Journal of spinal disorders & techniques
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J Spinal Disord Tech · Jul 2012
Case ReportsEfficacy of novel minimally invasive surgery using spinal microendoscope for treating extraforaminal stenosis at the lumbosacral junction.
A retrospective case study of the spinal microendoscopic surgery for the treatment of extraforaminal stenosis at the lumbosacral junction. ⋯ The spinal microendoscopic surgery demonstrated efficacy for treating extraforaminal stenosis at the lumbosacral junction where the lesion is difficult to be exposed. Quick and easy access along with minimal damage to the back muscles and bony structures could be accomplished using the property of its oblique view and angled surgical equipments. This procedure has produced long-lasting favorable outcomes and high patient satisfaction. Novel minimally invasive surgery may replace conventional open methods.
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J Spinal Disord Tech · Jul 2012
Lumbarized sacrum as a relative contraindication for lateral transpsoas interbody fusion at L5-6.
Retrospective review. ⋯ Treating the L5-6 level using a lateral transpsoas approach in individuals with lumbarized sacra can be challenging due to anatomy more similar to the L5-S1 level in normal patients. Preoperative planning using axial MRI and intraoperative adherence to advanced neuromonitoring can aid in identifying and avoiding injury in these rare patients.
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J Spinal Disord Tech · Jul 2012
Feasibility of C2 translaminar screw as an alternative or salvage of C2 pedicle screws in atlantoaxial instability.
A retrospective outcome study. ⋯ C2 translaminar screws provide surgeons with an expanded option for posterior fusion in high cervical lesions. This technique is safe and easy to adopt with a favorable rate of successful fusion. We believe that preoperative planning using computed tomographic scan is mandatory and use of an additional connector may reduce the stress and strain of the screws.