Journal of spinal disorders & techniques
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J Spinal Disord Tech · Dec 2008
Controlled Clinical TrialMinimally invasive sacroiliac arthrodesis: outcomes of a new technique.
Prospective cohort. ⋯ Minimally invasive sacroiliac arthrodesis via a percutaneous posterior approach is a safe and efficacious procedure, leading to a high fusion rate and significant improvement in low back, leg pain, and dyspareunia.
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J Spinal Disord Tech · Dec 2008
Controlled Clinical TrialDouble-door cervical laminoplasty with the use of suture anchors: technical note.
Technical note. ⋯ Double-door cervical laminoplasty with suture anchors is a technically easy and safe procedure that provides secure placement of the split laminae.
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J Spinal Disord Tech · Dec 2008
Review Case ReportsIntradural repair of lumbar nerve roots for traumatic paraparesis leading to functional recovery.
Case report and a literature review of intradural nerve graft repair of traumatic lacerations of lumbar nerve roots. ⋯ This case describes a surgical approach to the management of traumatic lumbar nerve root injuries that offers the possibility of neurologic recovery and challenges the traditional approach of conservative management.
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J Spinal Disord Tech · Dec 2008
Comparative StudyEarly complications of surgical versus conservative treatment of isolated type II odontoid fractures in octogenarians: a retrospective cohort study.
A retrospective cohort study of operative versus nonoperative treatment of isolated type II odontoid fractures in patients aged 80 years and more without neurologic deficit admitted to a level 1 spinal cord injury center between June 1985 and July 2006. ⋯ Type II odontoid fractures in the octogenarian population are associated with substantial morbidity and mortality, irrespective of management method. Prospective studies are needed to better elucidate management strategies for this difficult clinical problem.
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J Spinal Disord Tech · Dec 2008
Clinical TrialUnipedicular balloon kyphoplasty for the treatment of osteoporotic vertebral compression fractures: early results.
The traditional bipedicular kyphoplasty was proved to be safe and effective for the treatment of pain associated with osteoporotic vertebral compression fractures (VCFs). Nevertheless, unilateral kyphoplasty would be an attractive alternative to the traditional bipedicular kyphoplasty owing to theoretical speed, safety, and less expense; thus far, the biomechanical testing showed that experimental unilateral kyphoplasty had properties comparable with bipedicular kyphoplasty. To date, no clinical data are available regarding the efficacy and safety of unilateral balloon kyphoplasty. In this prospective observational study, the clinical and radiographic outcomes of the unipedicular (unilateral) balloon kyphoplasty in osteoporotic VCFs are evaluated. ⋯ Unipedicular (unilateral) extrapedicular kyphoplasty is both a safe and efficacious alternative to the traditional bipedicular kyphoplasty for the treatment of painful osteoporotic VCFs. As a technique, it is faster, less expensive, and involves less radiation exposure for the surgical suite personnel.