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Outcomes of epidural steroids following percutaneous transforaminal endoscopic discectomy: a meta-analysis and systematic review

Song Y, Li C, Guan J, Li C, Wu H, Cheng X, Ling B, Zhang J

Background: Percutaneous transforaminal endoscopic discectomy (PTED) has been widely used in the treatment of lumbar degenerative diseases. Epidural injection of steroids can reduce the incidence and duration of postoperative pain...
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Influence of Lumbar Lordosis on Posterior Rod Strain in Long-Segment Construct During Biomechanical Loading: A Cadaveric Study

de Andrada Pereira B, Sawa AG, Godzik J, Lehrman JN, Uribe JS, Turner JD, Kelly BP

Objective: The lordotic shape of the lumbar spine differs substantially between individuals. Measuring and recording strain during spinal biomechanical tests is an effective method to infer stresses on spinal implants...
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Outcomes of Posterior Lumbar Hemivertebra Resection and Short Fusion in Patients With Severe Sacral Tilt

Wang S, Zhang J, Zhang Y, Du Y, Yang Y, Lin G

Objective: To introduce surgical strategies to restore coronal balance during limited fusion for early lumbar hemivertebra resection in patients with severe sacral tilt. Methods: Sacral tilt was defined as a sacral...
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Lordosis Distribution Index in Short-Segment Lumbar Spine Fusion – Can Ideal Lordosis Reduce Revision Surgery and Iatrogenic Deformity?

Bari TJ, Heegaard M, Bech-Azeddine R, Dahl B, Gehrchen M

Objective: The demand for spinal fusion is increasing, with concurrent reports of iatrogenic adult spinal deformity (flatback deformity) possibly due to inappropriate lordosis distribution. This distribution is assessed using the...
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Thoracolumbar Slope Is Useful Parameter for Evaluating HealthRelated Quality of Life and Sagittal Imbalance Aggravation in Adult Spinal Deformity: A Prospective Observational Cohort Study

Moon BJ, Han MS, Kim JY, Lee JK

Objective: The purpose of the present study was to evaluate the natural course of primary degenerative sagittal imbalance (PDSI), its aggravating factors, and health-related quality of life (HRQoL) associated with...
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Intraoperative Neuromonitoring During Lateral Lumbar Interbody Fusion

Alluri R, Mok JK, Vaishnav A, Shelby T, Sivaganesan A, Hah R, Qureshi SA

Objective: To review the evidence for the use of electromyography (EMG), motor-evoked potentials (MEPs), and somatosensory-evoked potentials (SSEPs) intraoperative neuromonitoring (IONM) strategies during lateral lumbar interbody fusion (LLIF), as well...
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Endovascular Repair of an Ilio-Iliac Arteriovenous Fistula with Pseudoaneurysm after Lumbar Disc Surgery: A Case Report

Kim C, Hwang D, Yun WS

Aortoiliac vascular injury during lumbar disc surgery is potentially life-threatening, but occasionally presents with delayed-onset symptoms. This is a case report of a fistulized pseudoaneurysm presenting with claudication. A 73-year-old...
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The Association Between Sagittal Plane Alignment and Disc Space Narrowing of Lumbar Spine in Farmers

Park KH, Baek S, Kang EK, Park Hw, Kim G, Kim SH

Objective To investigate whether lumbar lordosis (LL) and lumbar segmental lordosis (LSL) are related to sex, age, low back pain (LBP), and lumbar disc space narrowing (DSN). Methods A total of...
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Current Concepts of Degenerative Disc Disease -A Significance of Endplate-

Soh J, Jang HD, Shin BJ

Degenerative disc disease has traditionally been thought of as low back pain caused by changes in the nucleus pulposus and annulus fibrous, in recent studies, however, changes in the upper...
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Conjoint Nerve Root an Intraoperative Challenge in Minimally Invasive Tubular Discectomy

Sharma A, Singh V, Agrawal R, Mangale N, Deepak P, Savla J, Jaiswal A

Conjoint nerve root (CNR) is an embryological nerve root anomaly that mainly involves the lumbosacral region. The presence of CNR during tubular discectomy raises the chances of failure in spinal...
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Long-Term Functional Outcomes of Endoscopic Decompression with Destandau Technique for Lumbar Canal Stenosis

Gupta S, Marathe N, Chhabra HS, Destandau J

Study Design: Retrospective study of patients with lumbar canal stenosis (LCS) operated using endoscopic unilateral laminotomy with bilateral decompression (ULBD). Purpose: This study aimed to provide a detailed description of the...
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Can Conventional Magnetic Resonance Imaging Substitute Three-Dimensional Magnetic Resonance Imaging in the Diagnosis of Lumbar Foraminal Stenosis?

