Journal of spinal disorders & techniques
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J Spinal Disord Tech · Oct 2015
Clinical TrialProspective Study of Posterior Lumbar Interbody Fusion With Either Interbody Graft or Interbody Cage in the Treatment of Degenerative Spondylolisthesis.
A prospective study of 2 different fusion techniques for the treatment of single-level degenerative spondylolisthesis. ⋯ We have found the use of a cage to achieve lumbar interbody fusion in the treatment of degenerative lumbar spondylolisthesis does not confer any significant advantages in terms of restoration of lumbar lordosis, improvement in clinical symptoms, or relief of pain postoperatively.
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J Spinal Disord Tech · Oct 2015
Does Navigation Improve Accuracy of Placement of Pedicle Screws in Single-level Lumbar Degenerative Spondylolisthesis?: A Comparison Between Free-hand and Three-dimensional O-Arm Navigation Techniques.
This was a prospective, nonrandomized study. ⋯ O-arm navigation does not provide any significant advantage over conventional free-hand pedicle screw insertion technique in patients with single-level degenerative spondylolisthesis. The accuracy is dependent on the distance of the tracker from the level of instrumentation. Lateral perforations are more common because of instability at the instrumented level leading to translation and rotation of the vertebral body while placing pedicle screws leading to preferential lateral trajectory. These lateral perforations could not be prevented by using navigation. However, no significant complications were noted in either technique.
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J Spinal Disord Tech · Oct 2015
Review Meta Analysis Comparative StudyComparison of Anterior Decompression and Fusion With Posterior Laminoplasty for Multilevel Cervical Compressive Myelopathy: A Systematic Review and Meta-Analysis.
Systematic review and meta-analysis. ⋯ On the basis of this meta-analysis, anterior decompression and fusion is associated with better recovery of neurological function, better postoperative cervical alignment, higher postoperative complication and reoperation rates, more blood loss, and longer operative times compared with posterior laminoplasty.
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J Spinal Disord Tech · Aug 2015
ReviewPediatric Cervical Spine Injuries: A Rare But Challenging Entity.
Injuries to the cervical spine in pediatric patients are uncommon. A missed injury can have devastating consequences in this age group. Because of the lack of routine in diagnosis and management of pediatric cervical spine injuries (PCSI), each of these cases represents a logistic and personal challenge. ⋯ Level IV.
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J Spinal Disord Tech · Aug 2015
Comparative StudyProspective, Self-controlled, Comparative Study of Transposterior Arch Lateral Mass Screw Fixation and Lateral Mass Screw Fixation of the Atlas in the Treatment of Atlantoaxial Instability.
A prospective self-controlled study. ⋯ Atlas transposterior arch lateral mass screw fixation is less invasive, simple, has fewer complications, and offers good fixation results for atlantoaxial instability as compared with lateral mass screw fixation.