Journal of spinal disorders & techniques
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J Spinal Disord Tech · Jun 2016
Perioperative Outcomes after Cervical Laminoplasty versus Posterior Decompression and Fusion: Analysis of 779 Patients in the ACS-NSQIP Database.
Retrospective cohort study. ⋯ Posterior cervical decompression and fusion patients were found to have moderately worse short-term outcomes than laminoplasty patients. The information provided here can be used to inform patients and surgeons about the likely perioperative experience after they have made the decision to pursue 1 of these 2 procedures.
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J Spinal Disord Tech · Jun 2016
Single Stage Anterior Release and Sequential Posterior Fusion for Irreducible Atlantoaxial Dislocation.
A retrospective study. ⋯ The method of single-stage anterior release and reduction with posterior fusion is an effective method for management of IAAD, proving its value as a technique for achieving complete reduction with solid bony fusion.
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J Spinal Disord Tech · May 2016
Preoperative Nutritional Status as an Adjunct Predictor of Major Postoperative Complications Following Anterior Cervical Discectomy and Fusion.
Retrospective analysis of the National Surgical Quality Improvement Program (NSQIP), a prospectively collected multicenter surgical outcomes database. ⋯ In this analysis of a prospective surgical outcomes database, preoperative serum hypoalbuminemia was an important adjunct predictor of major complications following ACDF. In high-risk patients with multiple medical comorbidities, we recommend that clinicians consider nutritional screening and optimization as part of preoperative risk assessment.
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J Spinal Disord Tech · May 2016
PEEK Versus Ti Interbody Fusion Devices: Resultant Fusion, Bone Apposition, Initial and 26 Week Biomechanics.
Comparative evaluation of in vitro and in vivo biomechanics, resulting fusion and histomorphometric aspects of polyetheretherketone (PEEK) versus titanium (Ti) interbody fusion devices in an animal model with similar volumes of bone graft. ⋯ Although material properties and surface characteristics resulted in differing amounts of biological integration from the host, both implants were capable of producing excellent fusion results using similar volumes of bone graft.
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J Spinal Disord Tech · Mar 2016
Cost-Utility Analysis of Instrumented Fusion Versus Decompression Alone for Grade I L4-L5 Spondylolisthesis at 1-Year Follow-up: A Pilot Study.
Retrospective 1-year cost-utility analysis. ⋯ Decompression without fusion is cost-effective for patients with grade I L4-L5 spondylolisthesis. Decompression with fusion is not cost effective in a 1-year timeframe for these patients based on the threshold. Accordingly, although fusion is beneficial for improving health outcomes in patients with spondylolisthesis, it is not cost-effective when analyzing a 1-year timeframe based on the threshold. The durability of these results must be analyzed with longer term cost-utility analysis studies.