Journal of spinal disorders & techniques
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J Spinal Disord Tech · Dec 2014
Clinical significance of postdecompression facet joint effusion after minimally invasive decompression for degenerative lumbar spinal stenosis.
A retrospective case series study. ⋯ The relatively high incidence of PDFE after MEDL suggests that injury to the integrity of facet joint is inevitable during decompression of the stenosis, even using minimally invasive techniques. However, the overall stability is well preserved with very rare progression of spondylolisthesis. Most patients with PDFE are asymptomatic. The prognosis of PDFE is very good. Spinal fusion is rarely indicated.
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J Spinal Disord Tech · Dec 2014
Continuous irrigation and drainage for early postoperative deep wound infection after posterior instrumented spinal fusion.
A retrospective study of clinical cases. ⋯ Continuous irrigation and drainage is an effective and safe method for the treatment of early postoperative deep wound infection after posterior instrumented spinal fusion.
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J Spinal Disord Tech · Dec 2014
Misplacement pattern of pedicle screws in pediatric patients with spinal deformity: a computed tomography study.
A retrospective study. ⋯ PSs insertion in pediatric patients with congenital scoliosis was less accurate than that in adult patients. However, the safety of placement was quite satisfactory. The possibility of pedicle breaching increased when placing PSs at deformed vertebra, on the apex of the curve, and in the thoracic spine, which reminds surgeons to be more cautious when placing PSs in these regions.
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J Spinal Disord Tech · Dec 2014
Clinical and radiographic analysis of c5 palsy after anterior cervical decompression and fusion for cervical degenerative disease.
A retrospective cohort study. ⋯ This study suggests that improved lordosis of the cervical spinal column can result in traction injury to the spinal cord and C5 nerve roots and that reoperation does not always produce good results. Methods of preventing and treating C5 palsy after anterior decompression and fusion require more evaluation.
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J Spinal Disord Tech · Dec 2014
Operative strategy for different types of thoracolumbar stress fractures in ankylosing spondylitis.
There are no accurate guidelines on the operative treatment of ankylosing spondylitis (AS)-related thoracolumbar stress fractures. For this reason, we categorized such bone fractures into 2 types: vertebral body type and intervertebral space type, according to the damage mechanism, cross-section spot, and iconography, and devised a targeted surgical plan based on the characteristics of each fracture type. ⋯ Choosing an anterior or posterior surgical approach based on the type of AS-related thoracolumbar stress fracture can enhance the stability of the fracture, effectively restore the neurocanal volume and spinal column's axis of stress, reduce the complications of spinal cord damage, and produce the desired clinical curative effect.