Journal of spinal disorders & techniques
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J Spinal Disord Tech · May 2014
The effect of a mismatched center of rotation on the clinical outcomes and flexion-extension range of motion: lumbar total disk replacement using mobidisc at a 5.5-year follow-up.
Retrospective clinical and radiographic assessment of 21 levels of 18 consecutive patients treated using total lumbar disk replacement (TDR) for degenerative disk disease. ⋯ The present study found that lumbar TDR using the Mobidisc prosthesis resulted in good clinical and radiologic outcomes and good patient satisfaction. Furthermore, we found that patient satisfaction, function, and ROM preservation correlated with correct COR positioning of the prosthesis.
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J Spinal Disord Tech · May 2014
Comparative StudyRelative benefit of TLIF versus PSF stratified by diagnostic indication.
Case-matched retrospective. ⋯ Clinical outcome was not significantly altered with TLIF as compared with PSF in patients with spondylolisthesis or disk pathology. However, TLIF resulted in better outcomes at 2 years postoperatively in patients with postdecompression instability.
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J Spinal Disord Tech · May 2014
Comparative StudyThe existence of intravertebral cleft impact on outcomes of nonacute osteoporotic vertebral compression fractures patients treated by percutaneous kyphoplasty: a comparative study.
A retrospective comparative study. ⋯ Computed tomography and magnetic resonance imaging were more sensitivity to diagnose IVC sign than X-ray. PKP could improve pain, functional activity, KA, and anterior height of both IVC and non-IVC groups, however, there was more cleft pattern of cement and higher intradiscal cement leakage in the IVC group.
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J Spinal Disord Tech · May 2014
Case ReportsRadiologic evaluation after posterior instrumented surgery for thoracic ossification of the posterior longitudinal ligament: union between rostral and caudal ossifications.
Retrospective clinical study. ⋯ All patients needing surgery had discontinuity across the disk space between the rostral and caudal ossified lesions as seen on CT. This discontinuity was considered to be the main reason for the myelopathy because a high-intensity area on magnetic resonance imaging was seen in 18 of 19 patients at the same level. Rigid fixation with instrumentation may allow the discontinuous segments to connect in patients without a concomitant thickening of the OPLL.
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J Spinal Disord Tech · May 2014
Surgical treatment of scoliosis in osteogenesis imperfecta with cement-augmented pedicle screw instrumentation.
A retrospective study. ⋯ Pedicle screw instrumentation in OI scoliosis is safe and effective. Cement augmentation in these patients may help to increase the pedicle pull-out strength and decrease the screw failure rates, especially at the proximal and the distal ends of instrumentation.