Clinical spine surgery
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Clinical spine surgery · Nov 2017
The Role of C2-C7 Angle in the Development of Dysphagia After Anterior and Posterior Cervical Spine Surgery.
This is a retrospective clinical study. ⋯ Postoperative dysphagia is common after cervical surgery. The dC2-C7 angle may play an important role in the development of dysphagia in both anterior and PC spine surgery. Overenlargement of cervical lordosis should be avoided to reduce the development of postoperative dysphagia.
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Clinical spine surgery · Oct 2017
Patterns of Neurological Recovery After Anterior Decompression With Fusion and Posterior Decompression With Laminoplasty for the Treatment of Multilevel Cervical Spondylotic Myelopathy.
The pattern of neurological recovery in the overall modified Japanese Orthopedic Association scores, upper limb function score, and lower limb function score after surgical decompression for patients suffering from multilevel cervical spondylotic myelopathy (CSM) were analyzed in this independent retrospective study. ⋯ We recommend a individualized approach when it is difficult to determine an anterior or posterior surgery for multilevel CSM. Rehabilitation training should be carried out as early as possible.
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Clinical spine surgery · Oct 2017
Comparative StudyA Comparative Study of Anterior Decompression With Fusion and Posterior Decompression With Laminoplasty for the Treatment of Cervical Spondylotic Myelopathy Patients With Large Anterior Compression of the Spinal Cord.
This is a retrospective observational single-center study. ⋯ ADF provided better surgical treatment for the patients with absence of preoperative anterior clearance of the spinal cord.
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Clinical spine surgery · Oct 2017
Comparative StudyAnterior Versus Posterior Approaches for Odontoid Fracture Stabilization in Patients Older Than 65 Years: 30-day Morbidity and Mortality in a National Database.
Retrospective cohort analysis. ⋯ An anterior approach for odontoid fracture stabilization in patients ≥65 years old were associated with shorter operative times and greater RRs of unplanned readmissions and revision operations within 30 days of surgery relative to a posterior approach.
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Clinical spine surgery · Oct 2017
Comparative StudyComparison of Clinical Outcomes After Anterior Cervical Discectomy and Fusion Versus Cervical Total Disk Replacement in Patients With Modic-2 Changes on MRI.
A retrospective investigation. ⋯ Patients with Modic-2 changes in TDR group received a large discectomy and leading to the removal of the majority of the inflammatory disk tissue. TDR is a significantly better maintenance of index-level ROM than ACDF. The mid-term outcomes demonstrated that the both TDR and ACDF groups maintain favorable clinical results on patients with Modic-2 changes, who received TDR have significantly better maintenance of ROM than ACDF.