Journal of spinal disorders & techniques
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J Spinal Disord Tech · Aug 2010
Early complications of extreme lateral interbody fusion in the obese.
A retrospective review of prospective data of all patients undergoing extreme lateral interbody fusion (XLIF) for degenerative disease of the lumbar and thoracic spine. ⋯ Unlike traditional open lumbar fusion procedures, minimally invasive surgery (XLIF) has no greater risk of complication in the obese patient.
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J Spinal Disord Tech · Aug 2010
Randomized Controlled TrialClinical outcomes of Bryan cervical disc arthroplasty a prospective, randomized, controlled, single site trial with 48-month follow-up.
Prospective, randomized, controlled. Level 1 evidence. ⋯ At 48 months, cervical arthroplasty with the Bryan cervical disc prosthesis continues to compare favorably to ACDF at our institution. There has been no degradation of functional outcomes from 24 to 48 months for NDI, VAS of neck and arm, and SF-36. There has been a lower incidence of secondary surgeries for the Bryan arthroplasty cohort to date.
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J Spinal Disord Tech · Aug 2010
Multicenter StudyPostoperative segmental malalignment after surgery with the Bryan cervical disc prosthesis: is it related to the mechanics and design of the prosthesis?
In a radiographic study, postoperative segmental alignment was compared between 2 cohorts of 20 consecutive patients operated with a Bryan Cervical Disc Prosthesis. In group 2, patients with severe preoperative kyphosis were excluded for disc replacement surgery and the surgical technique was slightly altered to avoid asymmetric overdrilling of the posterior part of the cranial endplate of the caudal vertebral body. ⋯ This study shows that segmental malalignment with the Bryan Disc can be reduced and is therefore not device related. Proper patient selection and a modified surgical technique can prevent this adverse outcome.
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Development of a computer-aided Cobb measurement method and evaluation of its reliability. ⋯ Compared with the documented results, variability of the Cobb measurement is reduced by using the developed computer-aided method. This method can help orthopedic surgeons measure the Cobb angle more reliably during scoliosis clinics.
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J Spinal Disord Tech · Aug 2010
Percutaneous endoscopic discectomy: clinical results and how it affects the quality of life.
Prospective study ⋯ Endoscopic discectomy is associated with improvement in back pain and lower-limb symptoms postoperation which translates to improvement in quality of life. It has the advantage that it can be performed on a day case basis with shorter length of hospitalization and early return to work thus improving quality of life earlier.