Article
Neurosciences
Pornpavit Sriphirom, Chaiyaporn Siramanakul, Preewut Chaipanha, Chalit Saepoo
Summary: Interlaminar percutaneous endoscopic decompression is an effective procedure with favorable outcomes in selected patients with stable degenerative spondylolisthesis, improving pain and function in these patients.
Article
Clinical Neurology
Dong Hyun Lee, Dong-Geun Lee, Choon Keun Park, Jae-Won Jang, Jin Sub Hwang, Jun Yong Kim, Yong-Eun Cho, Sang Won Lee, Dong Chan Lee, Bang Sang Han, Sang Yeop Han
Summary: This study evaluated the effectiveness of bilateral-contralateral unilateral biportal endoscopic decompression in treating spinal stenosis with spondylolisthesis. The results showed that this treatment method reduced pain and disability in patients and preserved facet joints. However, a small number of patients experienced delayed segmental instability and other complications following the surgery.
Article
Clinical Neurology
Yuto Kobayashi, Koji Tamai, Hiromitsu Toyoda, Hidetomi Terai, Masatoshi Hoshino, Akinobu Suzuki, Shinji Takahashi, Yusuke Hori, Akito Yabu, Hiroaki Nakamura
Summary: Results from a study involving 198 patients with LSS indicate that there was no significant difference in clinical outcomes 5 years after minimally invasive posterior decompression between patients with degenerative spondylolisthesis (DS) and those without DS. Additionally, after carefully excluding patients with segmental instability, DS did not impact the clinical outcomes of minimally invasive decompression surgery.
Review
Clinical Neurology
Pravesh Shankar Gadjradj, Mark Basilious, Jacob L. L. Goldberg, Fabian Sommer, Rodrigo Navarro-Ramirez, Catherine Mykolajtchuk, Amanda Z. Z. Ng, Branden Medary, Ibrahim Hussain, Roger Haertl
Summary: Surgical decompression is a standard treatment for degenerative spondylolisthesis in patients with lumbar spinal stenosis. The addition of fusion remains controversial. This systematic review and meta-analysis found no difference in functionality at 2 years of follow-up between decompression alone and decompression with fusion in patients with degenerative lumbar spondylolisthesis.
EUROPEAN SPINE JOURNAL
(2023)
Article
Clinical Neurology
Koichi Yoshikane, Katsuhiko Kikuchi, Ken Okazaki
Summary: The study investigated and compared the clinical and radiological outcomes of lumbar endoscopic unilateral laminotomy for bilateral decompression (LE-ULBD) for lumbar spinal stenosis (LSS) patients with and without degenerative spondylolisthesis (DS). The results showed that both groups had favorable clinical outcomes postoperatively, and postoperative segmental instability was not common in patients with DS.
WORLD NEUROSURGERY
(2021)
Article
Clinical Neurology
Mitsuru Yagi, Satoshi Suzuki, Satoshi Nori, Eijiro Okada, Osahiko Tsuji, Narihito Nagoshi, Masaya Nakamura, Morio Matsumoto, Kota Watanabe
Summary: A retrospective review of 305 surgically treated patients with degenerative lumbar spinal stenosis found that patients with baseline motor weakness had inferior health-related quality of life (HRQoL) for up to 3 years post-surgery, but the improvement in HRQoL was comparable to those without motor weakness. Adjusted multivariate logistic regression analyses showed that severity of motor weakness and number of muscles affected were independent risk factors for difficulties in climbing stairs and walking long distances post-surgery.
Article
Clinical Neurology
Mitsuru Yagi, Satoshi Suzuki, Satoshi Nori, Eijiro Okada, Osahiko Tsuji, Narihito Nagoshi, Masaya Nakamura, Morio Matsumoto, Kota Watanabe
Summary: This retrospective review study on 305 surgically treated patients with degenerative lumbar spinal stenosis found that patients with baseline motor weakness had inferior health-related quality of life for up to 3 years after surgery, though the amount of improvement was comparable. Timely follow-up is important to detect deterioration in motor function.
Article
Multidisciplinary Sciences
Chi Heon Kim, Chun Kee Chung, Yunhee Choi, Juhee Lee, Seung Heon Yang, Chang Hyun Lee, Sung Bae Park, Kyoung-Tae Kim, John M. Rhee, Moon Soo Park
Summary: The study compared the direct insured costs of surgical and nonsurgical treatments for degenerative lumbar disease using NHIS-National Sample Cohort. Initial surgical treatment incurred higher costs, but over time, the costs were similar between surgical and nonsurgical treatments.
