Article
Computer Science, Interdisciplinary Applications
Hikmet Kocaman, Hasan Yildirim, Aysenur Goeksen, Gokce Merve Arman
Summary: The prevalence of lumbar disc herniation (LDH) has shown an increasing trend recently, causing difficulties in daily activities and reducing the quality of life for patients. This study utilized machine learning techniques to predict LDH, using measures of the lumbar paraspinal muscles, lumbar vessels cross-sectional area, and lumbar sagittal curve. A total of 344 individuals' MR scans were analyzed using ten different machine learning algorithms, with the XGBoost algorithm providing the best results. The findings demonstrated that the cross-sectional areas of the quadratus lumborum and abdominal aorta can serve as reliable indicators of LDH, guiding healthcare professionals in making accurate predictions.
MEDICAL & BIOLOGICAL ENGINEERING & COMPUTING
(2023)
Article
Multidisciplinary Sciences
Jin-Sung Kim, Junseok Bae, Dong Chan Lee, Sang-Ha Shin, Han Joong Keum, Young Soo Choi, Sang Soo Eun, Seung Ho Shin, Hyun Jin Hong, Ji Yeon Kim, Tae Hyun Kim, Woojung Lim, Junghoon Kim, Sang-Min Park, Hyun-Jin Park, Hong-Jae Lee
Summary: Lumbar spinal stenosis is a common degenerative condition of the spine. A randomized controlled trial will be conducted to compare the safety and effectiveness of interlaminar full-endoscopic laminectomy and open decompressive laminectomy for treating lumbar spinal stenosis. The trial will evaluate various outcome measures, including disability index, pain levels, quality of life, patient satisfaction, and surgical outcomes. The results will provide valuable data on the use of full-endoscopic laminectomy as an alternative to traditional surgery.
Article
Multidisciplinary Sciences
Gun Keorochana, Chaiwat Kraiwattanapong, Thamrong Lertudomphonwanit, Umaporn Udomsubpayakul, Pittavat Leelapattana, Pongsthorn Chanplakorn, Nutthee Wannaratsiri, Tulyapruek Tawonsawatruk
Summary: The most important factors in the selection of surgical methods between MLD and ELD were outcomes of treatment and wound size.
Article
Clinical Neurology
Maryam Shaygan, Mahsa Zamani, Azita Jaberi, Keyvan Eghbal, Azime Dehghani
Summary: This study aimed to investigate the effect of pain management education on pain intensity, anxiety, and disability after lumbar surgery. The results showed that physical and psychological pain management education was effective in decreasing pain intensity, anxiety, and disability.
Article
Orthopedics
Zhen Lyu, Jinzhu Bai, Shizheng Chen, Jiesheng Liu, Wenlong Yu
Summary: The study demonstrates that lumbar kinetic chain training after PELD for LDH patients can promote postoperative recovery more effectively compared to regular rehabilitation exercises.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Surgery
Honglin Li, Wei Deng, Faqiang Wei, Liangmin Zhang, Fan Chen
Summary: This study found that factors such as age, BMI, diabetes, disease history, Pfirrmann grade, residual intervertebral disc, and fiber breakage during surgery are related to recurrence of lumbar disc herniation after percutaneous transforaminal endoscopic treatment.
FRONTIERS IN SURGERY
(2023)
Article
Orthopedics
Zhaojun Song, Maobo Ran, Juan Luo, Kai Zhang, Yongjie Ye, Jiazhuang Zheng, Zhi Zhang
Summary: In patients undergoing PELD during day surgery, compared to those treated by MED, there was less intraoperative blood loss, shorter hospital stay, significant improvement in lower back pain and disability index, and efficient maintenance of lumbar physiological curvature.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Clinical Neurology
Alessandro Siccoli, Marc L. Schroder, Victor E. Staartjes
Summary: In a large prospective database analysis of patients undergoing tubular microdiscectomy for lumbar disc herniation, it was found that younger patients do not have a higher reoperation probability than older patients, even after correcting for multiple confounders. However, older patients tend to experience recurrent lumbar disc herniation significantly earlier after the index surgery compared to younger patients.
