Journal of spinal disorders & techniques
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J Spinal Disord Tech · Dec 2014
Randomized Controlled TrialHemostatic techniques following multilevel posterior lumbar spine surgery: a randomized control trial.
This was a prospective, randomized controlled clinical study. ⋯ Application of absorbable gelatin sponge at the end of multilevel posterior lumbar fusion can significantly decrease postoperative drain output and length of hospital stay.
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J Spinal Disord Tech · Dec 2014
Surgical treatment for spinal tuberculosis with bilateral paraspinal abscess or bilateral psoas abscess: one-stage surgery.
This was a prospective study on the clinical outcomes of single-stage surgery for thoracic and lumbar spine tuberculosis patients with bilateral paraspinal or bilateral psoas abscesses. ⋯ Single-stage posterior surgery with instrumentation results in less operative trauma and can be a suitable alternative for treating thoracic and lumbar tuberculosis with bilateral paraspinal or bilateral psoas abscesses.
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J Spinal Disord Tech · Dec 2014
Clinical significance of postdecompression facet joint effusion after minimally invasive decompression for degenerative lumbar spinal stenosis.
A retrospective case series study. ⋯ The relatively high incidence of PDFE after MEDL suggests that injury to the integrity of facet joint is inevitable during decompression of the stenosis, even using minimally invasive techniques. However, the overall stability is well preserved with very rare progression of spondylolisthesis. Most patients with PDFE are asymptomatic. The prognosis of PDFE is very good. Spinal fusion is rarely indicated.
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J Spinal Disord Tech · Dec 2014
Continuous irrigation and drainage for early postoperative deep wound infection after posterior instrumented spinal fusion.
A retrospective study of clinical cases. ⋯ Continuous irrigation and drainage is an effective and safe method for the treatment of early postoperative deep wound infection after posterior instrumented spinal fusion.
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J Spinal Disord Tech · Dec 2014
Misplacement pattern of pedicle screws in pediatric patients with spinal deformity: a computed tomography study.
A retrospective study. ⋯ PSs insertion in pediatric patients with congenital scoliosis was less accurate than that in adult patients. However, the safety of placement was quite satisfactory. The possibility of pedicle breaching increased when placing PSs at deformed vertebra, on the apex of the curve, and in the thoracic spine, which reminds surgeons to be more cautious when placing PSs in these regions.