scholarly journals Less Invasive Decompressive Laminectomy and One-Level Lumbar Fusion in the Setting of Interspinous Fixation: A Retrospective Analysis of 15 Patients

Cureus ◽  
2021 ◽  
Author(s):  
Hamidreza Aliabadi ◽  
Manika S Paul ◽  
Mari Kusumi ◽  
Barry Chehrazi
Keyword(s):  
Retrospective Analysis ◽  
Lumbar Fusion ◽  
Decompressive Laminectomy ◽  
Less Invasive

Clinical and Radiographic Outcome in Less Invasive Lumbar Fusion: XLIF at Two Year Follow-Up

2013 ◽  
Vol 02 (03) ◽  
Author(s):  
Jody A.Rodgers ◽  
Edward J.Gerber ◽  
Jeff A.Lehmen ◽  
Blake W.Rodgers
Keyword(s):  
Lumbar Fusion ◽  
Radiographic Outcome ◽  
Less Invasive

Acute Physical Therapy and Length of Hospital Stay Following Lumbar Discectomy and Lumbar Fusion: A Retrospective Analysis

2012 ◽  
Vol 3 (1) ◽  
pp. 157-163 ◽  
Author(s):  
Neena K Sharma ◽  
Paul M Arnold ◽  
Joan K McMahon ◽  
Lindsay Loyd ◽  
Carla H Sabus ◽  
...  
Keyword(s):  
Physical Therapy ◽  
Hospital Stay ◽  
Retrospective Analysis ◽  
Lumbar Fusion ◽  
Length Of Hospital Stay ◽  
Lumbar Discectomy

Outcome after laminectomy for lumbar spinal stenosis

1994 ◽  
Vol 81 (5) ◽  
pp. 707-715 ◽  
Author(s):  
Gerald F. Tuite ◽  
Stephen E. Doran ◽  
Joseph D. Stern ◽  
John E. McGillicuddy ◽  
Stephen M. Papadopoulos ◽  
...  
Keyword(s):  
Lumbar Fusion ◽  
Disc Space ◽  
Decompressive Laminectomy ◽  
Content Type ◽  
Space Angle ◽  
Postoperative Symptoms ◽  
Reproducible Method ◽  
Lumbar Spinal ◽  
Radiographic Changes ◽  
Fine Print

✓ The pre- and postoperative lumbar spine radiographs of 119 patients who underwent decompressive lumbar laminectomy were studied to evaluate radiographic changes and to correlate them with clinical outcome. An accurate and reproducible method was used for measuring pre- and postoperative radiographs that were separated by an average interval of 4.6 years. Levels of the spine that underwent laminectomy showed greater change in spondylolisthesis, disc space angle, and disc space height than unoperated levels. Outcome correlated with radiographic changes at operated and unoperated levels. This study demonstrates that radiographic changes are greater at operated than at unoperated levels and that some postoperative symptoms do correlate with these changes. Lumbar fusion should be considered in some patients who undergo decompressive laminectomy. The efficacy of and unequivocal indications for lumbar fusion can only be determined from randomized, prospective, controlled trials, however, and these studies have not yet been undertaken.

Sound Production Treatment for Acquired Apraxia of Speech: An Examination of Dosage in Relation to Probe Performance

2020 ◽  
pp. 1-16
Author(s):  
Julie L. Wambaugh ◽  
Lydia Kallhoff ◽  
Christina Nessler
Keyword(s):  
Retrospective Analysis ◽  
Sound Production ◽  
Apraxia Of Speech ◽  
Practice Schedule ◽  
Practice Schedules ◽  
Baseline Performance ◽  
The Mean ◽  
Number Of Treatment ◽  
The Impact

Purpose This study was designed to examine the association of dosage and effects of Sound Production Treatment (SPT) for acquired apraxia of speech. Method Treatment logs and probe data from 20 speakers with apraxia of speech and aphasia were submitted to a retrospective analysis. The number of treatment sessions and teaching episodes was examined relative to (a) change in articulation accuracy above baseline performance, (b) mastery of production, and (c) maintenance. The impact of practice schedule (SPT-Blocked vs. SPT-Random) was also examined. Results The average number of treatment sessions conducted prior to change was 5.4 for SPT-Blocked and 3.9 for SPT-Random. The mean number of teaching episodes preceding change was 334 for SPT-Blocked and 179 for SPT-Random. Mastery occurred within an average of 13.7 sessions (1,252 teaching episodes) and 12.4 sessions (1,082 teaching episodes) for SPT-Blocked and SPT-Random, respectively. Comparisons of dosage metric values across practice schedules did not reveal substantial differences. Significant negative correlations were found between follow-up probe performance and the dosage metrics. Conclusions Only a few treatment sessions were needed to achieve initial positive changes in articulation, with mastery occurring within 12–14 sessions for the majority of participants. Earlier occurrence of change or mastery was associated with better follow-up performance. Supplemental Material https://doi.org/10.23641/asha.12592190

Case Example: Adjacent Segment Disease: What Is It, and How Is It Rated?

2011 ◽  
Vol 16 (2) ◽  
pp. 8-9
Author(s):  
Marjorie Eskay-Auerbach
Keyword(s):  
Clinical Symptoms ◽  
Lumbar Fusion ◽  
Adjacent Segment Degeneration ◽  
Adjacent Segment Disease ◽  
Adjacent Segment ◽  
Disc Space Narrowing ◽  
Disc Disease ◽  
Disc Space ◽  
Radiographic Findings ◽  
Asymptomatic Patients

Abstract The incidence of cervical and lumbar fusion surgery has increased in the past twenty years, and during follow-up some of these patients develop changes at the adjacent segment. Recognizing that adjacent segment degeneration and disease may occur in the future does not alter the rating for a cervical or lumbar fusion at the time the patient's condition is determined to be at maximum medical improvement (MMI). The term adjacent segment degeneration refers to the presence of radiographic findings of degenerative disc disease, including disc space narrowing, instability, and so on at the motion segment above or below a cervical or lumbar fusion. Adjacent segment disease refers to the development of new clinical symptoms that correspond to these changes on imaging. The biomechanics of adjacent segment degeneration have been studied, and, although the exact mechanism is uncertain, genetics may play a role. Findings associated with adjacent segment degeneration include degeneration of the facet joints with hypertrophy and thickening of the ligamentum flavum, disc space collapse, and translation—but the clinical significance of these radiographic degenerative changes remains unclear, particularly in light of the known presence of abnormal findings in asymptomatic patients. Evaluators should not rate an individual in anticipation of the development of changes at the level above a fusion, although such a development is a recognized possibility.

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