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Related Concept Videos

Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

743
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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Correction: First description of C5 pedicle subtraction osteotomy for post-ACDF kyphotic deformity: a case report.

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Related Experiment Video

Updated: Aug 29, 2025

Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis
05:17

Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis

Published on: February 9, 2024

723

[Lumbar spinal stenosis].

Christof Birkenmaier1, Manuel Fuetsch2,3

  • 1Wirbelsäulenchirurgie & Skoliosezentrum, Artemed Klinikum München Süd, Am Isarkanal 30, 81379, München, Deutschland. christof.birkenmaier@artemed.de.

Orthopadie (Heidelberg, Germany)
|September 9, 2022
PubMed
Summary

Lumbar spinal stenosis (LSS) surgery outcomes are often unclear due to symptom-imaging discrepancies. Studies suggest decompression alone may be as effective as more invasive fusion or instrumentation strategies for LSS.

Keywords:
Clinical symptomsDegenerative spondylolisthesisImplantsMicrosurgical decompressionSpinal fusion

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Area of Science:

  • Degenerative spine conditions
  • Neurosurgery
  • Orthopedic surgery

Context:

  • Lumbar spinal stenosis (LSS) is a common degenerative condition.
  • Correlation between LSS symptoms and imaging is challenging.
  • High prevalence of asymptomatic LSS and differential diagnoses complicate treatment decisions.

Purpose:

  • To analyze the challenges in correlating LSS symptoms with imaging findings.
  • To evaluate the effectiveness of surgical interventions for LSS.
  • To address the controversy surrounding additive instrumentation and fusion in LSS surgery, particularly with degenerative spondylolisthesis.

Summary:

  • Discrepancies between LSS symptoms and imaging findings pose challenges for treatment and outcomes.
  • The decision for additive instrumentation or fusion in LSS surgery, especially with degenerative spondylolisthesis, remains debated.
  • Recent evidence indicates that decompression alone is non-inferior to more invasive surgical strategies.

Impact:

  • Improved understanding of LSS diagnostic and prognostic factors.
  • Informed clinical decision-making regarding surgical interventions for LSS.
  • Potential shift towards less invasive surgical approaches for LSS, improving patient outcomes and reducing healthcare costs.