Journal of spinal disorders & techniques
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J Spinal Disord Tech · May 2011
The results of vascularized-free fibular grafts in complex spinal reconstruction.
Retrospective review. ⋯ Vascularized-free fibular grafts are effective in the treatment of complex spinal reconstruction after surgery for spinal tumors or osteomyelitis. The vascularized-free fibular graft adds structural support as well as living bone to the fusion site and is a reasonable alternative to nonvascularized grafts in locally compromised surgical beds.
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J Spinal Disord Tech · May 2011
Case ReportsTranspedicular drainage of presacral abscess and posterior decompression of acute cauda equina syndrome in caries spine: a case series of 3 patients.
We describe 3 patients with lumbosacral tuberculosis with epidural and presacral abscess who presented to us with acute cauda equina syndrome. A novel technique of draining the abscess and its results are described. ⋯ The transpedicular approach to the presacral region is a safer option compared with other approaches to reach this region. It simultaneously allows decompression of cauda equina nerve roots by laminotomy without changing the position of the patient in the theater. The key to success with this approach is early diagnosis and early treatment.
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J Spinal Disord Tech · May 2011
Clinical outcomes of posterior lumbar interbody fusion for lumbar foraminal stenosis: preoperative diagnosis and surgical strategy.
A retrospective case study of the use of posterior lumbar interbody fusion (PLIF) to treat lumbar foraminal stenosis (LFS). ⋯ Lumbar foraminal stenosis could be reliably diagnosed by distinctive clinical symptoms, and various radiographic examinations such as plain x-ray, Magnetic resonance imaging, and 3D-reconstraction computed tomography. The PLIF procedure, in combination with segmental pedicle screws, interbody cages, and autogenous local bone graft provides excellent clinical outcomes, and is a rational and useful surgical option for lumbar foraminal stenosis.
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J Spinal Disord Tech · May 2011
Case ReportsPrimary internal fixation of unilateral C1 lateral mass sagittal split fractures: a series of 3 cases.
Retrospective case review of adult patients who sustained C1 lateral mass sagittal split fractures treated with primary internal fixation. ⋯ Patients with a unilateral sagittal split of the C1 lateral mass can be successfully managed with primary open reduction and internal fixation with a transversely oriented construct using C1 lateral mass screws. Internal fixation of the atlas without fusion prevents progressive, painful deformity and the need for complex occipitocervical reconstruction procedures that have been reported with nonoperative management of these injuries.
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J Spinal Disord Tech · Apr 2011
Clinical TrialIdentifying patients with chronic low back pain likely to benefit from lumbar facet radiofrequency denervation: a prospective study.
Case series. Prospective study. ⋯ Rhizolysis is a valuable tool for the symptomatic treatment of chronic lumbar facet joint pain. A meticulous selection of patients using a combination of clinical history, examination, imaging tests, and lumbar facet joint block with a local anesthetic, achieves long-lasting results by helping reduce the impact on these patients' daily activities.