Search results for "Discectomy"

showing 10 items of 27 documents

Clinical follow-up after surgery of lumbar disc prolapses. A critical analysis.

1990

A retrospective clinical study was made on 987 patients with lumbar disc disease treated by discectomy. All patients had been operated on in the Department of Neurosurgery (University-Hospital Mainz). 545 patients were males, and 442 females (1.2:1). Patients in the 4th decade of life were affected most often (33.5%). Perioperative complications occurred in 5.4%, with discitis as the single major complication (1.9%). 83% of all patients who underwent discectomy could return to their normal occupation.

AdultMaleReoperationmedicine.medical_specialtyDiscitisAdolescentmedicine.medical_treatmentLumbar discPostoperative ComplicationsSex FactorsDiscectomymedicineHumansHerniaChildIntervertebral DiscAgedRetrospective StudiesSciaticaLumbar Vertebraebusiness.industryAge FactorsGeneral MedicineMiddle Agedmedicine.diseaseLow back painhumanitiesSurgeryIntervertebral diskSurgeryFemaleNeurology (clinical)Neurosurgerymedicine.symptombusinessLumbar disc diseaseIntervertebral Disc DisplacementFollow-Up StudiesNeurosurgical review
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Dysphagia Prevention in Anterior Cervical Discectomy Surgery: Results from a Prospective Clinical Study

2019

Background: Dysphagia is a common complication after anterior cervical discectomy surgery (ACDS). Recent studies have shown that reducing the endotracheal tube cuff pressure, local irrigation with methylprednisolone, and minimizing the pharynx/esophagus retraction can decrease the incidence of postoperative dysphagia after ACDS. This is the first study assessing the efficacy of all these 3 measures simultaneously. Methods: This prospective study included 35 patients (group 1) who underwent ACDS with the adoption of all the 3 preventive measures. Group 1 was compared with a homogenous group of 35 patients who underwent regular ACDS (group 2). Postoperative dysphagia and odynophagia were eval…

AdultMalemedicine.medical_specialtyPreventive measures03 medical and health sciencesEsophagusPostoperative Complications0302 clinical medicineIntubation Intratrachealotorhinolaryngologic diseasesmedicineHumansPostoperative PeriodEsophagusProspective cohort studyAnterior cervical discectomy surgeryAgedbusiness.industryIncidence (epidemiology)DysphagiaMiddle AgedDysphagiaSurgeryTracheaClinical trialSpinal Fusionmedicine.anatomical_structure030220 oncology & carcinogenesisCervical VertebraeFemaleSurgeryNeurology (clinical)medicine.symptomDeglutition DisordersComplicationbusinessBody mass indexOdynophagia030217 neurology & neurosurgeryDiskectomyFollow-Up StudiesWorld Neurosurgery
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Clinical and radiological features of hybrid surgery in multilevel cervical degenerative disc disease.

2015

Purpose: Although several studies have established the safety and efficacy of cervical disc arthroplasty (CDA) as compared to anterior cervical discectomy and fusion (ACDF), few studies have investigated the role of hybrid surgery (HS) that incorporates ACDF and CDA techniques in multilevel cervical degenerative disc disease (MLCDDD). Methods: This prospective study enrolled patients with MLCDDD who underwent HS. Twenty consecutive patients who underwent HS were compared with patients who underwent ACDF and CDA at the same level of surgery. Patients were followed up for more than 2 years. Intraoperative parameters, clinical features and outcome scores were recorded. Radiological assessments…

AdultMalemedicine.medical_specialtymedicine.medical_treatmentAnterior cervical discectomy and fusionIntervertebral Disc DegenerationFunctional scoreArtificial disc replacementDegenerative disc diseaselaw.inventionFollow-Up StudieRandomized controlled triallawmedicineHumansOrthopedics and Sports MedicineProspective StudiesProspective cohort studyAgedbusiness.industryAnterior cervical discectomy fusionMedicine (all)Middle Agedmedicine.diseaseArthroplastySurgeryProspective Studiemedicine.anatomical_structureSpinal FusionTreatment OutcomeSpinal fusionCervical VertebraeSurgeryFemalebusinessRange of motionHybrid surgeryCervical vertebraeHumanDiskectomyFollow-Up StudiesEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
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Efficacy of Zero-Profile Device versus Plate and Cage Implant for Treatment of Symptomatic Adjacent Segment Disease After Anterior Cervical Diskectom…

