Journal of spinal disorders & techniques
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J Spinal Disord Tech · Oct 2008
Instrumented slip reduction and fusion for painful unstable isthmic spondylolisthesis in adults.
Although in situ posterolateral fusion is considered the gold standard for surgical treatment of low-grade adult spondylolisthesis, correction of the sagittal translation by instrumented slip reduction is more controversial in adults; nevertheless it may delay adjacent level disc degeneration. ⋯ Our results may support performing slip reduction in selected adults with isthmic spondylolisthesis.
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J Spinal Disord Tech · Oct 2008
Randomized Controlled Trial Comparative StudyLumbar spinal fusion versus anterior lumbar disc replacement: the financial implications.
Cost-identification analysis with retrospective and calculated cost. ⋯ The hospital cost of disc replacement surgery is similar to TLIF and ASF (when rhBMP-2 cost is excluded) and is significantly less expensive than ASF/PSF.
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J Spinal Disord Tech · Oct 2008
Treatment of unstable lower cervical spine injuries by anterior instrumented fusion alone.
Retrospective study of a prospectively followed cohort. ⋯ Anterior instrumented fusion is at least as efficient as the posterior procedure in the management of cervical spine injuries and it also has several advantages. Most of such injuries, including the dislocations, can be managed with anterior instrumented fusion alone. Simple means of immobilization such as the hard collar suffice, and secondary posterior fixation is rarely, if ever, necessary.
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J Spinal Disord Tech · Oct 2008
Clinical TrialC2 pedicle screw and plate combined with C1 titanium cable fixation for the treatment of atlantoaxial instability not suitable for placement of C1 screw.
A method of atlantoaxial stabilization using individual fixation of the C1 posterior arch and the C2 pedicle with C2 pedicle screws and plates combined with C1 titanium cables is described. In addition, the clinical results of this method on 8 patients are described. ⋯ C2 pedicle screw and plate combined with C1 titanium cable could be used to treat atlantoaxial instability in the cases not suitable for placement of C1 screw.