Journal of spinal disorders & techniques
-
J Spinal Disord Tech · Dec 2014
Clinical and radiographic analysis of c5 palsy after anterior cervical decompression and fusion for cervical degenerative disease.
A retrospective cohort study. ⋯ This study suggests that improved lordosis of the cervical spinal column can result in traction injury to the spinal cord and C5 nerve roots and that reoperation does not always produce good results. Methods of preventing and treating C5 palsy after anterior decompression and fusion require more evaluation.
-
J Spinal Disord Tech · Dec 2014
Operative strategy for different types of thoracolumbar stress fractures in ankylosing spondylitis.
There are no accurate guidelines on the operative treatment of ankylosing spondylitis (AS)-related thoracolumbar stress fractures. For this reason, we categorized such bone fractures into 2 types: vertebral body type and intervertebral space type, according to the damage mechanism, cross-section spot, and iconography, and devised a targeted surgical plan based on the characteristics of each fracture type. ⋯ Choosing an anterior or posterior surgical approach based on the type of AS-related thoracolumbar stress fracture can enhance the stability of the fracture, effectively restore the neurocanal volume and spinal column's axis of stress, reduce the complications of spinal cord damage, and produce the desired clinical curative effect.
-
J Spinal Disord Tech · Dec 2014
A porcine early-onset scoliosis model created using a posterior mini-invasive method: a pilot study.
An animal study. ⋯ A 3-dimensional rapidly progressive scoliosis model, that is closely approximate to human EOS, can be successfully created in pigs by unilaterally tethering the thoracolumbar spine and the ribcage. This model provides an equivalent EOS-like deformity and leaves adequate skeletal growth potential for biomechanical research as well as validation of fusionless scoliosis correction systems.
-
J Spinal Disord Tech · Nov 2014
How Well Do Radiological Assessments of Truncal and Shoulder Balance Correlate with Cosmetic Assessment Indices in Lenke 1C Adolescent Idiopathic Scoliosis?
A correlation study. ⋯ Radiographic indices can only minisculely (r≤0.7) reflect cosmetic deformity in Lenke 1C scoliosis, which emphasizes not only the vulnerability of over-reliance on radiographic indices but also the vital importance of clinical cosmetic evaluations. In particular, cosmetic shoulder height and angle are not represented by radiographic indices. However, radiograph trunk shift was significantly associated with cosmetic trunk shift in cosmetic pictures.
-
J Spinal Disord Tech · Oct 2014
Does the Prevalence of Spondylolysis and Spina Bifida Occulta Observed in Pediatric Patients Remain Stable in Adults?
Cross sectional study. ⋯ The prevalence of lumbar spondylolysis remained constant from pediatric age through adulthood. The prevalence of SBO decreased from 41.2% in children to 7.7% in adults; this finding suggests that closure of the vertebral arch may not be completed in early childhood in a large percentage of subjects.