Background: The incidence of cervical, thoracic and lumbar spinal canal stenosis is low. It difficult to identify the main focus responsible segment, it also select sequence staging surgery. We report a patient with triple stenosis. Case Presentation: In this paper, we introduced 61-year-old female who had previously undergone “lumbar discectomy” in outer hospital. postoperative effect was not ...

STUDY DESIGN Case-control study. PURPOSE To design a new tool for classifying lumbar spinal canal stenosis (CLSCS). OVERVIEW OF LITERATURE Grading of patients with lumbar spinal canal stenosis (LSCS) is controversial. METHODS The Oswestry disability index (ODI) and the neurogenic claudication outcome score (NCOS) were recorded. Four parameters, which indicate the severity of LSCS disease,...

Objectives: The aim of this study is to evaluate the relationship between spinal canal cross-sectional area (SCCSA) at stenosis level, areas multifidus (MF) muscle L3-S1 levels, and psoas (PSCSA) L3 level in patients with nerve compression due lumbar stenosis. Methods: A total 280 were included study, 140 control group that had been detected magnetic resonance imaging (MRI). patients' ages, gen...

BACKGROUND Lumbar spinal stenosis (LSS) is prevalent in those over the age of 65 years and the leading cause of spinal surgery in this population. Recent systematic reviews have examined the effectiveness of conservative management for LSS, but not relative to surgical interventions. The aim of this review was to systematically examine the effectiveness of land based exercise compared with deco...

Posterior lumbar interbody fusion (PLIF) implants are increasingly being used for 360 degrees fusion after decompression of lumbar spinal stenosis combined with degenerative instability. Both titanium and PEEK (PolyEtherEtherKetone) implants are commonly used. Assessing the clinical and radiological results as well as typical complications, such as migration of the cages, is important. In addit...

Biomechanical assessment of minimally invasive posterior decompression for lumbar spinal canal stenosis -A cadaver studyTakahiko Hamasaki1,2,3, Nobuhiro Tanaka3, Motohiro Okada1,2, Jin Hwan Kim1,2, Mitsuo Ochi3, William C. Hutton1,2 1Emory Spine Center, Atlanta, GA; 2Orthopaedic surgery, VA medical center, Atlanta, GA; 3Orthopaedic surgery, Hiroshima University, Hiroshima, Japan [email protected]...

PURPOSE To evaluate the serial changes in clinical results and the intradural and extradural spaces on magnetic resonance imaging (MRI) after bilateral fenestration in 48 patients with lumbar spinal canal stenosis (LSCS). METHODS A prospective interventional study was performed to study the clinical results, magnetic resonance imaging scans among patients who were followed up for more than 3 ...

A clinico-radiological analysis of 74 cases of ossification of the posterior longitudinal ligament is reported. Eighteen cases (24%) were asymptomatic or only had neck or shoulder pain; 16 cases (22%) showed signs of radiculopathy, and the remaining 40 cases (54%) had myelopathy. Ossification of the posterior longitudinal ligament developed most frequently at C5, and was rare in thoracic and lu...

Background Epidural anesthesia is widely used for postoperative analgesia and rarely causes permanent neurological complications. We report a case of paraplegia following abdominal surgery under combined epidural/general anesthesia. Case presentation A 75-year-old woman underwent a scheduled abdominal total hysterectomy and bilateral salpingo-oophorectomy for suspected endometrial cancer. In ...