Discuss challenges in designing post-surgical lumbar spine rehab program for home health patients. Describe common post-surgical lumbar spine fusion (LSF) functional precautions and activities prescribed by the surgeon. Identify the most common approaches to the LSF procedures and main types of lumbar fusions. Identify surgical LSF risk factors related to increased risk of non-union of the fusi...

Objective: Recognizing cauda equina redundant nerve root syndrome is crucial before surgery. Magnetic resonance imaging (MRI) findings of this condition are demonstrated. The aim of this study is to identify patients with redundant nerve root syndrome (RNS), well demonstrate (MRI) findings, notify the surgeon before the surgery and therefore to prevent a potential catastrophe. Methods: Ten pati...

Guillain-Barré syndrome (GBS) is a term that is used to describe a group of immune-mediated peripheral neuropathies, with the most common feature being rapid polyradiculoneuropathy. The exact etiology of this syndrome is unknown. In the field of orthopedics, GBS has been reported to occur after total hip arthroplasty, orthopedic trauma, and spine surgery. We report a unique case of GBS after el...

STUDY DESIGN This study is a prospective, clinical study assessing the efficacy of selective decompression of the level responsible in a two-level stenosis in accordance with the neurological findings defined by the gait load test with a treadmill. PURPOSE To clarify the clinical features of multilevel lumbar spinal stenosis (LSS) regarding the neurological level responsible for the symptoms,...

Background and Aim: Degenerative lumbar spine disease can lead to lumbar spine instability. The patients can present with Low Back Pain (LBP), radicular pain, and motor and sensory dysfunction. Age >50, female sex and pregnancies are among prevalent risk factors. The degeneration process usually starts from the intervertebral discs progressing to involve facet joints, ligaments, and vertebral b...

Background and Importance Lumbar pseudomeningocele is an extradural cystic collection of cerebrospinal fluid with no dural covering. It results from a breach in the dura–arachnoid layer. This rare complication results from a dural rent or dehiscence after laminectomy. The exact cause of postoperative pseudomeningocele incidence is unknown and is usually under reported, as most of these patients...

BACKGROUND Failed back surgery syndrome (FBSS) is a frequently encountered disease entity following lumbar spinal surgery. Although many plausible reasons have been investigated, the exact pathophysiology remains unknown. Various medications, reoperations, interventions such as spinal cord stimulation, epidural adhesiolysis or epidural injection, exercise therapy, and psychotherapy have been su...

BACKGROUND Low haematocrit (Hct) is associated with a higher rate of post-operative complications, increased mortality, and additional medical costs following cardiac surgery. Predictors of post-operative Hct in lumbar fusion are unclear and may be beneficial in avoiding adverse surgical outcomes. METHODS A total of 704 lumbar disc herniation patients (385 males, 319 females) who underwent pr...

BACKGROUND Percutaneous adhesiolysis (PA) is considered to be a reasonable nonoperative treatment for herniation of intervertebral disc (HIVD), spinal stenosis, and post-lumbar-surgery syndrome (PLSS). The success of PA depends on the removal of epidural fibrosis and drug delivery to the target region. However, prognostic predictors of the effects of PA are not well known. OBJECTIVE The aim o...