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
Comparative StudyA short report comparing outcomes between L4/L5 and L5/S1 single-level discectomy surgery.
Prospective cohort study. ⋯ This is the first study comparing a discectomy outcome at L4/L5 and L5/S1 with complete preoperative data. No significant difference exists between the 2 levels in terms of postoperative outcome. Surgical procedures such as fusion or arthroplasty should not be carried out synchronous with primary discectomy for radiculopathy. The lack of a difference between L4/L5 and L5/S1 reinforces the fact that the mechanical environment does not affect outcome and should not influence treatment.
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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
Preoperative radiographic factors and surgeon experience are associated with cortical breach of C2 pedicle screws.
A retrospective review study. ⋯ During placement of C2 pedicle screws, likelihood of cortical breach may be associated with size of pedicle and surgeon experience. Extensive preoperative evaluation of CT scans and consideration of technical demands of procedure may help avoid complications with such internal fixation.
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J Spinal Disord Tech · Feb 2010
Clinical outcomes after microendoscopic discectomy for recurrent lumbar disc herniation.
Retrospective review of consecutive case series. ⋯ MED is a safe and effective surgical approach for the treatment of recurrent lumbar disc herniation. Standardized measures of outcome show that MED for recurrent herniation produces improvement in pain, disability, and functional health that is at least comparable with outcomes reported for conventional open microdiscectomy.