Journal of spinal disorders & techniques
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J Spinal Disord Tech · Oct 2010
Correlative factor analysis on the complications resulting from cement leakage after percutaneous kyphoplasty in the treatment of osteoporotic vertebral compression fracture.
The correlative factors for complications resulting from cement leakage were retrospectively reviewed in 71 patients who underwent percutaneous kyphoplasty. ⋯ The cement viscosity, injected cement volume, vertebral body wall incompetence, and a history of pulmonary diseases were the factors affecting the complications resulting from cement leakage. The recognition of these risk factors is helpful in efforts to improve surgical technique to reduce the risk of complications after being treated by percutaneous kyphoplasty.
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J Spinal Disord Tech · Oct 2010
Radiofrequency facet joint neurotomy in treatment of facet syndrome.
Retrospective analyses of 50 patients with lumbar facet syndrome treated with lumbar facet joint neurotomy. ⋯ The most important factors determining success of this procedure is strict patient selection criteria and technique of the procedure.
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J Spinal Disord Tech · Oct 2010
Long-term results of iliac wing fixation below extensive fusions in ambulatory adult patients with spinal disorders.
Case series, level of evidence therapeutic IV. ⋯ In this series, nonunions continue to be a problem, with a rate of 15.3%, however only 6.4% of nonunions were at the lumbosacral junction. Complications specific to iliac screw placement were minimal. These difficult surgeries are known to be plagued with problems and our complication rate is consistent with what is present in the current literature. The use of iliac wing fixation seems to dramatically improve lumbosacral fusion rates with an acceptable complication rate; in addition there seems to be a protective effect in preventing sacral fractures, sacral screw failure, and sacroiliac arthritis.
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J Spinal Disord Tech · Aug 2010
Early complications of extreme lateral interbody fusion in the obese.
A retrospective review of prospective data of all patients undergoing extreme lateral interbody fusion (XLIF) for degenerative disease of the lumbar and thoracic spine. ⋯ Unlike traditional open lumbar fusion procedures, minimally invasive surgery (XLIF) has no greater risk of complication in the obese patient.
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J Spinal Disord Tech · Aug 2010
Randomized Controlled TrialClinical outcomes of Bryan cervical disc arthroplasty a prospective, randomized, controlled, single site trial with 48-month follow-up.
Prospective, randomized, controlled. Level 1 evidence. ⋯ At 48 months, cervical arthroplasty with the Bryan cervical disc prosthesis continues to compare favorably to ACDF at our institution. There has been no degradation of functional outcomes from 24 to 48 months for NDI, VAS of neck and arm, and SF-36. There has been a lower incidence of secondary surgeries for the Bryan arthroplasty cohort to date.