Journal of spinal disorders & techniques
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J Spinal Disord Tech · Jul 2013
Comparative StudyWhat is the optimum fusion technique for adult isthmic spondylolisthesis--PLIF or PLF? A long-term prospective cohort comparison study.
Long-term prospective observational cohort study. ⋯ This study strongly supports the use of PLIF to obtain equivalent or superior clinical outcomes compared with PLF for spinal fusion for lumbar IS. Although there are considerable issues when commenting on the results of observational studies, the results of this study are the first to report long-term follow-up beyond 2 years, and further larger long-term randomized studies are suggested.
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J Spinal Disord Tech · Jul 2013
Case ReportsPosterior-approach vertebral replacement with rectangular parallelepiped cages (PAVREC) for the treatment of osteoporotic vertebral collapse with neurological deficits.
A retrospective clinical study. ⋯ PAVREC provided a satisfactory clinical and radiologic outcome without severe complications. This procedure can be a treatment option for osteoporotic vertebral collapse and an alternative to an anterior-approach or single posterior-approach reconstruction with a cylindrical cage.
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J Spinal Disord Tech · Jul 2013
Comparative StudyUse of autogenous bone graft compared with RhBMP in high-risk patients: a comparison of fusion rates and time to fusion.
A retrospective study. ⋯ With relative low dosage of rhBMP-2 compared with the dose used in Food and Drug Administration trial, in patients without fusion-related risk factors, rhBMP-2 may lead to acceptable fusion rates and faster fusion time when compared with autograft. Therefore, rhBMP-2 may serve as an acceptable alternative to autogenous bone graft in patients without fusion-related risk factors undergoing instrumented posterolateral lumbar fusions. When compared with patients with fusion-related risk factors, the use of rhBMP-2 was comparable with autograft but was not sufficient to overcome all aspects of the weakened osteoinductive capacity encountered in patients with these risk factors.
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J Spinal Disord Tech · Jul 2013
Influencing segmental balance in isthmic spondylolisthesis using transforaminal lumbar interbody fusion.
Retrospective cohort study. ⋯ This study demonstrates that reduction of TS and restoration of disc space height are readily achieved with single-level TLIF. However, to establish an increase in SL consistent rod contouring and meticulous anterior placement of the interbody device should be applied. Excessive ventral positioning of the cages might result in insufficient disc space height restoration.
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J Spinal Disord Tech · Jul 2013
Do multilevel Ponte osteotomies in thoracic idiopathic scoliosis surgery improve curve correction and restore thoracic kyphosis?
To compare the routine use of posterior-based (Ponte) osteotomies to complete inferior facetectomies in thoracic idiopathic scoliosis. Hypokyphosis is common in thoracic adolescent idiopathic scoliosis. The use of pedicle screw fixation in deformity correction can exacerbate this hypokyphosis. We hypothesized that by utilizing posterior-based Ponte osteotomies rather than facetectomies, we could improve coronal plane correction and decrease the loss of kyphosis during curve correction. ⋯ This study shows a significantly higher blood loss and operative time associated with the use of routine posterior osteotomies in the thoracic spine without a significant improvement in coronal or sagittal correction.