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Lumbar drainage

Lukas Faltings, Kay O Kulason, Victor Du, Julia R Schneider, Shamik Chakraborty, Kevin Kwan, Bidyut Pramanik, John Boockvar
Management of cerebrospinal fluid (CSF) leak during minimally invasive lumbar tubular microdiscectomy poses challenges unique to the surgical approach. Primary repair can be limited via tubular retractor systems, and onlay graft and dural sealant are often the treatment of choice intraoperatively. Postoperative persistent CSF leak may lead to intracranial hypotension (IH) and positional headaches. Early epidural blood patch (EBP) efficacy in the treatment of spinal CSF leaks of both spontaneous and iatrogenic origin is well-established in numerous studies...
November 26, 2018: Curēus
Hong Sun, Luoyi Deng, Jin Deng, Jian Wang, Bo Ran, Kunhao Chen, Hongfei Li, Xu Ning, Hua Yang
OBJECTIVE: To investigate the efficacy and safety of a prophylactic intravenous administration of tranexamic acid (TXA) at 30 min before skin incision on perioperative blood loss in patients treated with posterior lumbar interbody fusion (PLIF). METHODS: A total of 63 patients who underwent PLIF were recruited and divided into TXA group (n=26) and control group (n=37). Intraoperative blood loss, postoperative blood loss, duration of tube drainage, hospitalization time, blood transfusion rate and incidence of complications were compared between the two groups...
January 23, 2019: World Neurosurgery
Melissa Song, Abraham Lieberman, Terry Fife, Megan Nielsen, Sharon Hayden, Marwan Sabbagh, Jiong Shi
OBJECT: We characterize idiopathic normal pressure hydrocephalus (NPH) following treatment with lumbar puncture (LP) and shunt placement through clinical evaluation and quantitative ProtoKinetics Zeno walkway assessments. We evaluate the symptomology by determining gait characteristics altered by treatment. METHODS: Patients at Barrow Neurological Institute (BNI) who underwent a lumbar puncture (LP, removing 30-32 ml cerebrospinal fluid) followed by ventriculoperitoneal shunt placement in February 2015 to February 2017 were analyzed for gait impairments...
January 24, 2019: Acta Neurologica Scandinavica
Chen Zhao, Xiaobing Pu, Qiang Zhou, Xingzhou Huang, Chengmin Zhang, Lei Luo, Zehua Zhang, Tianyong Hou, Fei Luo, Fei Dai, Jianzhong Xu
BACKGROUND: There was a controversy about surgery approach of thoracic and lumbar tuberculosis (TB) treatment. The aim of this study was to compare the microbiology outcomes of the drainage liquid and the clinical outcomes of a posterior and anterior approach in the treatment of thoracic and lumbar TB. MATERIALS AND METHODS: A total of 105 patients were enrolled in this prospective study from February 2011 to September 2015. Patients were divided into two groups: group A (51 patients, posterior approach surgery) and group B (54 patients, anterior approach surgery)...
January 22, 2019: Journal of Orthopaedic Surgery and Research
Khetam Hussein, Galit Rabino, Omri Feder, Haneen Eghbaryeh, Hiba Zayyad, Gil Sviri, Rima Benenson, Mical Paul
BACKGROUND: Cerebrospinal fluid (CSF) drainage or intracranial pressure (ICP) monitoring devices are life-saving devices. We examined the risk factors for infections related to them and assessed the effect of an infection control (IC) intervention. METHODS: A prospective observational study was conducted in the Neurosurgical Department of our hospital between 2014 and 2017. We included all consecutive patients undergoing CSF catheter insertions, including external ventricular drainage (EVD), lumbar drainage (LD), and ICP catheters...
January 22, 2019: Acta Neurochirurgica
Ana Sara Cordeiro, José Crecente-Campo, Belén López-Bouzo, Santiago F González, María de la Fuente, María José Alonso
Polymer-based nanocarriers have shown potential for enhancing the immunological response of antigens. However, the key drivers for this response have not been fully elucidated. The objective of this work was to evaluate the influence of particle size (≈100 vs. 200 nm) and surface composition of polymeric nanocapsules (chitosan, polyarginine and carboxymethyl-β-glucan) on their ability to target specific immune cells in the lymphatics. For this purpose, we used a powerful imaging technique, two-photon intravital microscopy, which minimizes tissue damage in the visualization of biological processes at cellular/subcellular levels...
