Minimally invasive surgery with a transforaminal lumbar interbody fusion (MIS TLIF) is an important minimally invasive fusion technique for the lumbar spine. Lumbar spine reoperation is challenging and is thought to have greater complication risks. The purpose of this study was to compare MIS TLIF with unilateral screw fixation perioperative results between primary and revision surgeries. This ...

BACKGROUND Lumbar anterior meningocele (MC) is rare in patients with neurofibromatosis type 1 (NF1). Although spinal fusion with maximum possible resection of the cele might be indicated in these special cases, reports describing operative procedures are lacking. CLINICAL PRESENTATION We present a young woman with NF1 and lower back pain due to lumbar anterior MC, extensive osteolysis, and de...

Introduction Pain and other symptoms of the lower back are some of the most prevalent health problems experienced by the populations of developed nations. They cause prolonged suffering and diminished quality-of-life to the patients, resulting in enormous losses of productivity and substantial costs for ongoing medical care. Many patients can (and should) be treated adequately by medical manage...

STUDY DESIGN A retrospective study. PURPOSE To investigate clinical and radiological outcomes when using spinous process as a tricortical autograft for segmental spinal fusion in transforaminal lumbar interbody fusion (TLIF). OVERVIEW OF LITERATURE Interbody spinal fusion is one of the important procedures in spinal surgery. Many types of autografts are harvested at the expense of complicat...

STUDY DESIGN A retrospective review. OBJECTIVE The aim of the study was to perform a risk assessment of 30-day perioperative myocardial infarction (MI) for spine surgery patients. SUMMARY OF BACKGROUND DATA There is an increased emphasis to reduce complications and improve outcomes after spinal surgery. One of the more devastating perioperative complications of spinal surgery is MI. METHO...

The purpose of this study was to evaluate the efficacy and safety of percutaneous vertebroplasty for patients with symptomatic osteoporotic vertebral compression fractures adjacent to lumbar instrumented circumferential fusion. Between January 2005 and June 2010, eighteen patients in the authors' institution with lumbar instrumented circumferential fusion had adjacent symptomatic osteoporotic v...

A 56-year-old alcoholic male incurred L5 vertebral body and bilateral L4 pars fractures with progressive L4 on L5 anterolisthesis following low-energy falls while intoxicated. Recently, he had a L3-S1 laminectomy for lumbar spinal stenosis with claudication. Preoperative imaging and radiographs were negative for pars defects and instability, so an isolated decompressive surgery was performed. F...

Background The diagnosis of discogenic back pain often leads to spinal fusion surgery and may partly explain the recent rapid increase in lumbar fusion operations in the United States. Little is known about how patients undergoing lumbar fusion compare in preoperative physical and psychological function to patients who have degenerative discs, but receive only non-surgical care. Methods Our gro...

Autogenous iliac crest bone graft has been the gold standard for use in posterolateral spinal fusions despite a high incidence of morbidity associated with the harvesting process. Minor complications including increased blood loss, increased hospital stay, and superficial infections have been reported to occur in 9.4% to 25% of cases. Major complications such as deep infection, fracture of the ...