STUDY DESIGN A retrospective study. PURPOSE To examine the effectiveness of using an electrodiagnostic technique as a new approach in the clinical diagnosis of extraforaminal stenosis at L5-S1. OVERVIEW OF LITERATURE We introduced a new effective approach to the diagnosis of extraforaminal stenosis at the lumbosacral junction using the existing electrophysiological evaluation technique. M...

INTRODUCTION This observational study is designed to test the equivalence between the clinical effectiveness of microdecompression and laminectomy in the surgical treatment of central lumbar spinal stenosis. Lumbar spinal stenosis is the most frequent indication for spinal surgery in the elderly, and as the oldest segment of the population continues to grow its prevalence is likely to increase....

BACKGROUND Correlating symptoms and physical examination findings with surgical levels based on common imaging results is not reliable. In patients who have no concordance between radiological and clinical symptoms, the surgical levels determined by conventional magnetic resonance imaging (MRI) and neurogenic examination (NE) may lead to a more extensive surgery and significant complications. W...

Lumbar epidural anesthesia is useful in a variety of chronic benign pain syndromes, including lumbar radiculopathy, low back pain syndrome, spinal stenosis, and vertebral compression fractures. Given the increased number of epidural nerve blocks being performed, some have reported unexplained complications of a transient or permanent nature and with varying degrees of severity. However, no case...

Lumbar spinal stenosis is a common condition in elderly patients and may lead to progressive back and leg pain, muscular weakness, sensory disturbance, and/or problems with ambulation. Multiple studies suggest that surgical decompression is an effective therapy for patients with symptomatic lumbar stenosis. Although traditional lumbar decompression is a time-honored procedure, minimally invasiv...

Lumbar radiculopathy is a common disorder with a prevalence of 2.2-8% [1]. Mechanical compression by a herniated lumbar disc or foraminal stenosis, along with an induced inflammatory response, is thought to underlie radicular pain [2]. Transforaminal epidural steroid injections (TFESI) are widely used for the management of lumbar radicular pain provoked by herniated discopathy and spinal stenos...

Lumbar spondylolysis, a well known cause of low back pain, usually affects the pars interarticularis of a lower lumbar vertebra and rarely involves the articular processes. We report a rare case of bilateral spondylolysis of inferior articular processes of L4 vertebra that caused spinal canal stenosis with a significant segmental instability at L4/5 and scoliosis. A 31-year-old male who had suf...

Lumbar spinal stenosis is a disease with negative consequences and usually occurs in 3 vertebrae, disc canal located the lower back. In this region, nerves can be exposed to pressure for various reasons, diseases occur. Surgical operation required treat narrowing, exact location size of vital importance operation. The UNet model, which an example network, further deeper using different deep lea...

A 42 years old gentleman presented with predominant low back pain associated with bilateral lower limb neurological deficit leading to an initial diagnosis of lumbar stenosis. Further history taking and examination revealed upper limb neurological deficit, and the lower limbs actually presented with upper motor neuron instead of lower motor neuron signs. Imaging studies confirmed the clinical f...

In 1934 Mixter and Barr described the syndrome of the ruptured intervertebral disc in the lumbar region. Since then the herniated intervertebral disc has been considered to be the dominant cause of low back pain and sciatica. In 1953 Schlesinger and Taveras pointed out that in the presence of a narrow spinal canal patients with herniated intervertebral discs may present an atypical picture of m...