Journal of spinal disorders & techniques
-
J Spinal Disord Tech · Jul 2008
Transvertebral Transsacral strut grafting for high-grade isthmic spondylolisthesis L5-S1 with fibular allograft.
A clinical retrospective study was conducted. ⋯ Treatment by this method showed improvement in lumbosacral kyphosis while avoiding the neurologic injury risk associated with open slip-reduction maneuvers. Despite no reduction in translational deformity, this technique offers excellent fusion results, good clinical outcomes, and prevents further sagittal translation and lumbosacral kyphosis progression.
-
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.
-
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.
-
Consecutive case series. ⋯ The new technique may offer a safe and effective treatment for intractable SIJ pain.
-
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.