Results: 63

Epidural steroid injection in herniated disc and lumbar canal stenosis: is it just a placebo?

Coluna/Columna; 20 (3), 2021
ABSTRACT Objective To study the role of epidural steroid injection (ESI) in patients with lumbar disc herniation (LDH) and lumbar canal stenosis (LCS). ESIs are regularly used to support non-operative treatment for LBP, and our anecdotal impression is that a considerable proportion of patients report s...

Indirect decompression by lateral fusion: analysis of sagital alignment

Coluna/Columna; 20 (1), 2021
ABSTRACT Objective: To verify the effectiveness of indirect decompression after lateral access fusion in patients with high pelvic incidence. Methods: A retrospective, non-comparative, non-randomized analysis of 22 patients with high pelvic incidence who underwent lateral access fusion, 11 of whom were...

Degenerative Lumbar Spinal Stenosis

Abstract Degenerative lumbar spinal stenosis is the most frequent cause of low back pain and/or sciatica in the elderly patient. Epidemiology, pathophysiology, clinical manifestations and testing are reviewed in a wide current bibliographic investigation. The importance of the relationship between clinic...

Técnica de “slalom” quirúrgico en estenosis de canal lumbar multinivel. Serie de casos tratados de manera simultánea con descompresión endoscópica y tubular con asistencia microscópica bilateral
Slalom Technique as a treatment in multilevel lumbar spinal stenosis. Series of cases treated simultaneously with endoscopic and tubular decompression with microscopic assistance

Introducción: La laminectomía unilateral para descompresión bilateral por abordaje único ha tomado relevancia en pacientes con estenosis multinivel. Cuando se realiza en más de un nivel por un abordaje único, de manera alterna y de forma cruzada, al abordaje anterior es conocida como t...

Estenosis lumbar degenerativa: conceptos básicos, evaluación clínica y manejo

Rev. Méd. Clín. Condes; 31 (5/6), 2020
La estenorraquis lumbar es la disminución del volumen del canal raquídeo en la columna. Es la causa más frecuente de dolor lumbociático y lumbocrural en población mayor de 60 años. Existen múltiples causas. La más común es la degenerativa que consiste en una disminución del canal secundario a v...

Aspects of the use of propensity score matching methods in neurosurgery

Coluna/Columna; 19 (2), 2020
ABSTRACT Objective Observational studies and register data provide researchers with ample opportunities to obtain answers to questions that randomized controlled trials cannot answer for organizational or ethical reasons. One of the most common tools for solving this problem is the use of propensity sc...

Efficacy of the clinical-instrumental algorithm in the treatment of spinal tandem stenosis

Coluna/Columna; 18 (4), 2019
ABSTRACT Objective: To conduct a multicenter analysis of the effectiveness of surgical tactics for treating patients with symptomatic tandem stenosis of the cervical and lumbar spine, based on a differentiated clinical-instrumental algorithm. Methods: The study included 97 patients with symptomatic tan...

The use of titanium mesh for defect closure after posterior spinal decompression

Coluna/Columna; 18 (4), 2019
ABSTRACT Objective: The number of revision surgical interventions for degenerative spine disorders has increased steadily. However, the formation of adhesions is one of the more serious conditions accompanying this type of surgery. There are some generally accepted options for its prevention, such as de...

Ligamentum flavum in lumbar spinal stenosis, disc herniation and degenerative spondylolisthesis. An histopathological description

Acta ortop. mex; 33 (5), 2019
Abstract: Introduction: Changes in ligamentum flavum (LF) related to degeneration are secondary to either the aging process or mechanical instability. Previous studies have indicated that LF with aging shows elastic fiber loss and increased collagen content, loss of elasticity may cause LF to fold into...

Influence of age, sex, height and lumber stenosis on the position of the conus medullaris in adults

Int. j. morphol; 37 (3), 2019
Anatomical orientation of the termination level of Conus Medullaris (CM) has imperative role clinically for anesthetists and neurosurgeons which is considered as an objective guide to perform spinal anesthesia and spinal punctures circumspectly with less chance to have serious injuries. The current retro...