Journal of spinal disorders & techniques
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J Spinal Disord Tech · Oct 2013
Case Reports Multicenter Study Comparative StudyClinical and radiologic outcomes of TLIF applications with or without pedicle screw: a double center prospective pilot comparative study.
Prospective cohort data by merging data from comparative studies. ⋯ This study showed that the TLIF procedure without pedicle screw support would be sufficient in the management of preoperatively stable patients with lumbar degenerative spinal disease requiring fusion after single-level decompression. This technique is minimally invasive, requires only unilateral intervention, allows magnetic resonance imaging during the postoperative period and is associated with less costs and complications when compared with pedicle screwing. This study represents the first prospective comparative report on this technique showing several of its advantages.
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J Spinal Disord Tech · Oct 2013
Comparative StudyMedium-term clinical results of microsurgical lumbar flavectomy that preserves facet joints in cases of lumbar degenerative spondylolisthesis: comparison of bilateral laminotomy with bilateral decompression by a unilateral approach.
A retrospective study of medium-term results. ⋯ Clinical and radiologic parameters were not significantly different between the 2 groups. This technique of MLF using either approach did not increase the dynamic % slip and showed favorable medium-term clinical results in cases of lumbar degenerative spondylolisthesis.
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J Spinal Disord Tech · Oct 2013
Skip-level anterior cervical discectomy and fusion with self-locking stand-alone PEEK cages for the treatment of 2 noncontiguous levels of cervical spondylosis.
Retrospectively study. ⋯ Treatment of 2 noncontiguous levels of CDDD with skip-level ACDF with self-locking stand-alone cages achieved good clinical and radiologic outcomes including a high fusion rate, low complication rate, and excellent maintenance of spinal curvature and intervertebral height.
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J Spinal Disord Tech · Oct 2013
Multiple-level noncontiguous spinal fractures: difference between the young and the elderly.
We retrospectively reviewed the hospital records of all patients with multiple-level noncontiguous spinal fractures (MLNSF) at university-affiliated hospitals between January 2001 and May 2011 (n=213). The variables assessed included age, sex, spinal fracture mechanism, anatomic distribution, neurological deficit, and associated injury. ⋯ Of all the patients with MLNSF, the risk of noncontiguous spinal fractures with neurological deficit and associated injuries in the elderly patients was lower than that among young patients. The thoracic+lumbar region was the most common region of injury among all patients, and the cervical+thoracic region was more commonly injured among young patients. Clinicians should make their diagnoses and direct their injury prevention strategies according to the characteristics of MLNSF in a specific age group.
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J Spinal Disord Tech · Aug 2013
Comparison of surgical outcomes after cervical laminoplasty: open-door technique versus French-door technique.
A retrospective case series. ⋯ Although open-door and French-door laminoplasty techniques were found to be effective for treating cervical compressive myelopathy, the open-door technique seems to be superior with respect to clinical and radiologic outcomes.