BACKGROUND Incidental durotomy is a well-known complication during surgery for degenerative lumbar spinal stenosis (DLSS). In this prospective multicenter cohort study including eight medical centers our aim was to assess whether incidental durotomy during first-time lumbar spinal stenosis decompression surgery without fusion has an impact on long-term outcome. METHODS Patients of the multi-c...

We describe a patient who developed involuntary, painless, dystonic contraction of the toes of the right foot on standing or walking. The development of this abnormal movement had been preceded by sensory disturbance on the soles of both feet, triggered by dorsiflexion of the feet. Examination showed that weight bearing on the right foot and walking brought on clawing of the toes of the right f...

The midsagittal and interpedicular diameters and the trefoil shape of lumbar vertebrae of known age at death were measured in skeletons from a population aged between 1 and 70 years. All the trefoil configurations were at L5 with the exception of one at L4. The overall prevalence was 25%, but this shape was not generally apparent until adulthood. The midsagittal diameter in the trefoil canals w...

Herein we discuss a case of a 55 year old male presenting with history suggestive of sciatica on the left leg. Straight leg raising (SLR) test was positive at 45 degrees on the left side. His ankle reflex was absent and the power of extensor hallusus longus (EHL) was 4/5 on the same side. MRI lumbosacral spine revealed left paramedian disc prolapsed on L4/L5 level with spinal canal diameter of ...

in this study to determine whether spine stiffness is predictive of clinical results after lumbar spinal fusion for spinal stenosis, a total of 78 patients were measured intraoperatively with kocher clamp manual distraction technique to determine motion segment stiffness then spinal fusion was performed for any loose segment. ‎statistical analysis revealed that stiffness measurement correlate w...

Degenerative lumbar spinal stenosis is the most common indication for lumbar spine surgery in adults over the age of 65. Although some studies have claimed improvement with conservative treatment, several comparative studies have shown better outcomes for surgical treatment for patients with moderate to severe stenosis. As the life expectancy of the elderly population increases, and by virtue o...

INTRODUCTION: Some authors have reported satisfactory short-term results of minimally invasive decompressive procedures such as microscopic or micro-endoscopic decompressive laminotomy for lumbar spinal canal stenosis. However, there have been no reports on the long-term clinical outcome of these procedures. The purpose of this study is to evaluate the long-term clinical outcome and radiologica...

case presentation an 85 years old patient presented because of intractable right leg pain with minimal activities. she was diagnosed with significant right foraminal stenosis and she failed conservative non-invasive therapies. conclusions percutaneous lumbar hydro decompression can be a promising method for the treatment of the patients with lumbar spinal stenosis and neurogenic claudication se...

OBJECTIVE To evaluate the effectiveness of the In- space (Synthes, Umkirch, Germany) and the correlation between radiographic parameters and clinical outcome in patients with lumbar spinal canal stenosis (LSS). METHODS Between June 2009 and May 2013, 56 patients with LSS underwent In-space by one senior surgeon. All of the patients were evaluated both clinically and radiographic measurements ...