Journal of spinal disorders & techniques
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J Spinal Disord Tech · Jul 2010
Management of type II odontoid fractures in the geriatric population: outcome of treatment in a rigid cervical orthosis.
Retrospective study. ⋯ Patients treated nonoperatively in rigid collar seem to have an overall favorable outcome. A well-designed prospective study, to compare the outcomes of surgical intervention with nonsurgical management of Type II odontoid in elderly is recommended.
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J Spinal Disord Tech · Jul 2010
Mesh cage reconstruction with autologous cancellous graft in anterior cervical discectomy and fusion.
Retrospective case series. ⋯ Autologous bone grafting with mesh cage reconstruction is an acceptable alternative to autologous tricortical structural graft or allograft with reduced donor site pain and excellent biologic arthrodesis.
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J Spinal Disord Tech · Jul 2010
Comparative StudyOutcomes of interbody fusion cages used in 1 and 2-levels anterior cervical discectomy and fusion: titanium cages versus polyetheretherketone (PEEK) cages.
A prospective study was performed in case with cervical spondylosis who underwent anterior cervical discectomy and fusion (ACDF) with titanium or polyetheretherketone (PEEK) cages. ⋯ The PEEK cage is superior to the titanium cage in maintaining cervical interspace height and radiographic fusion after 1 and 2-levels anterior cervical decompression procedures.
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J Spinal Disord Tech · Jul 2010
Comparative StudyA case-control study of preemptive analgesia for postoperative pain in patients undergoing posterior lumbar interbody fusion: continuous subcutaneous morphine alone and combined with intrathecal injection.
A case-control clinical study of preemptive analgesia for postoperative pain was conducted. ⋯ SI provided a favorable analgesic effect at any time point. The VAS score was always below 30. Major complications were not observed in either group, but more careful observation for respiratory status was required after the SI procedure. SI can be an attractive method for postoperative analgesia and accomplished with technical ease.