Journal of spinal disorders & techniques
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J Spinal Disord Tech · Dec 2011
Comparative StudyComparative effectiveness of minimally invasive versus open transforaminal lumbar interbody fusion: 2-year assessment of narcotic use, return to work, disability, and quality of life.
Retrospective cohort comparison between minimally invasive (MIS) and open transforaminal lumbar interbody fusion (TLIF). ⋯ Both MIS-TLIF and open-TLIF provide long-term improvement in pain, disability, and EuroQol-5D in patients with back and leg pain from grade I degenerative spondylolithesis. However, MIS-TLIF may allow for shortened hospital stays, reduced postoperative narcotic use, and accelerated return to work, reducing both direct medical costs and indirect costs of lost work productivity associated with TLIF procedures.
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J Spinal Disord Tech · Dec 2011
Comparison of surgical outcomes of lenke type 1 idiopathic scoliosis: vertebral coplanar alignment versus derotation technique.
Prospective clinical study. ⋯ In treating thoracic scoliosis, the VCA technique could achieve as good correction and clinical outcome as the derotation technique. The advantage lies in its superior renormalization effect of thoracic kyphosis compared with the derotation technique from the concave side.
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J Spinal Disord Tech · Dec 2011
Clinical evaluation of anterior screw fixation for elderly patients with type II odontoid fractures.
A retrospective study of elderly patients who underwent anterior screw fixation for type II odontoid fractures between 2000 and 2009 was conducted. ⋯ Anterior screw fixation can be performed safely in elderly patients with type II odontoid fracture, and the clinical outcomes of this procedure were satisfactory. High fusion rates, low postoperative complications, and maintenance of cervical motion were acquired. The anterior screw fixation can be a reliable and reasonable treatment for type II odontoid fractures in the elderly patients.
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J Spinal Disord Tech · Oct 2011
Case ReportsCyclic sciatica in a patient with deep monolateral endometriosis infiltrating the right sciatic nerve.
Case report. ⋯ Endometriosis is a chronic inflammatory disease, potentially infiltrating the somatic nerves. Laparoscopic neurolysis is a therapeutic aetiological therapy, which can relieve neurological symptoms deriving from nerve infiltration/compression.
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J Spinal Disord Tech · Oct 2011
Review Case ReportsEpidural hematoma associated with occult fracture in ankylosing spondylitis patient: a case report and review of the literature.
A case report and review of the literature. ⋯ Patients with ankylosing spondylitis who sustain low-energy injuries should be considered to have a fracture especially if they develop epidural hematoma. A high index of suspicion is necessary in such a case. Imaging studies including magnetic resonance imaging and CT scans should be reviewed carefully to rule out any occult fracture.