Search results for "Discectomy"

showing 10 items of 27 documents

Clinico-Biomechanical Issues and Dynamic Stabilization When Considering Stem Cell Treatment for Degenerative Disc Disease

2013

After reading the article published in Transplantation (1), scientists are to be congratulatedVespecially with the clinical results as published. Looking for alternatives to avoid fusion is part of function-preserving spine care, as it should be the last option to be undertaken while keeping the debate open (2, 3). Nevertheless, we would like to point out some questions that arise from a clinical point of view from our daily surgical practice. First, several clinical presentations and procedures are compared without taking into account that they are different treatments applied for different disc disease situations (discectomy is performed for disc herniation with radicular symptoms, disc p…

Transplantationmedicine.medical_specialtybusiness.industrymedicine.medical_treatmentModic changesDiscographyDegeneration (medical)medicine.diseaseLow back painlaw.inventionDegenerative disc diseaseSurgeryTransplantationRandomized controlled triallawDiscectomyMedicinemedicine.symptombusinessTransplantation Journal
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Mid- to Long-Term Outcomes of Cervical Disc Arthroplasty versus Anterior Cervical Discectomy and Fusion for Treatment of Symptomatic Cervical Disc Di…

2015

Purpose This study aimed to investigate the mid- to long-term outcomes of cervical disc arthroplasty (CDA) versus anterior cervical discectomy and fusion (ACDF) for the treatment of 1-level or 2-level symptomatic cervical disc disease. Methods Medline, Embase, and the Cochrane Central Register of Controlled Trials databases were searched to identify relevant randomized controlled trials that reported mid- to long-term outcomes (at least 48 months) of CDA versus ACDF. All data were analyzed by Review Manager 5.3 software. The relative risk (RR) and 95% confidence intervals (CIs) were calculated for dichotomous variables. The weighted mean difference (WMD) and 95%CIs were calculated for conti…

medicine.medical_treatmentlcsh:MedicineAnterior cervical discectomy and fusionIntervertebral Disc Degenerationlaw.inventionDatabase and Informatics MethodsMathematical and Statistical Techniques0302 clinical medicineRandomized controlled triallawMedicine and Health SciencesDatabase Searchinglcsh:ScienceRandomized Controlled Trials as Topic030222 orthopedicsMultidisciplinaryResearch AssessmentTreatment Outcomemedicine.anatomical_structureResearch DesignMeta-analysisPhysical SciencesCervical VertebraeIntervertebral Disc DisplacementStatistics (Mathematics)DiskectomyResearch ArticleCervical vertebraemedicine.medical_specialtyDrug Research and DevelopmentSystematic ReviewsClinical Research DesignVisual analogue scaleSurgical and Invasive Medical ProceduresResearch and Analysis MethodsArthroplasty03 medical and health sciencesMusculoskeletal System ProceduresDiscectomyConfidence IntervalsmedicineHumansClinical TrialsStatistical MethodsPharmacologybusiness.industrylcsh:RArthroplastyRandomized Controlled TrialsSurgeryRelative risklcsh:QAdverse EventsClinical MedicinebusinessMathematics030217 neurology & neurosurgeryMeta-AnalysisPLoS ONE
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Comparison of 2 Zero-Profile Implants in the Treatment of Single-Level Cervical Spondylotic Myelopathy: A Preliminary Clinical Study of Cervical Disc…

2016

Objectives Cervical disc arthroplasty (CDA) with Discover prosthesis or anterior cervical discectomy and fusion (ACDF) with Zero-P cage has been widely used in the treatment of cervical spondylotic myelopathy (CSM). However, little is known about the comparison of the 2 zero-profile implants in the treatment of single-level CSM. The aim was to compare the clinical outcomes and radiographic parameters of CDA with Discover prosthesis and ACDF with Zero-P cage for the treatment of single-level CSM. Methods A total of 128 consecutive patients who underwent 1-level CDA with Discover prosthesis or ACDF with Zero-P cage for single-level CSM between September 2009 and December 2012 were included in…

