Journal of spinal disorders & techniques
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J Spinal Disord Tech · Jun 2012
Randomized Controlled TrialFluoroscopic caudal epidural injections with or without steroids in managing pain of lumbar spinal stenosis: one-year results of randomized, double-blind, active-controlled trial.
A randomized, double-blind, active-controlled trial. ⋯ Caudal epidural injections of local anesthetic with or without steroids may be an effective treatment for a select group of patients with chronic function-limiting low back and lower extremity pain secondary to spinal stenosis.
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J Spinal Disord Tech · Jun 2012
Management of cerebrospinal fluid leakage after anterior decompression for ossification of posterior longitudinal ligament in the thoracic spine: the utilization of a volume-controlled pseudomeningocele.
Retrospective review ⋯ CSF leakage managed with controlled chest tube drainage can produce a comparable result with those with additional subarachnoid drainage when watertight dural repair is impossible. The concept of controlled pseudomeningocele may be a useful and practical technique for the treatment of CSF leakage after anterior thoracic OPLL surgery.
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J Spinal Disord Tech · Jun 2012
Reliability analysis of a smartphone-aided measurement method for the Cobb angle of scoliosis.
A comparison between the smartphone-aided measurement method and the manual measurement method for the Cobb angle in adolescent idiopathic scoliosis. ⋯ Smartphone-aided measurement for Cobb angle showed excellent reliability and efficiency. It is suggested to popularize the use of this method in clinical practice.
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J Spinal Disord Tech · Jun 2012
The position of the aorta relative to the spine for pedicle screw placement in the correction of idiopathic scoliosis.
An analysis of computed tomography (CT) images of patients with adolescent thoracic idiopathic scoliosis for posterior pedicle screw placement. ⋯ The highest risk of injuring the aorta when placing pedicle screw during posterior scoliosis surgery was at T10, followed by T4, T11, and T9 in right thoracic idiopathic scoliosis. Taking a spine CT scan and evaluating the relative position of the aorta to the thoracic spine before surgery are significant in precise and safe pedicle screw placement.
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J Spinal Disord Tech · Jun 2012
Posterior facet load changes in adjacent segments due to moderate and severe degeneration in C5-C6 disc: a poroelastic C3-T1 finite element model study.
Biomechanics of normal vertebral segments adjacent to a degenerated segment in the cervical spine. ⋯ Higher changes in facet loads along the posterior spinal column may contribute to altered biomechanics in neighboring segments. Future biomechanical experiments are required to develop a more clear understanding of the posterior facet joints response in neighboring segments because of degeneration in a cervical disc.