scholarly journals Anatomical Variations That Can Lead to Spine Surgery at the Wrong Level: Part III Lumbosacral Spine

Cureus ◽  
2020 ◽  
Author(s):  
Manan Shah ◽  
Dia R Halalmeh ◽  
Aubin Sandio ◽  
R. Shane Tubbs ◽  
Marc D Moisi
Neurosurgery ◽  
2005 ◽  
Vol 56 (1) ◽  
pp. 98-107 ◽  
Author(s):  
Richard B. North ◽  
David H. Kidd ◽  
Farrokh Farrokhi ◽  
Steven A. Piantadosi

Abstract OBJECTIVE: Persistent or recurrent radicular pain after lumbosacral spine surgery is often associated with nerve root compression and is treated by repeated operation or, as a last resort, by spinal cord stimulation (SCS). We conducted a prospective, randomized, controlled trial to test our hypothesis that SCS is more likely than reoperation to result in a successful outcome by standard measures of pain relief and treatment outcome, including subsequent use of health care resources. METHODS: For an average of 3 years postoperatively, disinterested third-party interviewers followed 50 patients selected for reoperation by standard criteria and randomized to SCS or reoperation. If the results of the randomized treatment were unsatisfactory, patients could cross over to the alternative. Success was based on self-reported pain relief and patient satisfaction. Crossover to the alternative procedure was an outcome measure. Use of analgesics, activities of daily living, and work status were self-reported. RESULTS: Among 45 patients (90%) available for follow-up, SCS was more successful than reoperation (9 of 19 patients versus 3 of 26 patients, P < 0.01). Patients initially randomized to SCS were significantly less likely to cross over than were those randomized to reoperation (5 of 24 patients versus 14 of 26 patients, P = 0.02). Patients randomized to reoperation required increased opiate analgesics significantly more often than those randomized to SCS (P < 0.025). Other measures of activities of daily living and work status did not differ significantly. CONCLUSION: SCS is more effective than reoperation as a treatment for persistent radicular pain after lumbosacral spine surgery, and in the great majority of patients, it obviates the need for reoperation.


2019 ◽  
Vol 14 (3) ◽  
pp. 710 ◽  
Author(s):  
Tinnakorn Pluemvitayaporn ◽  
Sombat Kunakornsawat ◽  
Sirichai Sirikajohnirun ◽  
Chaiwat Piyaskulkaew ◽  
Pritsanai Pruttikul ◽  
...  

Cureus ◽  
2020 ◽  
Author(s):  
Manan Shah ◽  
Dia R Halalmeh ◽  
Aubin Sandio ◽  
R. Shane Tubbs ◽  
Marc D Moisi

2017 ◽  
Vol 21 (1) ◽  
pp. 14-23
Author(s):  
Ahmed Elsawaf ◽  
Mohammed Hasanein ◽  
Salem Faisal

Author(s):  
Jitin Bajaj ◽  
Yad Ram Yadav

AbstractEndoscopic spine surgeries provide distinct advantages and is therefore a viable alternative to open or microscopic techniques. Indian surgeons have shown their expertise from craniovertebral junction to lumbosacral spine with these techniques. Many novel approaches like endoscopic transcervical, partial corpectomy, and others have been designed, and many technological innovations for these surgeries have been made. With different training programs attracting both native and international surgeons, the future of endoscopic spine surgery is bright.


Cureus ◽  
2020 ◽  
Author(s):  
Manan Shah ◽  
Dia R Halalmeh ◽  
Aubin Sandio ◽  
R. Shane Tubbs ◽  
Marc D Moisi

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