Journal of spinal disorders & techniques
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J Spinal Disord Tech · Feb 2010
Impact of cement leakage into disks on the development of adjacent vertebral compression fractures.
A retrospective study assessing new adjacent vertebral compression fracture (VCF) after percutaneous vertebroplasty (PV). ⋯ PV is a simple and effective, but not risk-free or complication-free procedure for the treatment of osteoporotic VCF. Patients undergoing PV should be informed of the possibility of new adjacent fractures and the higher risk if cement leaks into the disk.
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J Spinal Disord Tech · Feb 2010
Comparative Study Clinical TrialNormal functional range of motion of the cervical spine during 15 activities of daily living.
Prospective clinical study. ⋯ By quantifying the amounts of cervical motion required to execute a series of simulated ADLs, this study indicates that most individuals use a relatively small percentage of their full active ROM when performing such activities. These findings provide baseline data which may allow clinicians to accurately assess preoperative impairment and postsurgical outcomes.
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J Spinal Disord Tech · Feb 2010
Clinical TrialIntraoperative perineural infiltration of lidocaine for acute postlaminectomy pain: preemptive analgesia in spinal surgery.
Prospective, cohort, and clinical study. ⋯ For preemptive analgesia for acute postoperative pain in laminectomy surgery, which remains a major concern, we suggest that lidocaine infiltration onto the dorsal neural sheath immediately before retraction of the root may extend the time before analgesia requested and the total analgesic drug consumption.
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J Spinal Disord Tech · Feb 2010
Randomized Controlled TrialTumor necrosis alpha-blocking agent (etanercept): a triple blind randomized controlled trial of its use in treatment of sciatica.
Triple blind randomized controlled study. ⋯ Small numbers of trial participants limited statistical analysis. The trend appears to show no benefit to the use of etanercept over placebo in the pharmacologic treatment of sciatica.
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J Spinal Disord Tech · Feb 2010
Can a bone marrow-based graft replacement result in similar fusion rates as rib autograft in anterior interbody fusion procedures for adolescent thoracolumbar scoliosis?
Nonrandomized consecutive case series comparing interbody spine fusion with autograft versus bone marrow-based graft replacement (BGR). ⋯ Anterior spinal fusion using bone marrow-based graft substitutes for thoracolumbar adolescent idiopathic scoliosis demonstrated equivalent results to rib autograft when used with dual-rod instrumentation and structural support. In this patient series, the rate of fusion was faster in the bone marrow-treated segments. These results suggest that for patients as described in this cohort, bone marrow-based graft replacements can thus be used as an alternative, or adjunct, to autograft to achieve interbody fusion in scoliosis surgery.