Objective: To analyze the functional outcome of surgical treatment of cervical spondylotic myelopathy. Methods: A retrospective study involving 34 patients with CSM, operated from January 2014 to June 2015. The neurological status was assessed using the Nurick and modified Japanese Orthopedic Association (mJOA) scales preoperatively and at 12 months. Sex, age, time of evolution, affected cervical levels, surgical approach and T2-weighted magnetic resonance hyperintense signal were also evaluated. Results: A total of 14 men and 20 women participated. The mean age was 58.12 years. The average progression time was 12.38 months. The preoperative neurological state by mJOA was mild in 2 patients, moderate in 16 and severe in 16, with a mean of 11.44 points. The preoperative Nurick was grade II in 14 patients, grade III in 8, grade IV in 10 and grade V in 2. The T2-weighted hyperintense signal was documented in 18 patients (52.9%). The functional outcome according to the mJOA recovery rate was good in 15 patients (44.1%) and poor in 19 (55.9%). The degree of Nurick recovery was good in 20 (58.8%) and poor in 14 (41.2%). Conclusions: Decompressive surgery of the spinal cord has been shown to be effective in the treatment of cervical spondylotic myelopathy in well-selected patients. Although it is suggested that there are certain factors that correlate with functional outcome, we believe that more prospective randomized studies should be conducted to clarify this hypothesis.
Objective: The objective of this longitudinal retrospective study is to assess the efficacy and safety of total lumbar disc replacement in patients with degenerative discopathy (L3-L4, L4-L5, L5-S1). Methods: One hundred and forty-three patients with low back pain, with or without radiculopathy, who met the radiographic criteria underwent anterior arthroplasty between 2000 and 2016. The Oswestry disability index (ODI), the visual analog scale (VAS), patient satisfaction, success criteria, disc height, and range of motion of the operated segment were evaluated preoperatively and at 3, 6, 12, and 24 months following surgery. Results: There were 50 men and 93 women, with an average age of 39.5 years, 13 patients (9%) with previous discectomy. The arthroplasty was performed at level L5-S1 in 97 patients (67.8%), at level L4-L5 in 45 patients (31.5%), and at level L3-L4 in 1 patient. Between the preoperative period and 24 months following surgery, the ODI decreased by 53.86%, the VAS for low back pain decreased by 63.83%, and low back pain with radiculopathy decreased by 60.20%, all statistically significant (p ≤ 0.5). Eighty-two percent of the patients were completely satisfied and 18% were satisfied. There was an average increase in disc height of 12 mm (p <0.001). The range of motion of the affected segment increased by 4° to 7° after surgery (p <0.004). Conclusions: Lumbar arthroplasty of a segment is recommended as an effective treatment for patients with degenerative disc disease with low back pain with or without a root component who meet the inclusion criteria. Level of Evidence III, Systematic review b of Level III studies.Keywords: Lumbar region; Arthrodesis; Arthroplasty. 60,20%. Cambio estadísticamente significativo (p ≤ 0,5). El 82% completamente satisfecho y satisfecho 18%. La altura discal aumentó 12 mm promedio (p <0,001). El movimiento del segmento afectado aumentó 4° a 7° después de la cirugía (p <0,004). Conclusión: La artroplastia lumbar de un segmento se recomienda como tratamiento eficaz para pacientes con enfermedad degenerativa discal que cumplen con los criterios de inclusión y lumbalgia sola o con componente radicular. RESUMO Objetivo: Para avaliar a eficácia e a segurança da reposição do disco lombar total em pacientes com discopatia degenerativa (L3-L4, L4-L5, L5-S1
Objectives: Determine the most prevalent type of curve in our population, to quantify the radiographic parameters such as PT, IP, SS and compare the physical function according to ODI and SRS-22r. Methods: Retrospective, observational, longitudinal, single-center study, carried out from January 2010 to May 2015 at the Centro Médico ISSEMYM Ecatepec, Spine Surgery Service. Results: A total of 60 patients were obtained, 60% female, with curvatures according to SRS-Schwab, type T (28%), TL (46.6%), D (15%), N (10%), with a mean preoperative VAS of 7 for all curves and post-surgical 2 after 6 months. The SRS-22r preoperative test was 2.1 and postoperatively was 3.75, with p<0.001. Conclusions: Deformities of the adult spine are a growing disease in our country. The surgical management of deformities requires proper clinical and radiographic planning. Patients undergoing surgical treatment in our study showed curvature type TL and demonstrated significant improvement in ODI and SRS-22r.
Objective: To determine the incidence and rate of disc degeneration adjacent to a lumbar fusion, as well as to analyze possible risk factors for its development. Methods: A retrospective study of a level of evidence IIB case series of 125 patients diagnosed with lumbar canal stenosis and spondylolisthesis, who underwent surgery from January 2011 to December 2016, with subsequent instrumentation and posterolateral fusion and outpatient follow-up in which the symptomatology and radiographic findings were evaluated to establish the diagnosis and management. Results: Twelve patients with adjacent segment disease were identified, with an incidence of 9.6%, higher both among female patients and in the seventh decade of life. The most frequent pathology was canal stenosis (42.4%), the most affected level was L4 / L5, and the procedure most associated with the prevalence of adjacent level degeneration was L4-L5 posterior transpedicular instrumentation. Conclusions: Sagittalization of the facet joint was a constant factor in all patients with involvement of the adjacent disc. The main clinical findings were treatment-resistant root pain and radiographic alterations characterized by spondylolisthesis, facet osteoarthritis and intervertebral disc herniation. Level of Evidence IIB; Retrospective study.
Introduction Low back pain originates in the sacroiliac joints in 15 to 20% of cases. The special configuration and joint anatomy of the determined morphological suffering throughout life produce a degeneration transformations which can act in extrinsic (trauma and stress) or intrinsic (inflammatory or infectious) factors. The clinical parameters, tests of physical examination, and imaging studies are often nonspecific, causing a big problem at diagnosis. Objective This study aims to present the treatment and outcome of patients diagnosed with sacroiliitis on CMIE and Ruber hospital in Madrid, Spain. Methods A total of 74 patients with sacroiliitis, in whom 136 were performed diathermocoagulation treatments, frequency of presentation, gender, number of repeat treatment, age, and patient improvement with the Oswestry scale was analyzed and reviewed. Results A total of 26 patients with sacroiliitis associated with L4–S1 fusion mainly, average age 55 years, 75.6% female, presentation box pain between 6 and 18 months after the transpedicular fixation, 40% received two diatermocoagulaciones, improvements were reported in scale Oswestry 28%. Sacroiliac fusion is presented as an alternative treatment in cases of difficult management. Conclusion The challenge in treating sacroiliitis is to reach a proper diagnosis. The key to achieve maximum effectiveness with these tests and avoid mistakes is to have knowledge of the causes of pain, even as adjacent segment disease and effectiveness of treatments. Sacroiliac fusion is presented as an alternative treatment in cases of difficult management.
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