Extreme lateral interbody fusion (XLIF; NuVasive, Inc, San Diego, California) is a minimally invasive technique developed to avoid complications associated with traditional or minimally invasive anterior or posterior approaches to lumbar interbody fusion. It uses a direct lateral, retroperitoneal, transpsoas approach for placement of an interbody cage. To date, no reports of cage-related compli...

woman who presented to her primary care physician with complaints of constant low back and left lower extremity pain that had progressively worsened over the previous 6 months. The patient reported that her symptoms were insidious in onset and currently limited her ability to walk greater than 27 m, stand longer than 10 minutes, and sit longer than 5 minutes. Physical examination revealed an an...

A 70-year-old Caucasian female with a past medical history of hypertension, chronic renal insufficiency, dyslipidemia, hypothyoidism, anemia, congestive heart failure, recent humeral fracture, and longstanding gout, presented with a one-year history of progressive weakness and falls, increasing “clumsiness” in her hands and weakness of the lower extremities. Bowel and bladder function were inta...

CONTEXT Low Back Pain (LBP) in athletes is common and has a broad spectrum of differential diagnoses that must be taken in to account when a clinician approaches the patient with LBP. The physicians should take into account spinal and extra spinal causes of low back pain in athletes. EVIDENCE ACQUISTION A literature review was performed for the years 1951 through 2013. Keywords used were Low ...

The anterior approach is a well-known surgical technique for the treatment of degenerative diseases of the lumbar spine. Through this approach is possible to perform arthrodesis, arthroplasty, discectomy, corpectomy to treat a lot of degenerative conditions. The ALIF procedure is one of the most widely used technique, and is argued to have biomechanical advantages over posterior approaches for ...

INTRODUCTION A case of young male patients aged 25 years old presented with history of injured from falling heavy object on his back. There was burst Fracture of L5 Vertebrae with grade 3 spondylolisthesis. It was completely different from the types of L5 fracture that had been published up to now. Our patient had combination of a complete burst fracture of the fifth lumbar vertebra with disloc...

STUDY DESIGN Prospective cohort study. OBJECTIVE Microsurgical bilateral decompression via a unilateral approach (MBDU), a minimally invasive surgical (MIS) decompression method, has been performed for numerous degenerative lumbar diseases, including degenerative lumbar scoliosis (DLS) or degenerative spondylolisthesis (DS), at our institution. In this study, we evaluated the appropriateness ...

Discogenic pain is closely related to degenerative disc disease (DDD). The source of low back pain is internal disruption of the lumbar intervertebral disc. Chronic segmental instability, mechanical irritation of sensory nociceptive terminals and biochemically activation of inflamatory mediators are thought as causes of discogenic low back pain. Acute and chronic spinal instability are known as...

IntroductionSpine injury is one of the leading caused for disability in Nepal. Patients with trauma relatedspine leads to neurological dysfunction, focal deficits and even fatal life threating events.The timely intervention acute spinal could save patients from andmortality risk. Imaging modalities like Xray, CT Scan MRI helps diagnosis managementof trauma. plays crucial role detection cord sof...