Journal of spinal disorders & techniques
-
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.
-
J Spinal Disord Tech · Jun 2012
Prophylactic inferior vena cava filters prevent pulmonary embolisms in high-risk patients undergoing major spinal surgery.
Clinical case series. ⋯ These findings show that the decreased rate of PE observed in this and other series is likely because of the use of IVC filters, rather than sampling bias inherent when studying a relatively rare problem. The safety of IVC filters in this population is also confirmed. The observed rate of clinical PE is consistent with other published series. Emboli intercepted by filters may more accurately estimate clinically significant emboli prevented. Therefore, cavograms may prove to be a valuable method of assessing the efficacy of these devices in future studies.
-
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.
-
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.
-
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.