2018

Fusionmedicine.medical_specialtybusiness.industrySurgery03 medical and health sciencesanterior discectomy and fusion cervical hybrid surgery0302 clinical medicineText miningSpinal FusionCervical diskectomy030220 oncology & carcinogenesisCervical VertebraeMedicineSurgeryNeurology (clinical)Adjacent segment diseaseImplantbusinessCageBone Plates030217 neurology & neurosurgeryDiskectomy
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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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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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Risk factors for incidental durotomy during posterior open spine surgery for degenerative diseases in adults: A multicenter observational study.

2017

Incidental durotomy (ID) is a common intraoperative complication of spine surgery. It can lead to persistent cerebrospinal fluid leakage, which may cause serious complications, including severe headache, pseudomeningocele formation, nerve root entrapment, and intracranial hemorrhage. As a result, it contributes to higher healthcare costs and poor patient outcomes. The purpose of this study was to clarify the independent risk factors that can cause ID during posterior open spine surgery for degenerative diseases in adults. We conducted a prospective multicenter study of adult patients who underwent posterior open spine surgery for degenerative diseases at 10 participating hospitals from July…

MaleMedical DoctorsPhysiologymedicine.medical_treatmentHealth Care Providerslcsh:MedicinePathology and Laboratory MedicineDegenerative DiseasesBody Mass Index0302 clinical medicineMathematical and Statistical TechniquesEndocrinologyRisk FactorsMedicine and Health SciencesProspective StudiesMedical PersonnelProspective cohort studyIntraoperative Complicationslcsh:ScienceMusculoskeletal System030222 orthopedicsMultidisciplinaryLumbar VertebraeIncidence (epidemiology)Neurodegenerative DiseasesMiddle AgedPseudomeningoceleProfessionsmedicine.anatomical_structurePhysiological ParametersPhysical SciencesRegression AnalysisFemaleAnatomyStatistics (Mathematics)Research Articlemedicine.medical_specialtyIntraoperative ComplicationEndocrine DisordersSurgical and Invasive Medical ProceduresLumbar vertebraeResearch and Analysis Methods03 medical and health sciencesDiscectomyPhysiciansmedicineDiabetes MellitusHumansStatistical MethodsAgedSurgeonsbusiness.industryBody Weightlcsh:RBiology and Life SciencesHealth Risk AnalysisSpineSurgeryHealth CareMetabolic DisordersPeople and PlacesObservational studyPopulation Groupingslcsh:QDura MaterbusinessBody mass index030217 neurology & neurosurgeryMathematicsPLoS ONE
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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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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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Anterior cervical discectomy and fusion with ROI-C peek cage: cervical alignment and patient outcomes

2014

OBJECTIVE: The intersomatic cage ROI-C one is a new promising system in anterior cervical discectomy with subsequent fusion. METHODS: Patients were studied prospectively. ROI-C cages were used in consecutive 32 patients. Intraoperative parameters, clinical features and dysphagia scores were recorded. Radiographs evaluated the height of intervertebral space, the cervical Cobb angle and implant positioning. Data were collected on the last day of hospital stay, at 6 weeks, at 3, 6, 12 and 24 months. RESULTS: A total of 32 cages were implanted. One patient had transient dysphagia. The intervertebral height and the cervical Cobb angle were significantly improved at 24 months follow-up (P < 0.05)…

Malemedicine.medical_specialtyRadiographyAnterior cervical discectomy and fusionVertebral fusionmedicineHumanscervical discectomy fusion ACDFOrthopedics and Sports MedicineProspective StudiesProspective cohort studyAgedPain MeasurementNeck painNeck PainCobb anglebusiness.industrySettore MED/27 - NeurochirurgiaProstheses and ImplantsLength of StayMiddle AgedDysphagiaSurgerySpinal FusionTreatment OutcomeCervical VertebraeFemaleSurgeryImplantmedicine.symptomDeglutition DisordersbusinessDiskectomy
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