January 2, 2019: Journal of Drug Targeting
Junlong Wu, Huan Liu, Shengxiang Ao, Wenjie Zheng, Changqing Li, Haiyin Li, Yong Pan, Chao Zhang, Yue Zhou
Objective: Endoscopic surgeries have been attempted in the field of lumbar decompression and fusion surgery in the past decade. Percutaneous endoscopic lumbar interbody fusion (PELIF) is a new-emerging technique taking advantages of an anatomical (Kambin's triangle) to achieve simultaneous decompression and fusion under endoscopic visualization. The purpose of this study is to evaluate the feasibility and safety of PELIF technique with general anesthesia and neuromonitoring. Methods: The authors present the details of PELIF technique with general anesthesia and neuromonitoring...
2018: BioMed Research International
Sakthivel Chinnakkulam Kandhasamy, Anubhav Sangwan, Ashok K Sahoo, Gopalakrishnan Gunasekaran, Neelam Sahani, Thangadurai Ramasamy Raju, Subhashini Puducherry Ravichandran
Cecal leiomyomas are rare benign tumors of smooth muscle arising from the colonic muscularis mucosa or muscularis propria. They are usually asymptomatic in nature and, if symptomatic, may present as pain in the abdomen, intestinal obstruction, or bleeding. In some cases, leiomyoma can cause free perforation leading to peritonitis. Contrast-enhanced computed tomography (CECT) and colonoscopy were the diagnostic modalities used for evaluation. It is extremely unusual for a benign lesion of the cecum to present as a ruptured subcutaneous abscess...
October 9, 2018: Curēus
Fei Ma, Min Kang, Ye Hui Liao, Guang Zhou Lee, Qiang Tang, Chao Tang, Yin Huan Ding, De Jun Zhong
RATIONALE: Nocardial spinal epidural abscess is rare. The diagnosis is often difficult to make and, if delayed, poses a high risk of long-term disability. Nocardial spinal epidural abscess with severe lumbar disc herniation has not previously been reported. PATIENT CONCERNS: A 50-year-old man presented with progressive lumbago and leg pain for 6 weeks after receiving acupuncture therapy, and then the patient suddenly occurred urine retention after walking. DIAGNOSES: Clinical examination revealed sign of cauda equina syndrome...
December 2018: Medicine (Baltimore)
Litai Ma, Lijuan Dai, Yi Yang, Hao Liu
OBJECTIVE: To compare the hemostatic effect of hematostatic agent Surgiflo and absorbable gelatin sponge (AGS) in posterior lumbar surgery. METHODS: A total of 60 cases were recruited during August 2016 and June 2017 according to the inclusion and exclusion criteria. Patients were randomly allocated to the Surgiflo Haemostatic Matrix (SHM) group or the AGS group (AGS) by computer-generated randomization codes. The success rates of hemostasis for 3 minutes and 5 minutes, the time of operation, the amount of intraoperative bleeding, the volume of autogenously blood transfusion, the amount of blood during hemostasis, the amount of blood transfusion, and BP, RBC, HCT, HB of preoperative, 2 to 3 days, and 5 to 7 days following operation were recorded to compare...
December 2018: Medicine (Baltimore)
Theodoros Kratimenos, Constantine N Antonopoulos, Dimitrios Tomais, Panagiotis Dedeilias, Vasileios Patris, Ilias Samiotis, John Kokotsakis, Dimosthenis Farsaris, Michalis Argiriou
OBJECTIVE: The aim of the study was to present the results for patients with atherosclerotic aneurysm of the descending thoracic aorta (DTA) treated with a novel thoracic stent graft. METHODS: A single-center retrospective review of prospectively collected data was performed. We extracted demographic variables as well as atherosclerotic comorbidities and operation-related and imaging-related data from patients' medical records. We estimated technical success rate, in-hospital and 30-day mortality, and mortality at the end of follow-up as well as complication and reintervention rate in our study cohort...
October 24, 2018: Journal of Vascular Surgery
Gianluca Scalia, Francesco Certo, Massimiliano Maione, Giuseppe Mv Barbagallo
BACKGROUND: Arachnoiditis ossificans (AO) is a rare condition often associated with previous spine surgery. Here we describe a unique case of a patient affected by ankylosing spondylitis (AS), presenting with progressive neurological deterioration due to AO. We also review the literature on evaluation and management of patients suffering from AO. CASE DESCRIPTION: The 65-year-old patient had a history of previous spinal trauma and related thoraco-lumbar surgery...
