Journal of spinal disorders & techniques
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J Spinal Disord Tech · May 2013
Functional outcomes, morbidity, mortality, and fracture healing in 26 consecutive geriatric odontoid fracture patients treated with posterior fusion.
Retrospective review. ⋯ PSF for geriatric odontoid fractures is associated with moderately high levels of morbidity and mortality. Posttreatment neck pain and disability is low and does not differ significantly from aged-matched cohorts. Odontoid fracture healing after surgical stabilization does not correlate with improved functional outcomes.
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J Spinal Disord Tech · May 2013
Mid-term follow-up of clinical and radiologic outcomes in cervical total disk replacement (Mobi-C): incidence of heterotopic ossification and risk factors.
Cervical arthroplasty has been shown to have successful, short-term and long-term radiologic and clinical outcomes. The incidence of and predisposing factors for heterotopic ossification (HO) have not been determined. We retrospectively assessed the intermediate-term clinical and radiologic outcomes, especially the incidence of HO and its risk factors. ⋯ Intermediate follow-up of cervical arthroplasty showed good clinical outcomes, although there was a trend toward reduction in alignment and motion at 24 months. The overall HO occurrence was 94.1% at 24 months. In our study, the most important factor affecting HO was the different surgical techniques.
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J Spinal Disord Tech · May 2013
Anterior cervical intercorporal fusion in patients with osteoporotic or tumorous fractures using a cement augmented cervical plate system: first results of a prospective single-center study.
Prospective observational clinical study. ⋯ In patients with severe osteoporosis or in patients with advanced tumor disease, excellent surgical, clinical, and radiologic results are possible following our method. In our opinion, a second-step posterior approach can be avoided by this technique.
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J Spinal Disord Tech · May 2013
Comparative StudyComparison of isocentric C-arm 3-dimensional navigation and conventional fluoroscopy for C1 lateral mass and C2 pedicle screw placement for atlantoaxial instability.
A retrospective study. ⋯ On comparing the 2 imaging techniques, it was found that using Iso-C 3D navigation can significantly improve the accuracy of screw placement and decrease intraoperative fluoroscopic time and blood loss. This study demonstrates that Iso-C 3D navigation is a safe and effective means of guiding C1LM-C2P screw fixation for atlantoaxial instability.
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J Spinal Disord Tech · May 2013
Modified double-door laminoplasty in managing multilevel cervical spondylotic myelopathy: surgical outcome in 520 patients and technique description.
This is a prospective study on surgical outcomes of double-door laminoplasty in patients with cervical spondylotic myelopathy (CSM). ⋯ Modified double-door laminoplasty is a safe, reliable, and effective procedure for patients with CSM.