Journal of Neurosurgery: Spine

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Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 4: Radiographic assessment of fusion status
Journal of Neurosurgery: Spine - Tập 21 Số 1 - Trang 23-30 - 2014
Tanvir F. Choudhri, Praveen V. Mummaneni, Sanjay S. Dhall, Jason C. Eck, Michael W. Groff, Zoher Ghogawala, William C. Watters, Andrew T. Dailey, Daniel K. Resnick, Alok Sharan, Jeffrey C. Wang, Michael G. Kaiser
The ability to identify a successful arthrodesis is an essential element in the management of patients undergoing lumbar fusion procedures. The hypothetical gold standard of intraoperative exploration to identify, under direct observation, a solid arthrodesis is an impractical alternative. Therefore, radiographic assessment remains the most viable instrument to evaluate for a successful arthrodesi... hiện toàn bộ
Anterior lumbar interbody fusion in comparison with transforaminal lumbar interbody fusion: implications for the restoration of foraminal height, local disc angle, lumbar lordosis, and sagittal balance
Journal of Neurosurgery: Spine - Tập 7 Số 4 - Trang 379-386 - 2007
Patrick C. Hsieh, Sandi Lam, Brian O’Shaughnessy, Patrick A. Sugrue, Sean A. Salehi, Stephen L. Ondra, John C. Liu
Object A primary consideration of all spinal fusion procedures is restoration of normal anatomy, including disc height, lumbar lordosis, foraminal decompression, and sagittal balance. To the authors' knowledge, there has been no direct comparison of anterior lumbar interbody fusion (ALIF) with transforaminal lumbar interbody fusion (TLIF) concerning their capacity to alter those parameters. The au... hiện toàn bộ
Comparison of anterior- and posterior-approach instrumented lumbar interbody fusion for spondylolisthesis
Journal of Neurosurgery: Spine - Tập 7 Số 1 - Trang 21-26 - 2007
Jun-Hong Min, Jee-Soo Jang, Sang‐Ho Lee
Object The purpose of this study was to compare the imaging and clinical outcomes obtained in patients with lumbar spondylolisthesis who have undergone either instrumented anterior lumbar interbody fusion (ALIF) or instrumented posterior LIF (PLIF), especially with regard to the development of adjacent-segment degeneration (ASD). Methods Forty-eight patients with preoperative spondylolisthesis and... hiện toàn bộ
Use of artificial neural networks to predict surgical satisfaction in patients with lumbar spinal canal stenosis
Journal of Neurosurgery: Spine - Tập 20 Số 3 - Trang 300-305 - 2014
Parisa Azimi, Edward C. Benzel, Sohrab Shahzadi, Shirzad Azhari, Hassan Reza Mohammadi
Object The purpose of this study was to develop an artificial neural network (ANN) model for predicting 2-year surgical satisfaction, and to compare the new model with traditional predictive tools in patients with lumbar spinal canal stenosis. Methods The 2 prediction models included an ANN and a logistic regression (LR) model. The patient age, sex, duration of symptoms, walking distance, visual a... hiện toàn bộ
Use of the modified frailty index to predict 30-day morbidity and mortality from spine surgery
Journal of Neurosurgery: Spine - Tập 25 Số 4 - Trang 537-541 - 2016
Rushna Ali, Jason M. Schwalb, David R. Nerenz, Heath J. Antoine, Ilan Rubinfeld
OBJECTIVE Limited tools exist to stratify perioperative risk in patients undergoing spinal procedures. The modified frailty index (mFI) based on the Canadian Study of Health and Aging Frailty Index (CSHA-FI), constructed from standard demographic variables, has been applied to various other surgical populations for risk stratification. The authors hypothesized that it would be predictive of postop... hiện toàn bộ
Predictive value of intraoperative neurophysiological monitoring during cervical spine surgery: a prospective analysis of 1055 consecutive patients
Journal of Neurosurgery: Spine - Tập 8 Số 3 - Trang 215-221 - 2008
Michael Kelleher, Gamaliel Tan, Roger Sarjeant, Michael G. Fehlings
Object Despite the growing use of multimodal intraoperative monitoring (IOM) in cervical spinal surgery, limited data exist regarding the sensitivity, specificity, and predictive values of such a technique in detecting new neurological deficits in this setting. The authors sought to define the incidence of significant intraoperative electrophysiological changes and new postoperative neurological d... hiện toàn bộ
Laminoplasty versus laminectomy with posterior spinal fusion for multilevel cervical spondylotic myelopathy: influence of cervical alignment on outcomes
Journal of Neurosurgery: Spine - Tập 27 Số 5 - Trang 508-517 - 2017
Darryl Lau, Ethan A. Winkler, Khoi D. Than, Dean Chou, Praveen V. Mummaneni
OBJECTIVECervical curvature is an important factor when deciding between laminoplasty and laminectomy with posterior spinal fusion (LPSF) for cervical spondylotic myelopathy (CSM). This study compares outcomes following laminoplasty and LPSF in patients with matched postoperative cervical lordosis.METHODSAdults undergoing laminoplasty or LPSF for cervical CSM from 2011 to 2014 were identified. Mat... hiện toàn bộ
Relationship between degree of focal kyphosis correction and neurological outcomes for patients undergoing cervical deformity correction surgery
Journal of Neurosurgery: Spine - Tập 18 Số 6 - Trang 537-544 - 2013
Matthew J. Grosso, Roy Hwang, Thomas E. Mroz, Edward Benzel, Michael P. Steinmetz
Object Reversal of the normal cervical spine curvature, as seen in cervical kyphosis, can lead to mechanical pain, neurological dysfunction, and functional disabilities. Surgical intervention is warranted in patients with sufficiently symptomatic deformities in an attempt to correct the deformed cervical spine. In theory, improved outcomes should accompany a greater degree of correction toward lor... hiện toàn bộ
Selection of instrumentation and fusion levels for scoliosis: where to start and where to stop
Journal of Neurosurgery: Spine - Tập 1 Số 1 - Trang 1-8 - 2004
Keith H. Bridwell
Object.Although there are several papers in the literature regarding selection of fusion levels in the adolescent patient, fewer articles pertain to this in the adult patient. The author reviewed his experience and the literature and reports on the choice of fusion levels in the adolescent and adult patient.Methods.After a review of available data, the author determined that the proximal and dista... hiện toàn bộ
Endoscopic image-guided odontoidectomy for decompression of basilar invagination via a standard anterior cervical approach
Journal of Neurosurgery: Spine - Tập 6 Số 2 - Trang 184-191 - 2007
Jean‐Paul Wolinsky, Daniel M. Sciubba, Ian Suk, Ziya L. Gokaslan
✓Symptomatic irreducible basilar invagination has traditionally been approached through a transoral–transpharyngeal route with resection of the anterior portion of C-1 and the odontoid. Modification of this exposure with either a Le Fort osteotomy or a transmandibular osteotomy and circumglossal approach has increased the access to pathological conditions in this region. These traditional routes a... hiện toàn bộ
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