 vertebral level were revealed in one case ( Fig. 1 ) and tethered spinal cord with syringomyelia in the other ( Fig.[dx.doi.org] Recurrent cyst-related symptoms were managed using serial radiologically-guided injection and cerebrospinal fluid aspiration, rather than a more invasive neurosurgical approach[ncbi.nlm.nih.gov] […] this article, we report three cases of a sacral perineural cyst, causing sciatic pain, and emphasize the usefulness of CT-guided percutaneous aspiration as an important diagnostic[ncbi.nlm.nih.gov] Tarlov also introduced the knee-chest patient position to facilitate exposure and hemostasis in lumbar surgery.[ncbi.nlm.nih.gov] Myelography and magnetic resonance imaging are considered useful diagnostic techniques.[ncbi.nlm.nih.gov]

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  • Cauda Equina Syndrome

    KEYWORDS: Cauda equina syndrome; Endoscope; Lumbar disc herniation; Percutaneous discectomy[ncbi.nlm.nih.gov] Surgical excision of the cyst is the definite treatment of choice. LEVEL OF EVIDENCE: N/A.[ncbi.nlm.nih.gov] A urodynamic study of cauda equina syndrome due to lumbar disc herniation . Urol Int 1980; 35 :167–70. [ PubMed ] [ Google Scholar ][ncbi.nlm.nih.gov] CONCLUSION: Steel bar penetrating injury of rectum and vertebral body can be severe and cause complex injuries.[ncbi.nlm.nih.gov] Surgical outcome immediately and 3, 6, 12, 36 months after the surgery were compared to evaluate the effectiveness two different approaches.[ncbi.nlm.nih.gov] BACKGROUND CONTEXT: Percutaneous intradiscal therapies are gaining popularity as a regenerative treatment option for spinal disc degeneration.[ncbi.nlm.nih.gov] All patients had a fenestration at the affected level and site, and the disk fragments were excised and the disk space cleared.[ncbi.nlm.nih.gov] The aim of this study is to describe a case of low back pain in a child due to a vertebral hemangioma complicated with acute cauda equina syndrome, and performed a literature[ncbi.nlm.nih.gov]

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  • Herniated Disc

    Therapeutic armamentarium for symptomatic intervertebral disc herniation includes conservative therapy, epidural infiltrations (interlaminar or trans-foraminal), percutaneous[ncbi.nlm.nih.gov] Gas aspiration should be considered, but excision of the gas-containing herniated disc should be performed in patients with neurological deficits, frequent recurrence, or[ncbi.nlm.nih.gov] Disc herniation is also known as prolapsed disc or ruptured disc.[symptoma.com] […] and X-rays of the lumbar spine has enabled us to clarify the connections of the lumbar spinal nerves at their emergence from the intervertebral foramen and in the lateral vertebral[ncbi.nlm.nih.gov] […] strategy for circumferentially decompressing the T10 -L1 spinal canal when impinged upon by single level hard thoracic herniated disc (HTHD) via a modified costotransversectomy approach[ncbi.nlm.nih.gov] Biologic events underlying the diagnostic methods used in evaluating disorders of the intervertebral disc are presented.[ncbi.nlm.nih.gov] There is no evidence to support the management of lumbar disc herniation and derangement using mechanical traction combined with lumbar extension exercises.[ncbi.nlm.nih.gov] After an adequate surgical field was obtained with a microscope and a Casper retractor, the discal cyst could be excised and satisfactory decompression of the adjacent nerve[ncbi.nlm.nih.gov]

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