December 3, 2018: World Neurosurgery
Xiao-Zhang Ying, Shi-Yuan Shi, Qi Zheng, Bo Zhu, Yang-Hui Jin, Ming-Feng Zheng
OBJECTIVE: To explore the clinical effect of cortical bone trajectory screw technology combined with anterior mini-open debridement and prop graft for lumbar tuberculosis in elderly. METHODS: The clinical data of 22 patients with lumbar tuberculosis treated by cortical bone trajectory screw technology combined with anterior mini-open debridement and prop graft from February 2015 to December 2016 were retrospectively analyzed. There were 13 males and 9 females with an average age of (73...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Zhen Lai, Shi-Yuan Shi, Jun Fei, Gui-He Han, Sheng-Ping Hu
OBJECTIVE: To investigate the effect of preoperative percutaneous drainage in lumbar tuberculosis with psoas abscess, through compare the clinical efficacy of two different methods. METHODS: Thirty-six patients with lumbar tuberculosis complicated with psoas abscess in corresponding with the inclusion criteria were admitted in Zhejiang Province Traditional Chinese Medicine Hospital from January 2015 to January 2017. The patients were divided into group A and group B according to the different therapeutic methods...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Jian Shen, Qi Zheng, Yi-Fan Wang, Xiao-Zhang Ying
OBJECTIVE: To explore the clinical effects and advantages of percataneous endoscopic focal cleaning and drainage combined with posterior internal fixation in the treatment of tuberculosis of lumbar spine in elderly. METHODS: The clinical data of 32 patients with tuberculosis of lumbar spine received percataneous endoscopic focal cleaning and drainage combined with posterior internal fixation from May 2013 to May 2016 were retrospectively analyzed. There were 13 males and 19 females, aged from 62 to 85 years old with an average of 75 years...
November 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Ali Hazama, Mohamed Abouelleil, Satya Marawar, Lawrence S Chin
Anterior lumbar interbody fusion (ALIF) is commonly utilized for surgical management of degenerative lumbar pathology. Although it is a reasonably safe procedure, it can potentially lead to major complications in case of neurovascular injuries. Occurrence of lymphocele after an ALIF is however rare. We present a case of a rare abdominal lymphocele in a 56-year-old man who underwent L3-S1 ALIF and subsequently developed an abdominal lymphocele. A lymphocele can manifest in numerous ways which can affect and possibly delay diagnoses...
September 25, 2018: Curēus
Xuepeng Wang, Shaobo Zhou, Zhenyu Bian, Maoqiang Li, Wu Jiang, Changju Hou, Liulong Zhu
BACKGROUND: The treatment of lumbar infectious spondylitis is controversial. In this study, we attempted to demonstrate that unilateral percutaneous endoscopic debridement with physiologic saline and negative pressure drainage postoperatively may achieve a satisfactory result in lumbar infectious spondylitis. METHODS: We retrospectively analyzed 17 patients with lumbar infectious spondylitis who underwent percutaneous endoscopic debridement and drainage (PEDD) through a posterolateral transforaminal approach...
December 3, 2018: Journal of Orthopaedic Surgery and Research
Jianzhong Jiang, Fengping Gan, Haitao Tan, Zhaolin Xie, Xiang Luo, Guoxiu Huang, Yin Li, Shengbin Huang
The benefits of navigation-assisted technologies are not entirely understood. Therefore, this study aimed to examine the outcomes of patients with lumbar tuberculosis who received computer navigation-assisted minimally invasive direct lateral interbody fusion (DLIF).This was a retrospective study of 33 patients with lumbar tuberculosis who underwent minimally invasive DLIF at the Department of Spine and Orthopedics of Guigang People's Hospital (Guangxi, China) between January 2015 and December 2016. The patients were pathologically diagnosed as lumbar tuberculosis and grouped into the navigation-assisted fluoroscopy (NAV; n = 18) and non-navigation-assisted fluoroscopy (non-NAV; n = 15) groups...
November 2018: Medicine (Baltimore)
Jinqiu Zhao, Shujun Zhang, Xiaosong Li, Bin He, Yunsheng Ou, Dianming Jiang
BACKGROUND This cohort study compared the efficacy and safety of minimally invasive versus open transforaminal lumbar interbody fusion (Mis-TLIF versus Open-TLIF) for lumbar disc herniation with radiculopathy. MATERIAL AND METHODS From July 2016 to September 2017, we recruited 37 patients suffering from lumbar disc herniation with radiculopathy. Seventeen patients underwent Mis-TLIF (Mis group) and 20 patients underwent Open-TLIF (Open group). Baseline characteristics were similar between the 2 groups before surgery...
December 1, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
(no author information available yet)
OBJECTIVEThree to five days of external lumbar drainage (ELD) of CSF is a test for ventriculoperitoneal shunt (VPS) selection in idiopathic normal pressure hydrocephalus (iNPH). The accuracy and complication rates of a shorter (1-day) ELD procedure were analyzed.METHODSData of patients with iNPH who underwent 1-day ELD to be selected to undergo VPS placement with a programmable valve in the period from 2005 to 2015 were reviewed. Patients experiencing VPS complications, valve malfunctioning, or with less than 1 year of follow-up were excluded...
November 1, 2018: Journal of Neurosurgery
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