MaleKinematicsPhysiologymedicine.medical_treatmentlcsh:MedicineAnterior cervical discectomy and fusionOssificationProsthesisLaryngology0302 clinical medicineMedicine and Health SciencesMedicine030212 general & internal medicineRange of Motion Articularlcsh:ScienceIntervertebral DiscProstheticsMultidisciplinaryPhysicsClassical MechanicsDysphagiaProstheses and ImplantsMiddle Agedmedicine.anatomical_structureTreatment OutcomeConnective TissueSpinal fusionPhysical SciencesCervical VertebraeFemaleBone RemodelingAnatomyRange of motionCervical vertebraeResearch ArticleBiotechnologyDiskectomyAdultmedicine.medical_specialtySurgical and Invasive Medical ProceduresSpinal Cord DiseasesArthroplasty03 medical and health sciencesMusculoskeletal System ProceduresFunctional spinal unitHumansArthroplasty ReplacementLigamentsbusiness.industrylcsh:RBiology and Life SciencesIntervertebral discArthroplastySurgeryBiological TissueSpinal FusionOtorhinolaryngologylcsh:QMedical Devices and EquipmentSpondylosisbusinessPhysiological Processes030217 neurology & neurosurgeryPLoS ONE
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Discover cervical disc arthroplasty versus anterior cervical discectomy and fusion in symptomatic cervical disc diseases: A meta-analysis.

2016

OBJECTIVE:Symptomatic cervical disc disease (SCDD) is a common degenerative disease, and Discover artificial cervical disc, a new-generation nonconstrained artificial disk, has been developed and performed gradually to treat it. We performed this meta-analysis to compare the efficacy and safety between Discover cervical disc arthroplasty (DCDA) and anterior cervical discectomy and fusion (ACDF) for SCDD. METHODS:An exhaustive literature search of PubMed, EMBASE, and the Cochrane Library was conducted to identify randomized controlled trials that compared DCDA with ACDF for patients suffering SCDD. A random-effect model was used. Results were reported as standardized mean difference or risk …

MalePhysiologymedicine.medical_treatmentSensory Physiologylcsh:MedicineAnterior cervical discectomy and fusionIntervertebral Disc DegenerationCochrane LibraryOssificationlaw.invention0302 clinical medicineMathematical and Statistical TechniquesRandomized controlled triallawMedicine and Health SciencesRange of Motion Articularlcsh:ScienceIntervertebral DiscRandomized Controlled Trials as Topic030222 orthopedicsProstheticsMultidisciplinaryMiddle AgedSensory SystemsTreatment OutcomeSomatosensory SystemResearch DesignMeta-analysisPhysical SciencesCervical VertebraeFemaleBone RemodelingRange of motionIntervertebral Disc DisplacementStatistics (Mathematics)DiskectomyResearch ArticleBiotechnologyAdultmedicine.medical_specialtyDrug Research and DevelopmentClinical Research DesignSurgical and Invasive Medical ProceduresResearch and Analysis MethodsArthroplasty03 medical and health sciencesMusculoskeletal System ProceduresmedicineHumansClinical TrialsStatistical MethodsPharmacologybusiness.industrylcsh:RBiology and Life SciencesPain SensationArthroplastyRandomized Controlled TrialsSurgeryAssistive TechnologiesStrictly standardized mean differenceRelative risklcsh:QMedical Devices and EquipmentAdverse EventsClinical MedicinebusinessPhysiological Processes030217 neurology & neurosurgeryMathematicsMeta-AnalysisNeurosciencePloS one
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Retrospective Data Analysis of Anterior Cervical Discectomies and Fusion Without Plate and Screws

