Journal of spinal disorders & techniques
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J Spinal Disord Tech · Feb 2010
A Comparison of fixed-hole and slotted-hole dynamic plates for anterior cervical discectomy and fusion.
A retrospective review of clinical data at 1 institution was performed. ⋯ The use of a fixed-hole dynamic plate is more favorable in regards to graft subsidence and implant translation in the follow-up period, although clinical outcome and fusion rates are similar in patients with either the fixed-hole or slotted-hole dynamic plates.
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J Spinal Disord Tech · Dec 2009
Comparative StudyAnterior exposure of the lumbar spine with and without an "access surgeon": morbidity analysis of 265 consecutive cases.
Retrospective review ⋯ Our results do not support the notion that the presence of an "access" surgeon will change the type and rate of complications. With adequate training and judgment, spine surgeons may safely perform such exposures, provided vascular surgical assistance is readily available.
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J Spinal Disord Tech · Dec 2009
Comparative StudyThe effect of screw length and bone cement augmentation on the fixation strength of iliac screws: a biomechanical study.
Comparison of the biomechanical fixation strengths offered by 3 iliac screw fixation techniques: short screw, short screw augmented with cement, and long screw. ⋯ Short iliac screws are susceptible to loosening after cyclic loading. Bone cement augmentation of short screws has demonstrated a significant increase in the fixation strength of short screws to an extent similar to that of long iliac screws. Thus, short iliac screw fixation after augmentation with bone cement will be a viable clinical option for spino-pelvic reconstruction.
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J Spinal Disord Tech · Dec 2009
One-staged combined cervical and lumbar decompression for patients with tandem spinal stenosis on cervical and lumbar spine: analyses of clinical outcomes with minimum 3 years follow-up.
Retrospective study of clinical outcomes of 1-staged combined cervical and lumbar decompression for patients with tandem spinal stenosis (TSS). ⋯ One-staged combined cervical and lumbar decompression for TSS provided fair results, even for elderly patients. Although reasons other than spinal pathology affected symptom deterioration at final follow-up, most patients expressed satisfaction at middle-term follow-up periods.
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J Spinal Disord Tech · Dec 2009
Case ReportsNovel fluoroscopic technique for localization at cervicothoracic levels.
To use a novel modified intraoperative fluoroscopic view for spinal level localization. ⋯ The modified oblique cross table fluoroscopy technique allows accurate operative localization across the cervicothoracic junction and well into the thoracic spine.