Journal of spinal disorders & techniques
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J Spinal Disord Tech · Oct 2014
Utility of the Surgical Apgar Score for Patients who Undergo Surgery for Spinal Metastasis.
Retrospective review of consecutive patients who underwent surgery for spinal metastasis 2005-2011. ⋯ Our findings suggest SAS is not a significant predictor of major perioperative complications following spinal metastasis surgery; preoperative functional status and age are stronger predictors. The need continues for a preoperative scoring system to reliably predict risk for perioperative complications following spinal metastasis surgery.
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J Spinal Disord Tech · Oct 2014
Clinical Outcome and Postoperative CT Measurements of Microendoscopic Decompression for Lumbar Spinal Stenosis.
Retrospective case series. ⋯ The results confirm that microendoscopic decompression for lumbar spinal stenosis is safe and effective. This study is one of the first to obtain CT measurements of the lumbar spine to assess the postoperative decompression of this procedure.
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J Spinal Disord Tech · Oct 2014
Long-term outcomes after revision neural decompression and fusion for same-level recurrent lumbar stenosis: defining the effectiveness of surgery.
Single-cohort study of patients undergoing revision neural decompression and fusion for same-level recurrent lumbar stenosis. ⋯ Our study suggests that revision neural decompression and instrumented fusion for recurrent same-level stenosis provides significant improvement in all patient-assessed outcome metrics and should be offered as a viable treatment option.
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J Spinal Disord Tech · Oct 2014
Comparative StudyDoes prone repositioning before posterior fixation produce greater lordosis in lateral lumbar interbody fusion (LLIF)?
Retrospective comparative radiographic review. ⋯ In LLIF procedures, the largest increase in operative level segmental lordosis is brought about by cage insertion. Further lordosis may be gained by placing posterior fixation, including compressive maneuvers. Prone repositioning after cage placement does not produce any incremental lordosis change. Therefore, posterior fixation may be performed in the lateral position without compromising operative level sagittal alignment.
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J Spinal Disord Tech · Oct 2014
Learning curve of a complex surgical technique: minimally invasive transforaminal lumbar interbody fusion (MIS TLIF).
Prospective cohort study. ⋯ In our study, technical proficiency in MIS TLIF was achieved after 44 surgeries, and the latter patients benefited from shorter operative duration and radiation, less pain, and more relief in their back, leg, and neurogenic symptoms.