2019

Abstract Surgical intervention in cervical disease can relieve neurological symptoms and improve life quality. This study aimed to analyse retrospective data of microscope-assisted anterior cervical discectomy and fusion (ACDF) surgeries. The retrospective study was carried out at the ORTO clinic, Rīga, Latvia, from 2013 to 2017. Data from 198 patients were extracted retrospectively. Data on patient gender, age, diagnosis, extent of operation, type of cage and the overall height of the implants were used. Comparative analysis was carried out with the SPSS 22 software. P < 0.05 represented statistical significance. During the study period, 198 elective ACDF were carried out with increasin…

Orthodontics030222 orthopedics03 medical and health sciences0302 clinical medicineMultidisciplinaryGeneral interestScienceanterior cervical discectomyQcervical cages030217 neurology & neurosurgeryRetrospective dataProceedings of the Latvian Academy of Sciences. Section B, Natural Sciences
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Hirayama disease – Early MRI diagnosis of subacute medullary ischemia: A case report

2020

Background: Hirayama disease (HD) is a rare, benign, and self-limiting motor neuron disorder that results in selective motor impairment of the C7-T1 myotomes. It is characterized by progressive, unilateral, or bilateral asymmetric muscle atrophy of the distal upper extremities and myelopathy. Case Description: A 23-year-old male presented with bilateral atrophy of the thenar/hypothenar eminences/ interosseous muscles, plus left-hand weakness. The cervical MRI documented subacute ischemic damage of the distal cervical cord. To rule out a tumor and reduce questionable cord compression, the patient underwent a C5–C6 anterior cervical discectomy and fusion (ACDF) immediately followed by a lami…

medicine.medical_specialtyCordmedicine.medical_treatmentCase ReportAnterior cervical discectomy and fusionHirayama disease03 medical and health sciencesMyelopathyMagnetic resonance imaging0302 clinical medicineAtrophymedicineAmyotrophy Hirayama disease Magnetic resonance imagingbusiness.industryAmyotrophyLaminectomySpinal cordmedicine.diseaseAmyotrophyEpidural spacemedicine.anatomical_structure030220 oncology & carcinogenesisSurgeryNeurology (clinical)Radiologybusiness030217 neurology & neurosurgerySurgical Neurology International
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Safety and efficacy of cervical disc arthroplasty in preventing the adjacent segment disease: a meta-analysis of mid- to long-term outcomes in prospe…

2019

Objectives: Cervical disc arthroplasty (CDA) has become an alternative treatment for cervical radiculopathy and myelopathy. This technique preserves appropriate motion at both the index and adjacent disc levels and consequently may prevent adjacent segment degeneration (ASD). The authors performed a meta-analysis to compare the safety and efficacy of CDA to those of the gold standard, anterior cervical discectomy and fusion (ACDF). Both surgical and clinical parameters were employed to verify the hypothesis that CDA can reduce the risk of ASD. Methods: The meta-analysis comprised high-quality randomized controlled trials that compared CDA and ACDF treatments of cervical degenerative disc di…

cervical disc arthroplastymedicine.medical_specialtyVisual analogue scalemedicine.medical_treatmentAnterior cervical discectomy and fusionReview030204 cardiovascular system & hematologylaw.inventionDegenerative disc disease03 medical and health sciencesMyelopathy0302 clinical medicineRandomized controlled triallawmedicinePharmacology (medical)030212 general & internal medicineGeneral Pharmacology Toxicology and PharmaceuticsCDDDACDFNeck painChemical Health and Safetybusiness.industrycervical degenerative disc diseaseGeneral Medicinemedicine.diseaseArthroplastySurgerymeta-analysisCDAMeta-analysisrandomized controlled trialcervical total disc replacementCTDRmedicine.symptombusinessSafety Researchanterior cervical discectomy and fusionRCTTherapeutics and Clinical Risk Management
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Repair of a spinal pseudomeningocele in a delayed postsurgical cerebrospinal fluid leak using titanium U-clips: Technical note

