Journal of spinal disorders & techniques
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J Spinal Disord Tech · Jun 2013
Analysis of C5 palsy after cervical open-door laminoplasty: relationship between C5 palsy and foraminal stenosis.
A retrospective study. ⋯ There was a significant difference in the diameter of the C4/5 foramen between the PG and the NPG. The results suggest that the main etiology of C5 palsy is impairment of the C5 nerve root induced by preexisting C4/5 foraminal stenosis.
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J Spinal Disord Tech · Jun 2013
Multicenter StudyCircumferential cervical surgery: to stage or not to stage?
Retrospective review. ⋯ P-POSSUM mortality estimate may serve as a useful and valid tool for spine surgery studies. Staged combined cervical surgery harbors a higher complication rate and may be associated with lengthier hospitalization.
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J Spinal Disord Tech · Jun 2013
Randomized Controlled TrialComparison of the therapeutic effect of teriparatide with that of combined vertebroplasty with antiresorptive agents for the treatment of new-onset adjacent vertebral compression fracture after percutaneous vertebroplasty.
Comparing a prospective group of 32 patients, who underwent percutaneous vertebroplasty (PVP) and who were treated with teriparatide for at least 18 months after a new-onset adjacent vertebral compression fracture (VCF), and compared it with a retrospective group of 33 patients, who received antiresorptive agents combined with repeated PVPs for post-PVP new-onset adjacent VCFs. ⋯ For the treatment of new-onset adjacent VCF after PVPs, the therapeutic effects of teriparatide is better than that of the combined vertebroplasty and an antiresorptive agent in fracture prevention, BMD change, and sustained pain relief.
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J Spinal Disord Tech · Jun 2013
Review Meta AnalysisLateral extracavitary, costotransversectomy, and transthoracic thoracotomy approaches to the thoracic spine: review of techniques and complications.
Systematic review. ⋯ Outcomes of the surgical approaches to the thoracic spine have been reported with great detail in the literature. There are limited studies comparing the respective advantages and disadvantages and the differences in technique and outcome between these approaches. The present review suggests that in contrast to the historical experience of the laminectomy for thoracic spine disorders, these alternative approaches are safe and rarely associated with neurological deterioration. The differences between these approaches are based on their complication profiles. A thorough understanding of the regional anatomy will help avoid approach-related complications.
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J Spinal Disord Tech · Jun 2013
Treatment of facet cysts associated with neurogenic intermittent claudication with x-stop.
Facet degeneration often leads to the formation of synovial facet cysts. As facet cysts invade the spinal canal, they become a contributing factor to spinal stenosis. Previous studies have demonstrated successful treatment of neurogenic intermittent claudication (NIC), a major symptom of spinal stenosis, with an interspinous process device. ⋯ No statistical difference was noted in any of the outcome measures among patients with small facet cysts, large facet cysts, or without facet cysts when treated with an interspinous process device. We can thus conclude that X-Stop is an appropriate treatment consideration for NIC with or without the presence of synovial facet cysts.