Journal of spinal disorders & techniques
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J Spinal Disord Tech · Dec 2008
Controlled Clinical TrialMinimally invasive sacroiliac arthrodesis: outcomes of a new technique.
Prospective cohort. ⋯ Minimally invasive sacroiliac arthrodesis via a percutaneous posterior approach is a safe and efficacious procedure, leading to a high fusion rate and significant improvement in low back, leg pain, and dyspareunia.
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J Spinal Disord Tech · Dec 2008
Correction of apical axial rotation with pedicular screws in neuromuscular scoliosis.
A retrospective study to measure the postoperative apical axial derotation with posterior pedicle screw fixation in neuromuscular scoliosis. ⋯ Our results indicate that apical axial derotation can be well achieved with posterior only pedicle screw fixation in patients with neuromuscular scoliosis without any need for an anterior release procedure.
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J Spinal Disord Tech · Dec 2008
Feasibility of occipital condyle screw placement for occipitocervical fixation: a cadaveric study and description of a novel technique.
Occipital-cervical (OC) stabilization using occipital condyle fixation with a polyaxial screw-rod construct is described. ⋯ Condyle screws can be placed without injury to neurovascular structures. OC junction fixation using polyaxial occipital condyle screws is feasible and can be considered a salvage technique or an alternative where other fixation techniques are not available.
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J Spinal Disord Tech · Oct 2008
Instrumented slip reduction and fusion for painful unstable isthmic spondylolisthesis in adults.
Although in situ posterolateral fusion is considered the gold standard for surgical treatment of low-grade adult spondylolisthesis, correction of the sagittal translation by instrumented slip reduction is more controversial in adults; nevertheless it may delay adjacent level disc degeneration. ⋯ Our results may support performing slip reduction in selected adults with isthmic spondylolisthesis.
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J Spinal Disord Tech · Oct 2008
Randomized Controlled Trial Comparative StudyLumbar spinal fusion versus anterior lumbar disc replacement: the financial implications.
Cost-identification analysis with retrospective and calculated cost. ⋯ The hospital cost of disc replacement surgery is similar to TLIF and ASF (when rhBMP-2 cost is excluded) and is significantly less expensive than ASF/PSF.