Article
Clinical Neurology
Kari Indrekvam, Ingrid Fjeldheim Banerud, Erland Hermansen, Ivar Magne Austevoll, Frode Rekeland, Maren Hjelle Guddal, Tore K. K. Solberg, Jens Ivar Brox, Christian Hellum, Kjersti Storheim
Summary: The Norwegian Degenerative spondylolisthesis and spinal stenosis (NORDSTEN) study is a multicenter study evaluating the effectiveness and natural course of treatment methods for lumbar spinal stenosis and degenerative spondylolisthesis. The study found no difference in efficacy between surgical methods and the NORDSTEN study population was similar to patients treated in routine surgical practice.
EUROPEAN SPINE JOURNAL
(2023)
Article
Health Care Sciences & Services
Aobo Wang, Fangda Si, Tianyi Wang, Shuo Yuan, Ning Fan, Peng Du, Lei Wang, Lei Zang
Summary: This study identified the risk factors for early readmission and reoperation after percutaneous transforaminal endoscopic decompression (PTED) for degenerative lumbar spinal stenosis (DLSS). The results indicated that older age, higher BMI, history of lumbar surgery, and more levels with radiological lumbar foraminal stenosis were associated with an increased risk of early readmission. Additionally, more levels with radiological lumbar foraminal stenosis, higher grade of surgical-level facet joint degeneration, and a history of lumbar surgery were predictors of early reoperation.
RISK MANAGEMENT AND HEALTHCARE POLICY
(2022)
Article
Clinical Neurology
Kevin C. Jacob, Madhav R. Patel, Nisheka N. Vanjani, Hanna Pawlowski, Michael C. Prabhu, Kern Singh
Summary: This study compared the clinical outcomes and symptom improvement in patients with predominant back pain versus predominant leg pain who underwent lumbar fusion surgery for isthmic spondylolisthesis. The results showed that patients with predominant back pain had better long-term clinical outcomes in terms of reported back pain, leg pain, and disability compared to those with predominant leg pain.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Masakazu Minetama, Mamoru Kawakami, Masatoshi Teraguchi, Sachika Matsuo, Tadashi Sumiya, Masafumi Nakagawa, Yoshio Yamamoto, Tomohiro Nakatani, Wakana Nagata, Yukihiro Nakagawa
Summary: The study aimed to identify factors associated with low back pain in patients with lumbar spinal stenosis. Significant associations were found between low back pain and diabetes, buttock and leg numbness, general health status, and erosive endplate defects in these patients.
Article
Orthopedics
Tania Ines Nava-Bringas, Lizbeth Olivia Romero-Fierro, Yessica Patricia Trani-Chagoya, Salvador Israel Macias-Hernandez, Eduardo Garcia-Guerrero, Mario Hernandez-Lopez, Coronado-Zarco Roberto
Summary: The study compared lumbar stabilization exercises and flexion exercises for controlling pain and improving disability in individuals with chronic low back pain and DS, finding no significant difference between the two in terms of pain intensity and disability improvement.
Article
Orthopedics
M. K. L. Lai, P. W. H. Cheung, D. Samartzis, J. Karppinen, K. M. C. Cheung, J. P. Y. Cheung
Summary: This study found that subjects with DSS had a higher prevalence of radicular leg pain, more severe pain-related disability, and lower quality of life. Additionally, subjects with DSS had 1.5 and 1.8 times higher odds of experiencing radicular leg pain in the past month and year, respectively, compared to those without DSS.
BONE & JOINT JOURNAL
(2021)
Article
Clinical Neurology
Pedro Santos Silva, Ana Jardim, Joana Pereira, Rita Sousa, Rui Vaz, Paulo Pereira
Summary: This study compared the outcomes of midline lumbar interbody fusion (MIDLIF) and minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) in treating patients with severe stenosis and lumbar degenerative spondylolisthesis (DS). The results showed that MIDLIF is a safe and reliable minimally invasive alternative, offering similar clinical and radiological outcomes to MIS-TLIF.
EUROPEAN SPINE JOURNAL
(2023)