Journal of spinal disorders & techniques
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Postoperative epidural hematomas are rare complications following lumbar spine surgery, but if they are not quickly identified and treated they can lead to permanent neurological deficits. Epidural hematomas occur in approximately 0.10%-0.24% of all spine surgeries, and despite the fact that multiple large studies have been performed attempting to identify risk factors for this complication, there is still significant debate about the effect of subfascial drains, postoperative anticoagulation, and antiplatelet medication on the incidence of postoperative hematoma. The purpose of this manuscript is to review the epidemiology, etiology, diagnosis, and treatment of patients who develop a postoperative lumbar epidural hematoma.
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J Spinal Disord Tech · Nov 2015
Meta Analysis Comparative StudyImproved Accuracy of Minimally Invasive Transpedicular Screw Placement in the Lumbar Spine With 3-Dimensional Stereotactic Image Guidance: A Comparative Meta-Analysis.
This study compares the accuracy rates of lumbar percutaneous pedicle screw placement (PPSP) using either 2-dimensional (2-D) fluoroscopic guidance or 3-dimensional (3-D) stereotactic navigation in the setting of minimally invasive spine surgery (MISS). This represents the largest single-operator study of its kind and first comprehensive review of 3-D stereotactic navigation in the setting of MISS. ⋯ Three-dimensional stereotactic navigation based upon intraoperative computed tomography imaging offers markedly improved accuracy of percutaneous lumbar pedicle screw placement when used in the setting of MISS.
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J Spinal Disord Tech · Nov 2015
Coronal Spinal Balance in Adult Spine Deformity Patients With Long Spinal Fusions: A Minimum 2- to 5-Year Follow-up Study.
This study was a retrospective one. ⋯ After surgical correction of spinal deformities, coronal spinal decompensation appears in an increased number of patients at last follow-up postoperatively but without significant differences in coronal plane C7PL during the postoperative period. Attention should be paid to patients with osteoporosis and those with a combination of previous same site posterior spine surgery and new anterior approach surgery for changes of coronal balance postoperatively.
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J Spinal Disord Tech · Nov 2015
Fusion Rates of Different Anterior Grafts in Thoracolumbar Fractures.
Retrospective CT analysis of anterior fusion in thoracolumbar trauma. ⋯ Case control study, Level III.
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J Spinal Disord Tech · Nov 2015
Comparison of the Wake-up Test and Combined TES-MEP and CSEP Monitoring in Spinal Surgery.
A retrospective clinical analysis. ⋯ Combined TES-MEP and CSEP monitoring, with its high sensitivity and specificity, is an effective method for monitoring spinal function during surgery and should be the preferred choice. The wake-up test is a useful complementary method for monitoring because of its high specificity.