Journal of spinal disorders & techniques
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J Spinal Disord Tech · Jul 2011
Clinical TrialBilateral operation of lumbar degenerative central spinal stenosis in full-endoscopic interlaminar technique with unilateral approach: prospective 2-year results of 74 patients.
Prospective study of the patients with degenerative spinal central stenosis, operated bilateral in a full-endoscopic unilateral technique. ⋯ The recorded results show that the full-endoscopic interlaminar bilateral decompression with unilateral approach is a sufficient and safe supplement and alternative to conventional procedures when the indication criteria are fulfilled. At the same time, it offers the advantages of a minimally invasive intervention.
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J Spinal Disord Tech · Jul 2011
Comparative StudySurgical correction of paralytic neuromuscular scoliosis with poor pulmonary functions.
A retrospective study. ⋯ Although complications are associated with the treatment of paralytic NMS, a good clinical and function outcome suggests that poor PFT should not be considered as a contraindication of scoliosis surgery.
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J Spinal Disord Tech · Jul 2011
Long-term durability of minimal invasive posterior transforaminal lumbar interbody fusion: a clinical and radiographic follow-up.
Both open and minimally invasive lumbar fusion surgeries (MIS) are used to treat patients with symptomatic degenerative spinal pathologies. Open lumbar fusion surgery studies have reported excellent short-term safety and long-term clinical outcomes. MIS has shown excellent safety and short-term clinical success, but there is very little information on its long-term clinical durability. ⋯ The results of this study support the long-term clinical effectiveness of MIS TLIF for varying diagnoses. These results suggest that those undergoing a 1-level or 2-level lumbar fusion improve equally, and that older patients do well with MIS surgery long term. Reoperation rates were acceptable, with excellent surgical durability at 49 months. The benefit of decompression was not assessed in this study, and future studies should assess its impact long term.
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J Spinal Disord Tech · Jul 2011
Microsurgical posterolateral transmuscular approach for lumbar foraminal stenosis.
Retrospective review of 39 consecutive patients who underwent surgery for lumbar foraminal stenosis from 2004 to 2009. ⋯ Posterolateral transmuscular approach with microsurgical foraminotomy provided excellent surgical results. Coronal thin-sliced MRI can be useful for diagnosis of this disease.
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J Spinal Disord Tech · Jun 2011
Comparative StudyDoes preoperative DVT chemoprophylaxis in spinal surgery affect the incidence of thromboembolic complications and spinal epidural hematomas?
Deep venous thrombosis (DVT) and pulmonary embolus (PE) remain common surgical complications, often affecting patients without any prior warning. Postoperative spinal epidural hematomas (SEH) may have a devastating impact on a patient's recovery from a routine procedure. The effect of preoperative DVT prophylaxis administration on elective spinal patients has not previously been studied. ⋯ Preoperative DVT prophylaxis does not influence the rate of postoperative DVT or PE among elective spinal patients. It probably does not influence SEH rate, and it is noted that SEH may present quite late, in contrast to currently accepted time courses.