Journal of spinal disorders & techniques
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J Spinal Disord Tech · Jul 2013
The effect of range of motion after single-level discover cervical artificial disk replacement.
A biomechanical study of cervical artificial disk replacement (CADR). ⋯ This study demonstrated that the single-level Discover CADR increased the ROM of the treated segment and the adjacent segments. There was also an increase in the global ROM and the total neck motion in the sagittal and the coronal planes, although there was no significant difference in the horizontal plane before and after operation.
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J Spinal Disord Tech · Jun 2013
Sacropelvic fixation with iliosacral screws: applications and results in adult spinal deformities.
Retrospective radiographic and clinical review. ⋯ Iliosacral screwing can offer a pelvic fixation reliable enough to allow restoration of 3-dimensional trunk balance. This technique has a quite short learning curve and adequately permits frontal and sagittal corrections, increases stability, and decreases instrumentation-related complications. Our observations suggest that it is applicable to pelvic fixation in adult surgery.
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J Spinal Disord Tech · Jun 2013
Review Meta AnalysisLateral extracavitary, costotransversectomy, and transthoracic thoracotomy approaches to the thoracic spine: review of techniques and complications.
Systematic review. ⋯ Outcomes of the surgical approaches to the thoracic spine have been reported with great detail in the literature. There are limited studies comparing the respective advantages and disadvantages and the differences in technique and outcome between these approaches. The present review suggests that in contrast to the historical experience of the laminectomy for thoracic spine disorders, these alternative approaches are safe and rarely associated with neurological deterioration. The differences between these approaches are based on their complication profiles. A thorough understanding of the regional anatomy will help avoid approach-related complications.
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J Spinal Disord Tech · Jun 2013
Review Meta AnalysisRisk factors for new osteoporotic vertebral compression fractures after vertebroplasty: a systematic review and meta-analysis.
Literature review and meta-analysis. ⋯ The results of this meta-analysis strongly suggested that patients with low BMD, low BMI, and intradiscal cement leakage were at high risk for new VCFs after vertebroplasty, and risk-reduction options should be considered for such patients.
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J Spinal Disord Tech · Jun 2013
Multicenter StudyCircumferential cervical surgery: to stage or not to stage?
Retrospective review. ⋯ P-POSSUM mortality estimate may serve as a useful and valid tool for spine surgery studies. Staged combined cervical surgery harbors a higher complication rate and may be associated with lengthier hospitalization.