Journal of spinal disorders & techniques
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J Spinal Disord Tech · Feb 2010
Comparative Study Clinical TrialNormal functional range of motion of the cervical spine during 15 activities of daily living.
Prospective clinical study. ⋯ By quantifying the amounts of cervical motion required to execute a series of simulated ADLs, this study indicates that most individuals use a relatively small percentage of their full active ROM when performing such activities. These findings provide baseline data which may allow clinicians to accurately assess preoperative impairment and postsurgical outcomes.
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J Spinal Disord Tech · Feb 2010
Clinical TrialIntraoperative perineural infiltration of lidocaine for acute postlaminectomy pain: preemptive analgesia in spinal surgery.
Prospective, cohort, and clinical study. ⋯ For preemptive analgesia for acute postoperative pain in laminectomy surgery, which remains a major concern, we suggest that lidocaine infiltration onto the dorsal neural sheath immediately before retraction of the root may extend the time before analgesia requested and the total analgesic drug consumption.
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J Spinal Disord Tech · Feb 2010
Can a bone marrow-based graft replacement result in similar fusion rates as rib autograft in anterior interbody fusion procedures for adolescent thoracolumbar scoliosis?
Nonrandomized consecutive case series comparing interbody spine fusion with autograft versus bone marrow-based graft replacement (BGR). ⋯ Anterior spinal fusion using bone marrow-based graft substitutes for thoracolumbar adolescent idiopathic scoliosis demonstrated equivalent results to rib autograft when used with dual-rod instrumentation and structural support. In this patient series, the rate of fusion was faster in the bone marrow-treated segments. These results suggest that for patients as described in this cohort, bone marrow-based graft replacements can thus be used as an alternative, or adjunct, to autograft to achieve interbody fusion in scoliosis surgery.
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J Spinal Disord Tech · Feb 2010
Surgical treatment of sacral chordomas combined with transcatheter arterial embolization.
A retrospective study, analyzing midterm results of transcatheter arterial embolization (TAE) for removal of a sacral chordoma. ⋯ In comparison with historical literature, preoperative TAE for excising the sacral tumor can significantly decrease intraoperative blood loss, make the surgical field clear, possibly eliminate the need for using an anterior approach, and facilitate the maximal removal of the sacral chordoma. It is an encouraging technique for excising the sacral chordomas.
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J Spinal Disord Tech · Feb 2010
Randomized Controlled Trial Multicenter Study Comparative StudyLower incidence of dysphagia with cervical arthroplasty compared with ACDF in a prospective randomized clinical trial.
The current study of 251 consecutive 1-level anterior cervical reconstructions was undertaken to compare the incidence of dysphagia between cervical disk replacement and conventional anterior cervical fusion and instrumentation. ⋯ In a prospective randomized clinical study the incidence of postoperative dysphagia and the long-term resolution of the dysphagia was greatly improved in the PCM group compared with the instrumented ACDF control group.