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Articles Tagged With: lumbar

  • Surgical Approaches to Decompression in Degenerative Lumbar Spondylolisthesis

    A multicenter, randomized, noninferiority trial of people with symptomatic lumbar stenosis and single-level spondylolisthesis who were refractory to conservative treatment found no significant difference between outcomes in those who underwent decompression surgery with instrumented fusion vs. decompression surgery without fusion.

  • Back Pain-Related Disability and Lumbar Spine Imaging Changes

    A population-based, prospective cohort study of women in the United Kingdom found no association between the number of lumbar segments with radiographic pathology and severity of back pain-related disability.

  • MRI and Clinical Correlation in Lumbar Arachnoiditis

    Arachnoiditis, a feared complication of various spinal surgeries and procedures, shows a variety of nonspecific abnormalities on magnetic resonance imaging investigation, but there are no specific imaging features that predict prognosis.

  • Are Epidural Steroid Injections Cost-Effective?

    In a retrospective review of patients treated for low back pain and lumbar radiculopathy at the Cleveland Clinic, at three- and six-month follow-up, epidural steroid injections were no better than conservative therapies in quality of life measures or overall cost of medical care.

  • Neuroimaging Before Lumbar Puncture?

    The investigators retrospectively evaluated ESCMIID, IDSA, and Swedish guidelines for neuroimaging in 815 adults with acute bacterial meningitis. Swedish guidelines omit altered mental status and immunosuppression as indications for imaging prior to lumbar puncture. Adherence to Swedish guidelines resulted in decreased mortality and more favorable outcomes.

  • Meningitis Update

    MONOGRAPH: There are several etiologies of meningitis, but it's most often due to an infectious process.