Journal of spinal disorders & techniques
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J Spinal Disord Tech · Jul 2008
Instrumented posterior lumbar interbody fusion for patients with degenerative lumbar scoliosis.
Surgery for degenerative lumbar scoliosis remains challenging for spine surgeons even with the application of pedicle screw instrumentation. This retrospective study assesses the outcomes of instrumented posterior lumbar interbody fusion (PLIF) for degenerative lumbar scoliosis. ⋯ Analytical results demonstrate that instrumented PLIF after laminectomy in patients with degenerative lumbar scoliosis is an effective and safe procedure.
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J Spinal Disord Tech · Jul 2008
The clinical characteristics and risk factors for the adjacent segment degeneration in instrumented lumbar fusion.
A retrospective study. ⋯ Radiographic ASD is relatively common long-term finding associated with instrumented lumbar fusion. However, radiographic evidence of ASD does not necessarily correlate with a poor outcome. Our results suggest that advanced age, anterior lumbar interbody fusion, and the restoration of the preoperative standing lumbar lordosis may have a protective effect against the development of ASD.
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Consecutive case series. ⋯ The new technique may offer a safe and effective treatment for intractable SIJ pain.
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J Spinal Disord Tech · Jul 2008
Comparative StudyReherniation and failure after lumbar discectomy: a comparison of fragment excision alone versus subtotal discectomy.
Retrospective review of 259 lumbar discectomies. ⋯ Subtotal discectomy is an acceptable technique that decreases reherniation after lumbar discectomy.
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J Spinal Disord Tech · Jul 2008
Therapy of spinal wound infections using vacuum-assisted wound closure: risk factors leading to resistance to treatment.
This study retrospectively reviewed spine surgical procedures complicated by wound infection and managed by a protocol including the use of vacuum-assisted wound closure (VAC). ⋯ VAC therapy may be an effective adjunct in closing spinal wounds even after the repeat procedures. The MRSA or multibacterial infections seem to be most likely to need repeat debridements and VAC treatment before final wound closure.