2020

Abstract Introduction Chronic cerebrospinal fluid leak (CCFL) represents a possible event following spine surgery, with an incidence rate ranging from 5 to 18%. In literature have been reported few modification techniques that involved the use of titanium U-clips with the aim to reduce dural traumatism during its closure but only after non-accidental durotomy. Case illustration We report the case of a 47-year-old female with history of L5-S1 microsurgical discectomy. After one year the patient was admitted to our unit because she presented progressive skin swelling in the lumbar region, intermittent headache and recurrent episodes of lipothymia. One-year MRI showed a voluminous subcutaneous…

medicine.medical_specialtydurotomymedicine.medical_treatmentlcsh:Surgeryspine surgery; durotomy; cerebrospinal fluid leak; titanium; u-clipslcsh:RC346-429030218 nuclear medicine & medical imagingspine surgery03 medical and health sciences0302 clinical medicineCerebrospinal fluidLumbarSuture (anatomy)DiscectomyMedicineu-clipstitaniumlcsh:Neurology. Diseases of the nervous systemProleneCerebrospinal fluid leakbusiness.industrylcsh:RD1-811medicine.diseaseSurgeryPseudomeningoceleSurgeryNeurology (clinical)Pouchbusinesscerebrospinal fluid leak030217 neurology & neurosurgeryInterdisciplinary Neurosurgery
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Hybrid Anterior Cervical Discectomy
and Fusion and Cervical Disc Arthroplasty: An Analysis of Short-Term Complications, Reoperations, and Readmissions

2022

Hybrid Anterior Cervical Discectomy and Fusion Cervical Disc ArthroplastyOrthopedics and Sports MedicineSurgeryNeurology (clinical)
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Predictive Score Card in Lumbar Disc Herniation: Is It Reflective of Patient Surgical Success after Discectomy?

2016

Does the Finneson–Cooper score reflect the true value of predicting surgical success before discectomy? The aim of this study was to identify reliable predictors for surgical success two year after surgery for patients with LDH. Prospective analysis of 154 patients with LDH who underwent single-level lumbar discectomy was performed. Pre- and post-surgical success was assessed by the Oswestry Disability Index (ODI) over a 2-year period. The Finneson-Cooper score also was used for evaluation of the clinical results. Using the ODI, surgical success was defined as a 30% (or more) improvement on the ODI score from the baseline. The ODI was considered the gold standard in this study. Finally, the…

MaleMedical Doctorsgenetic structuresPsychometricsHealth Care Providersmedicine.medical_treatmentSocial Scienceslcsh:MedicinePathology and Laboratory MedicineSeverity of Illness IndexDiagnostic RadiologyDisability Evaluation0302 clinical medicineSurveys and QuestionnairesOutcome Assessment Health CareMedicine and Health SciencesPsychologyProspective Studies030212 general & internal medicinelcsh:ScienceProspective cohort studyMusculoskeletal SystemAged 80 and overLumbar VertebraeMultidisciplinaryRadiology and ImagingMiddle AgedResearch AssessmentPrognosisMagnetic Resonance ImagingOswestry Disability IndexProfessionsmedicine.anatomical_structurePreoperative PeriodFemaleAnatomyIntervertebral Disc DisplacementDiskectomyResearch ArticleAdultmedicine.medical_specialtyPsychometricsSystematic ReviewsImaging TechniquesLower Back PainPainSurgical and Invasive Medical ProceduresLumbar vertebraeResearch and Analysis Methods03 medical and health sciencesSigns and SymptomsDiagnostic MedicinePhysiciansDiscectomySeverity of illnessmedicineHumansAgedSurgeonsSurgical repairbusiness.industrylcsh:RGold standardReproducibility of ResultsBiology and Life SciencesSpineSurgeryHealth CareSurgical RepairPeople and PlacesPhysical therapyPopulation Groupingslcsh:Qbusiness030217 neurology & neurosurgeryPLOS ONE
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