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[Lumbosacral nerve bowstring disease].

J G Shi1, X M Xu, J C Sun

  • 1Department of Spine Surgery, Changzheng Hospital, the Second Military Medical University, Shanghai 200433, China.

Zhonghua Yi Xue Za Zhi
|March 30, 2017
PubMed
Summary
This summary is machine-generated.

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A new disease, lumbosacral nerve bowstring disease, is defined with diagnostic criteria. Capsule surgery effectively relieved symptoms and improved quality of life for patients with this condition.

Area of Science:

  • Spine Surgery
  • Neurology
  • Medical Definitions

Background:

  • Lumbosacral nerve bowstring disease is a novel condition characterized by axial hypertension of nerve roots and spinal cord.
  • It stems from congenital anomalies and can be exacerbated by other spinal pathologies or iatrogenic factors.
  • The disease presents with neurological symptoms due to nerve tension, analogous to a stretched bowstring.

Purpose of the Study:

  • To define lumbosacral nerve bowstring disease and establish diagnostic criteria.
  • To evaluate the preliminary efficacy of capsule surgery for this condition.

Main Methods:

  • A cohort of 30 patients diagnosed with lumbosacral nerve bowstring disease were included.
  • Patients underwent capsule surgery and completed the Oswestry Disability Index (ODI) and Tampa Scale for Kinesiophobia (TSK) pre- and post-operatively.
Keywords:
Capsule surgeryLumbosacral nerve bowstring diseaseLumbosacral regionScoliosisSpinal stenosis

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  • Surgical parameters including duration and segments treated were recorded.

    • Main Results:

    • Post-operative scores showed significant improvements: VAS (7.6 to 3.3), TSK (52.0 to 24.6), and ODI (68.4 to 32.1) (all P<0.05).
    • The mean surgery duration was 155 minutes, with an average of 4.3 segments treated.
    • A majority of patients experienced symptom relief and enhanced quality of life.

    Conclusions:

    • The study successfully proposed a definition and diagnostic criteria for lumbosacral nerve bowstring disease.
    • Capsule surgery demonstrated to be an effective treatment, leading to excellent outcomes for patients.
    • The findings suggest significant improvements in pain, disability, and fear of movement post-surgery.