Journal of spinal disorders & techniques
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J Spinal Disord Tech · Dec 2013
Epidemiology of traumatic cervical spinal fractures and risk factors for traumatic cervical spinal cord injury in China.
We retrospectively reviewed hospital records of all patients aged 18 years or older with traumatic cervical spinal fracture (TCSF) at 2 university-affiliated hospitals between January 2001 and December 2010 (n = 643); 417 patients (64.9%) presented with traumatic cervical spinal cord injury (TCSCI). The variables assessed included age, sex, mechanism of spinal fracture, anatomic distribution, America Spinal Injury Association (ASIA) impairment scale and associated injuries (ASOIs). ⋯ MVA and falls from a high height were the leading causes of TCSCI, especially young male patients with lower cervical spinal fractures. Therefore, establishing public policies aimed at preventing injuries should focus on MVA and falls from a high height, and more attention should be paid to the young male population.
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J Spinal Disord Tech · Dec 2013
Comparative StudyStand-alone cervical cages versus anterior cervical plate in 2-level cervical anterior interbody fusion patients: clinical outcomes and radiologic changes.
Retrospective study. ⋯ The use of cage and plate construct in 2-level ACDF results in a shorter fusion duration and a lower subsidence rate than that of cage alone; however, there is no significant difference in the postoperative global and segmental alignment and clinical outcomes between groups.
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J Spinal Disord Tech · Dec 2013
Clinical Trial Observational StudyFacet-sparing decompression with a minimally invasive flexible microblade shaver: a prospective operative analysis.
This is a detailed description of a facet-sparing decompression technique and a prospective observational study of 59 subjects. ⋯ The flexible microblade shaving system provided thorough decompression with few intraoperative complications. Operative variables were favorable compared to the literature and radiographic decompression was achieved to a great extent while allowing for the preservation of the facet joints and midline structures.
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J Spinal Disord Tech · Dec 2013
Extent of decompression and incidence of postoperative epidural hematoma among different techniques of spinal decompression in degenerative lumbar spinal stenosis.
Prospective radiographic cohort study. ⋯ Unilateral and bilateral approaches achieve a similar amount of dural sac extension by a lesser extent of bony resection in comparison with the laminectomy approach. There is a tendency of increased postoperative hematoma in approaches with greater bony decompression area.