Journal of spinal disorders & techniques
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J Spinal Disord Tech · Apr 2012
Comparative StudyComparing vertebral body reconstruction implants for the treatment of thoracic and lumbar metastatic spinal tumors: a consecutive case series of 37 patients.
Retrospective case series. ⋯ Vertebral body reconstruction after corpectomy for patients with metastatic tumors to the thoracic and lumbar spine can be performed effectively with metal, bone, or cement implants. Although metal implants are used in the majority of reconstruction cases, they seem to have a higher rate of overall complications, with bone interbody constructs showing a higher rate of revision surgery.
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J Spinal Disord Tech · Apr 2012
Investigation of segmental motor paralysis after cervical laminoplasty using intraoperative spinal cord monitoring with transcranial electric motor-evoked potentials.
A retrospective study of segmental motor paralysis after cervical laminoplasty for cervical myelopathy. ⋯ There were no abnormal findings on transcranial electric motor-evoked potential monitoring even in those patients who developed postoperative C5 palsy. These results indicate that the development of postoperative segmental motor paralysis after cervical laminoplasty occurs even if there are no abnormal findings during intraoperative monitoring.
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Prospective study. ⋯ CDR with this prosthesis provided favorable clinical outcomes and maintains ROM of the FSU, overall and segmental cervical alignment. Long-term follow-up will be needed to assess the effectiveness and advantages of this procedure.
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J Spinal Disord Tech · Feb 2012
Comparative StudyMinimally invasive lumbar decompression: long-term outcome, morbidity, and the learning curve from the first 50 cases.
Prospective observational study. ⋯ Minimally invasive lumbar decompression seems to offer patients a clinical benefit comparable to that observed in published open series, with potential advantages in terms of postoperative pain and recovery. However, there is a learning curve and whether this technique offers long-term benefits with regard to a reduction in back pain or postoperative spondylolisthesis is not yet known.