Journal of spinal disorders & techniques
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J Spinal Disord Tech · Dec 2015
Intrawound Vancomycin Powder Decreases Staphylococcal Surgical Site Infections After Posterior Instrumented Spinal Arthrodesis.
A retrospective historical cohort design. ⋯ Intrawound vancomycin powder use has decreased the rate of acute staphylococcal SSIs in our posterior instrumented spine arthrodesis surgeries. Patients who are discharged to skilled nursing or rehabilitation facilities are at an increased risk for developing SSIs despite intrawound vancomycin use.
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J Spinal Disord Tech · Dec 2015
Effect of Preoperative Tracheal Stretch Exercise on Anterior Cervical Spine Surgery: A Retrospective Study.
We designed a retrospective study on preoperative tracheal stretch exercise (TSE) before anterior cervical spine surgery. The changes in vital signs before and during the surgery and the postoperative clinical outcome were recorded and compared with none treated patients. ⋯ Proper and systematic preoperative TSE has great significance for the success of anterior cervical spine surgery.
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J Spinal Disord Tech · Dec 2015
Comparative StudyTransforaminal Lumbar Interbody Fusion in Degenerative Disk Disease and Spondylolisthesis Grade I: Minimally Invasive Versus Open Surgery.
Interbody fusion represents an efficient surgical treatment in degenerative lumbar disease, achieving satisfying outcome in >90% of cases. Various studies have affirmed the advantages of percutaneous and minimally invasive techniques with regard to minimized damage on soft tissues during surgical procedure, but their efficacy in comparison with the classic open surgical procedures has not yet been demonstrated. ⋯ Mini-TLIF is a safe and efficient procedure and, when correctly and carefully performed, can reach good results, similar to those obtained with traditional open surgical techniques, even though it may require a longer surgical time at least during the first stages of the learning curve. Reduced surgical invasiveness, short hospital stay, and limited blood loss represent the major advantages of minimally invasive technique.
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J Spinal Disord Tech · Dec 2015
Management and Outcomes of Cerebrospinal Fluid Leak Associated With Anterior Decompression for Cervical Ossification of the Posterior Longitudinal Ligament With or Without Dural Ossification.
A retrospective clinical study. ⋯ Patients with DO are at increased risk for dural injury while undergoing anterior decompression for the treatment of OPLL. This is associated with a high incidence of CSF leak. However, the majority of patients with CSF leak could be managed conservatively.
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J Spinal Disord Tech · Dec 2015
Analysis of Risk Factors Causing New Symptomatic Vertebral Compression Fractures After Percutaneous Vertebroplasty for Painful Osteoporotic Vertebral Compression Fractures: A 4-year Follow-up.
A retrospective cohort study. ⋯ The most important elements related to reducing NVCF were treating osteoporosis and improving BMD and BMI. More aggressive BMD and BMI correction is more important than the vertebroplasty technique.