Study Design. Quasiexperimental study. Objective. To investigate whether radiofrequency treatment can preclude the need for spinal surgery in both the short term and long term. Background. Radiofrequency is commonly used to treat lumbosacral radicular pain. Only few studies have evaluated its effects on surgical indications. Methods. We conducted a quasiexperimental study of 43 patients who had...

The concept of minimally invasive spinal surgery embodies the goal of achieving clinical outcomes comparable to those of conventional open surgery, while minimizing the risk of iatrogenic injury that may be incurred during the exposure process. The development of microscopy, laser technology, endoscopy, and video and image guidance systems provided the foundation on which minimally invasive spi...

OBJECTIVE The aim of this study was to compare the effectiveness of spinal anesthesia with subdiaphragmatic lidocaine at the beginning of surgery versus spinal anesthesia in pain reduction for gynecological laparoscopic surgery. METHODS This was a clinical trial conducted in Arash Hospital, Tehran, Iran. Eighty-four patients were randomized to either spinal anesthesia with subdiaphragmatic li...

1Department of Neurosurgery, Taipei Veterans General Hospital, Taipei, Taiwan 2School of Medicine, National Yang-Ming University, Taipei, Taiwan 3Department of Neurosurgery, University of Southern California, Los Angeles, CA, USA 4Department of Neurological Surgery, University of California San Francisco, San Francisco, CA, USA 5Department of Neurosurgery, University of Miami, Coral Gables, FL,...

conclusions blood glucose and hemodynamic changes caused by surgical stress were not significantly different between two groups. results there was not significantly difference between blood glucose level of both groups during 10 minutes before, 20 and 60 minutes after the intiation of anesthesia. heart rate changes in the general and spinal groups compared to the baseline level were decreased u...

BACKGROUND Surgeries performed for metastatic spinal tumor are mostly palliative and are controversial for patients with short life expectancy. We investigated whether palliative posterior spinal stabilization surgery with postoperative multidisciplinary therapy results in improvement of life prognosis and activities of daily living (ADL) in patients with metastatic spinal tumor. METHODS The ...

Objective: Although epidural anesthesia and paravertebral blocks are routinely administered to achieve postoperative analgesia after trunk surgery, the use of anticoagulant therapy has increased number cases in which these procedures contraindicated. The efficacy erector spinae plane block (ESPB), an alternative method analgesia, been reported following surgery. This study aimed determine analg...

Abstract Introduction Recently, a paper was published containing the long-term results of the first ‘modern’ double rod instrumentation, the Cotrel–Dubousset instrumentation. Results showed an unexpected high rate of reoperation of nearly 50% due to late infections or chronic back pain occurring after surgery. Further research into the longterm complications of spinal fusion surgery in adolesce...

vertebral anomalies may also distort the normal regional or global spinal alignment and necessitate some therapeutic interventions. hemiepiphysiodesis is a traditional procedure usually described for these young patients but in more severe cases some type of osteotomy seems to be necessary. in this technical note, we describe a 5-year-old boy with failed previous hemiepiphysiodesis surgery, who...