Journal of spinal disorders & techniques
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J Spinal Disord Tech · Feb 2013
Controlled Clinical TrialCost-utility analysis of minimally invasive versus open multilevel hemilaminectomy for lumbar stenosis.
Two-year cost-utility study comparing minimally invasive (MIS) versus open multilevel hemilaminectomy in patients with degenerative lumbar spinal stenosis. ⋯ MIS versus open multilevel hemilaminectomy was associated with similar cost over 2 years while providing equivalent improvement in QALYs. In our experience, MIS versus open multilevel hemilaminectomy is a cost equivalent technology for patients with lumbar stenosis-associated radicular pain.
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J Spinal Disord Tech · Feb 2013
Clinical TrialPosterior surgical correction of posttraumatic kyphosis of the thoracolumbar segment.
To analyze the clinical characteristics and surgical results of posttraumatic kyphosis of the thoracolumbar segment. ⋯ Surgical correction of posttraumatic kyphosis of the thoracolumbar segment can show good radiologic and clinical results with the appropriate procedure according to the extent of the kyphosis angle. Some patients with neurological deficit are still worthy of surgical treatment.
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J Spinal Disord Tech · Feb 2013
Clinical TrialOpen-door laminoplasty with plate fixation at alternating levels for treatment of multilevel degenerative cervical disease.
A retrospective study. ⋯ Laminoplasty with plate fixation at alternating levels is a safe, relatively fast, and cost-effective surgical method for most patients with cervical myelopathy. However, unfixed levels (C4 and C6) still have the risk of closure of open angle, which could be associated with remaining spinal cord compression. C6 is a much higher risk level compared with C4.
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J Spinal Disord Tech · Feb 2013
Case ReportsMinimal-invasive percutaneous reduction and transsacral screw fixation for U-shaped fractures.
Technical note and case series. ⋯ Percutaneous reduction and transsacral screw fixation offers a less invasive method for treating U-shaped fractures. This can be advantageous in treatment of patients with multiple injuries.
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J Spinal Disord Tech · Feb 2013
Relationship between the alignment of the occipitoaxial and subaxial cervical spine in patients with congenital atlantoxial dislocations.
Prospective radiographic analysis. ⋯ Changes in OA alignment before and after surgery are associated with changes in the subaxial spine. There is a high incidence of postoperative DDD in the subaxial spine that seems to be related to sagittal alignment after surgery.