scholarly journals Vascular Injury in Elective Anterior Surgery of the Lumbar Spine: A Narrative Review

Cureus ◽  
2021 ◽  
Author(s):  
Eleni Pappa ◽  
Dimitrios Stergios Evangelopoulos ◽  
Ioannis S Benetos ◽  
Spiridon Pnevmaticos
Keyword(s):  
Lumbar Spine ◽  
Vascular Injury ◽  
Narrative Review ◽  
Anterior Surgery

Percutaneous Discectomy: An Anatomical Study

Neurosurgery ◽  
1985 ◽  
Vol 16 (2) ◽  
pp. 141-147 ◽  
Author(s):  
Steven L. Kanter ◽  
William A. Friedman
Keyword(s):  
Computed Tomography ◽  
Lumbar Spine ◽  
Vascular Injury ◽  
Anatomical Study ◽  
Intervertebral Discs ◽  
Viable Alternative ◽  
Percutaneous Discectomy ◽  
Computed Tomographic ◽  
Anatomical Analysis ◽  
Computed Tomographic Scan

Abstract Percutaneous discectomy is a viable alternative in the treatment of herniated intervertebral discs of the lumbar spine. Anatomical analysis of the retroperitoneal surgical path utilizing computed tomography suggests that the risk of vascular injury is negligible at the L-4, L-5 level, but substantial at the L-5, S-1 level. In addition, one-third of patients otherwise suitable for percutaneous discectomy have segments of bowel obstructing the surgical path. Obtaining an abdominal computed tomographic scan with the patient in the surgical position seems to be a valuable screening technique in the evaluation of candidates for this procedure.

scholarly journals The Virtual Spine Examination: Telemedicine in the Era of COVID-19 and Beyond

2020 ◽  
pp. 219256822094774 ◽  
Author(s):  
Alexander M. Satin ◽  
Isador H. Lieberman
Keyword(s):  
Patient Safety ◽  
Cervical Spine ◽  
Lumbar Spine ◽  
Study Design ◽  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Narrative Review ◽  
Examination Techniques

Study Design: Narrative review. Objectives: Describe a comprehensive spine telemedicine examination. Methods: We discuss telemedicine examination techniques for commonly encountered spine conditions. Results: Techniques to evaluate gait, the cervical spine, the lumbar spine, adult spinal deformity patients, and adolescent scoliosis patients via telemedicine are described. We review limitations of the spine telemedicine examination and discuss special considerations such as patient safety and criteria for in-person assessment. Conclusions: While there are limitations to the spine telemedicine examination, unique strategies exist to provide important information to the examiner. Efforts have already been undertaken to validate and expand the capabilities of the spine telemedicine examination.

23. Natural language processing for automated identification of intraoperative vascular injury in anterior lumbar spine surgery

2020 ◽  
Vol 20 (9) ◽  
pp. S11-S12
Author(s):  
Aditya V. Karhade ◽  
Michiel Bongers ◽  
Olivier Groot ◽  
Harold A. Fogel ◽  
Stuart H. Hershman ◽  
...  
Keyword(s):  
Natural Language Processing ◽  
Lumbar Spine ◽  
Natural Language ◽  
Language Processing ◽  
Vascular Injury ◽  
Spine Surgery ◽  
Lumbar Spine Surgery ◽  
Automated Identification

scholarly journals Surgical Management of the Lumbar Spine in Rheumatoid Arthritis

2019 ◽  
Vol 10 (6) ◽  
pp. 767-774
Author(s):  
Peter Joo ◽  
Laurence Ge ◽  
Addisu Mesfin
Keyword(s):  
Rheumatoid Arthritis ◽  
Lumbar Spine ◽  
Surgical Management ◽  
Spinal Deformity ◽  
Surgical Planning ◽  
Chronic Inflammatory Disease ◽  
Narrative Review ◽  
Neurogenic Claudication ◽  
Lower Back ◽  
Optimal Medical Management

Study Design: Narrative review. Objective: To provide an overview on the diagnosis and surgical management of rheumatoid involvement of the lumbar spine. Rheumatoid arthritis (RA) is a chronic inflammatory disease of synovial joints, most commonly appendicular followed by axial. Although cervical spine involvement of RA is well documented, data on lumbar spine involvement and surgical management remains limited. Methods: Using PubMed, studies published prior to November 2018 with the keywords “RA, etiology”; “RA, spine management”; “RA, surgical management”; “RA, treatment”; “RA, DMARDs”; “RA, lumbar spine”; “RA, spine surgical outcomes”; “RA, imaging” were evaluated. Results: The narrative review addresses the epidemiology, manifestations, imaging, surgical complications, and operative and nonoperative management of RA involvement of the lumbar spine. Conclusions: Rheumatoid involvement of the lumbar spine can present with lower back pain, neurogenic claudication, radiculopathy, spinal deformity, and instability. Patients with RA have significantly higher rates of vertebral fractures and complications following surgical intervention. However, in the setting of instability and spinal deformity, thoughtful surgical planning in conjunction with optimal medical management is recommended.

Vascular Injury During Approach to Lumbar Spine

2019 ◽  
pp. 309-313
Author(s):  
Anil Nanda ◽  
Tanmoy Kumar Maiti ◽  
Devi Prasad Patra
Keyword(s):  
Lumbar Spine ◽  
Vascular Injury

scholarly journals A Narrative Review of Development of Full-Endoscopic Lumbar Spine Surgery

Neurospine ◽  
2020 ◽  
Vol 17 (Suppl 1) ◽  
pp. S20-S33 ◽  
Author(s):  
Pang Hung Wu ◽  
Hyeun Sung Kim ◽  
Il-Tae Jang
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Narrative Review ◽  
Lumbar Spine Surgery
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