EUROPEAN SPINE JOURNAL
(2021)
Review
Medicine, General & Internal
Matteo Luigi Giuseppe Leoni, Sara Vitali, Fabrizio Micheli, Marco Mercieri, Giustino Varrassi, Roberto Casale, Felice Occhigrossi, Carlo Giordano
Summary: Radiation exposure during fluoroscopy-guided ozone chemonucleolysis (OCN) is low and similar to simple discography. However, patient characteristics such as sex, obesity, and disc height significantly affect the radiation exposure levels, emphasizing the importance of careful evaluation before planning OCN.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Clinical Neurology
Ziya Asan
Summary: This study aimed to discuss the causes and prognosis of iatrogenic neuropraxia detected in the early postoperative period in patients who have been operated on for lumbar disc herniation. The results showed that the rate of iatrogenic neuropraxia was significantly higher in patients who underwent aggressive discectomy. It was observed that methylprednisolone treatment could improve paresthesia findings faster, but it showed no significant difference in its effects on motor deficit.
WORLD NEUROSURGERY
(2023)
Editorial Material
Medicine, General & Internal
Dae Kyun Kim, Seok Won Kim
Summary: Although PDN has been widely used for treating discogenic back pain, iatrogenic vascular injuries are rare but serious complications. We report a case of successful emergent transarterial embolization for a lumbar artery injury that occurred during PDN, which, to our knowledge, is the first report of its kind.
Article
Orthopedics
Umit Yalcin
Summary: The study found that paravertebral ozone treatment injections have a significant impact on pain and disability in patients with lumbar disc hernia, with the combination of physiotherapy and ozone treatment showing better outcomes. Further research is recommended to investigate the long-term effects of paravertebral ozone treatment.
JOURNAL OF BACK AND MUSCULOSKELETAL REHABILITATION
(2021)
Review
Clinical Neurology
Taylor Wong, Aneek Patel, Danielle Golub, Sertac Kirnaz, Jacob L. Goldberg, Fabian Sommer, Franziska A. Schmidt, Raj Nangunoori, Ibrahim Hussain, Roger Hartl
Summary: Patients with LDH have a higher prevalence of long-term LBP compared to the general population (46.2% vs. 11.9%). The relationship between radiological findings and pain outcomes in LDH remains unclear and requires further research.
WORLD NEUROSURGERY
(2023)
Article
Biotechnology & Applied Microbiology
Mitchell I. Page, Jeremiah T. Easley, Andres F. Bonilla, Vikas V. Patel, Christian M. Puttlitz
Summary: A novel tissue engineered implant for annulus fibrosus repair, fabricated via three-dimensional fiber deposition, demonstrated functional efficacy in both ex vivo and in vivo studies.
FRONTIERS IN BIOENGINEERING AND BIOTECHNOLOGY
(2022)
Article
Clinical Neurology
Nathan Evaniew, Andrew Bogle, Alex Soroceanu, W. Bradley Jacobs, Roger Cho, Charles G. Fisher, Y. Raja Rampersaud, Michael H. Weber, Joel A. Finkelstein, Najmedden Attabib, Adrienne Kelly, Alexandra Stratton, Christopher S. Bailey, Jerome Paquet, Michael Johnson, Neil A. Manson, Hamilton Hall, Greg McIntosh, Kenneth C. Thomas
Summary: This study evaluated the effectiveness of minimally invasive (MIS) tubular discectomy compared to conventional open surgery. The study found that both techniques had similar improvements in leg pain and disability, but MIS had reduced effectiveness in treating associated back pain. Additionally, MIS had advantages in terms of operating time, blood loss, and adverse events.
GLOBAL SPINE JOURNAL
(2023)