Hasib MM, Yamada K, Hoshino M, Yamada E, Tamai K, Takahashi S, Suzuki A, Toyoda H, Terai H, Nakamura H

Study Design: Retrospective radiological comparative design. Purpose: To investigate whether conventional magnetic resonance imaging (MRI) could substitute three-dimensional (3D)-MRI for the calculation of the foraminal stenotic ratio (FSR) and clarification of...
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Is Older Age a Contraindication for Single-Level Transforaminal Lumbar Interbody Fusion?

Patel JY, Kundnani VG, Chawada B

Study Design Retrospective cohort. Purpose This study’s primary objective was to compare the clinico-radiological outcomes and incidence of perioperative complications of transforaminal lumbar interbody fusion (TLIF) at lower lumbar levels for elderly and...
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Accuracy of Thoracolumbar Pedicle Screw Insertion Based on Routine Use of Intraoperative Imaging and Navigation

Sundaram PPM, Oh JYL, Tan M, Nolan CP, Yu CS, Ling JM

Study Design Retrospective review. Purpose To determine the accuracy of thoracolumbar pedicle screw insertion with the routine use of three-dimensional (3D) intraoperative imaging and navigation over a large series of screws in an...
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Psychological Distress Associated with Patient-Reported Outcomes in Preoperative Patients with Lumbar Spinal Stenosis

Kitano T, Kawakami M, Ishimoto Y, Teraguchi M, Fukui D, Matsuoka T, Nakagawa Y

Study Design Cross-sectional study. Purpose The purpose of this study was to investigate the effects of psychotic symptoms such as anxiety and fear in patients undergoing lumbar spinal canal stenosis. Overview of Literature Recently, patients...
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Prediction of successful caudal epidural injection using color Doppler ultrasonography in the paramedian sagittal oblique view of the lumbosacral spine

Yoo SW, Ki MJ, Doo AR, Woo CJ, Kim YS, Son JS

Background: Ultrasound-guided caudal epidural injection (CEI) is limited in that it cannot confirm drug distribution at the target site without fluoroscopy. We hypothesized that visualization of solution flow through the...
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Transumbilical Retroperitoneal Lumbar Interbody Fusion: A Technical Note and Preliminary Case Series

Bae J, Kim SJ, Lee SH, Bae Y, Jeon SH

Objective: Anterior lumbar interbody fusion (ALIF) has advantages over posterior lumbar interbody fusion or transforaminal lumbar interbody fusion techniques in that it minimizes damage to the anatomical structure of the...
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Are Lumbar Fusion Guidelines Followed? A Survey of North American Spine Surgeons

Montenegro TS, Elia C, Hines K, Buser Z, Wilson J, Ghogawala Z, Kurpad SN, Sciubba DM, Harrop JS

Objective: To evaluate the use of guidelines for lumbar spine fusions among spine surgeons in North America. Methods: An anonymous survey was electronically sent to all AO Spine North America members....
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Patient Health Questionnaire-9 Is a Valid Assessment for Depression in Minimally Invasive Lumbar Discectomy

Lynch CP, Cha ED, Jenkins NW, Parrish JM, Geoghegan CE, Jadczak CN, Mohan S, Singh K

Objective: The Patient Health Questionnaire-9 (PHQ-9) is a screening tool for evaluating depressive symptoms. Research is scarce regarding the validity and correlation of PHQ-9 scores with other patient-reported outcomes of...
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Minimally Invasive Spine Surgery With Midline Cortical Bone Trajectory Screw Fixation for Lumbar Degenerative Disease in a Retrospective Study of 200 Patients

Noh SH, Zhang HY

Objective: Midline lumbar interbody fusion is performed for treatment of various lumbar degenerative diseases, with good clinical outcomes and few complications. However, there are no large-scale or long-term studies regarding...
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