Journal of spinal disorders & techniques
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J Spinal Disord Tech · Aug 2012
Postanesthesia care unit imaging is unnecessary when intraoperative imaging is used during anterior cervical decompression and fusion procedures.
Retrospective case series. ⋯ This study demonstrates that PACU images are inferior to intraoperative images and offer little or no incremental clinical utility for detecting issues with surgical construct placement after ACDF procedures. PACU imaging after ACDF procedures might be discontinued to realize savings in time, cost, and radiation exposure.
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J Spinal Disord Tech · Aug 2012
Claustrophobia: a proxy for psychological distress in patients with back pain.
Case-control study. ⋯ Claustrophobic patients with back pain showed higher levels of depression than nonclaustrophobic patients, with a higher rate of psychological distress. Disability, however, was not higher. The majority of claustrophobic patients did not require surgical intervention. The reasons for this are unclear and require further investigation. Claustrophobia requiring sedation for MRI scans may be a proxy for psychological distress in these patients and psychometric testing is advised during assessment to help with surgical decision making.
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J Spinal Disord Tech · Aug 2012
Anatomic deviation between the central hip vertical axis and central sacral vertical line in adolescent idiopathic scoliosis.
A radiographic and clinical study. ⋯ Anatomic deviation between the CHVA and CSVL was significantly different in the TC and TLC groups when compared with the control group, but was similar between the 2 AIS groups. The CHVA was on an average approximately 2 mm to the right when compared with the CSVL in AIS girls. Adaption of the measures related to the CSVL is necessary to adopt the CHVA as a reference axis for the 3D evaluation of idiopathic scoliosis.
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J Spinal Disord Tech · Jul 2012
Comparative StudyComparison of disc and vertebral wedging between patients with adolescent idiopathic scoliosis and Chiari malformation-associated scoliosis.
A comparative study. ⋯ The relative wedging of intervertebral disc and vertebrae with AIS patients is similar to that of scoliosis with known cause (CMS). The wedging of discs and vertebrae in AIS patients may be an adaptive change secondary to some extravertebral factors.
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J Spinal Disord Tech · Jul 2012
Surgical outcome of percutaneous endoscopic interlaminar lumbar diskectomy for recurrent disk herniation after open diskectomy.
Technical report. ⋯ PEID with dissection of the scar tissue from the medial facet joint rather than from the neural tissue may be an effective alternative surgical method for recurrent disk herniation.