Journal of spinal disorders & techniques
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J Spinal Disord Tech · Oct 2009
Biomechanical assessment of minimally invasive decompression for lumbar spinal canal stenosis: a cadaver study.
A biomechanical study on the cadaveric human lumbar spine. ⋯ These results go toward supporting a minimally invasive bilateral decompression. Minimally invasive bilateral decompression, as opposed to a conventional medial facetectomy, preserves the facet joints as much as possible. Preserving the facet joints during the decompression should produce less postoperative instability.
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J Spinal Disord Tech · Aug 2009
Pedicle screw-only constructs with lumbar or pelvic fixation for spinal stabilization in patients with Duchenne muscular dystrophy.
Retrospective case study. ⋯ Pedicle screw-only constructs provide good stability allowing better correction and maintenance of coronal and lumbar deformities, obtaining good sitting balance, and mobilizing patients early after surgery. Longer follow-up is required to adequately comment on the need for pelvic stabilization.
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J Spinal Disord Tech · Aug 2009
Randomized Controlled TrialThe use of screw at the fracture level in the treatment of thoracolumbar burst fractures.
In this prospective randomized study, the results of treating unstable thoracolumbar burst fractures by pedicle instrumentation with and without fracture level screw combination were given. ⋯ Reinforcement with fracture level screw combination can help to provide better kyphosis correction and offers immediate spinal stability in patients with thoracolumbar burst fracture.
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J Spinal Disord Tech · Aug 2009
Case ReportsCervical kyphotic deformity correction using 360-degree reconstruction.
The authors report on their experience with cervical sagittal deformity correction using 360-degree reconstruction. ⋯ The correction of cervical kyphotic sagittal plane deformity can be accomplished safely and effectively using a 360-degree approach. The incidence of major complications in this study was low. All patients could be corrected to a neutral or lordotic alignment. No loss of deformity correction was seen in any patient, and a 97.5% fusion rate was obtained.
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J Spinal Disord Tech · Aug 2009
Anterior transvertebral herniotomy for cervical disc herniation: a long-term follow-up study.
Retrospective study. ⋯ In conclusion, ATH provided a good clinical outcome that was maintained for a long time. Although intervertebral motion at the operated level decreased to some extent, degenerative changes at the adjacent levels were not enhanced.