Clinical spine surgery
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Clinical spine surgery · Jul 2016
White Blood Cell Count and C-Reactive Protein Variations Following Posterior Surgery with Intraoperative Radiotherapy for Spinal Metastasis.
Retrospective case series. ⋯ A high WBC count and CRP level on POD 7 may be used to predict or detect SSI. In particular, a CRP level of 5.0 mg/dL on POD 7 strongly suggests the future development of SSI (sensitivity: 78%, specificity: 74%).
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Clinical spine surgery · Jun 2016
A Retrospective Analysis of Subaxial Subluxation Following Atlanto-axial Arthrodesis in Patients with Rheumatoid Arthritis Based on Annual Radiographs Obtained for Five Years.
Retrospective study. ⋯ Although SAA was maintained following atlanto-axial arthrodesis in RA-AAS patients, 12 of 25 patients (48%) with AAS developed SAS following atlanto-axial fusion. Further surgery was not needed for SAS up to five years after the initial surgery. We did not find any relationships between the occurrence of SAS and the AAA and SAA before and after surgery. Therefore, our findings suggest that proper reduction of AAA in patients with atlanto-axial arthrodesis does not affect the occurrence of SAS at five years after surgery.
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Clinical spine surgery · Jun 2016
Relation Between Severity of Injury and Neurological Deficit in Thoracolumbar Burst Fracture.
A prospective, consecutive case series. ⋯ NISS have a closer correlation with neurological deficit in thoracolumbar burst fractures; thus, we can put forward a hypothesis that perhaps NISS is able to reflect the dynamic fracture process.
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Clinical spine surgery · May 2016
A New Navigational Tool for Pedicle Screw Placement in Patients with Severe Scoliosis: A Pilot Study to Prove Feasibility, Accuracy, and Identify Operative Challenges.
Pilot study. ⋯ The new custom-made positioning guide is a feasible navigational tool which permits a safe and accurate implantation of pedicle screws in patients with severe scoliosis.
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Clinical spine surgery · May 2016
Cement Leakage in Percutaneous Vertebral Augmentation for Osteoporotic Vertebral Compression Fractures: Analysis of Risk Factors.
The risk factors for cement leakage were retrospectively reviewed in 192 patients who underwent percutaneous vertebral augmentation (PVA). ⋯ High bone density and vertebral cortical bone defect are independent risk factors associated with bone cement leakage.