Journal of spinal disorders & techniques
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J Spinal Disord Tech · Jun 2009
Surgical treatment of lumbar tuberculous spondylodiscitis by transforaminal lumbar interbody fusion (TLIF) and posterior instrumentation.
Retrospective case study. ⋯ Transforaminal lumbar interbody fusion with pedicle screw fixation is a simple, safe, and effective procedure for treatment of selected patients suffering from lumbar and lumbosacral tuberculosis.
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J Spinal Disord Tech · May 2009
Comparative StudyComparison of computed tomography and plain radiography in assessing traumatic spinal deformity.
An imaging study assessing agreement between computed tomographic (CT) scans and plain radiographs when measuring acute thoracolumbar spinal deformity. ⋯ Screening CT demonstrates excellent correlation with plain radiography for measuring thoracolumbar spinal deformity in the coronal and sagittal planes for patients with trauma.
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J Spinal Disord Tech · May 2009
Comparative StudyComparison of vertebral rotation corrected by different techniques and anchors in surgical treatment of adolescent thoracic idiopathic scoliosis.
Evaluation of radiographs and computed tomography in patients undergoing different surgical interventions for adolescent idiopathic scoliosis (AIS). ⋯ Compared with the use of hooks and the wires, vertebral rotation in AIS is effectively corrected by either the anterior approach or posterior pedicle screw fixation, especially in patients with more flexible scoliosis (a flexibility index >0.5).
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A retrospective review was performed to determine the outcomes of patients with cauda equina syndrome (CES) from a herniated lumbar disc at our institutions. ⋯ In our series of patients with CES and bladder incontinence or retention, over 90% regained continence. Recovery of function was not related to the time to surgical intervention. The majority of the patients were adequately treated without the need for a complete laminectomy.
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J Spinal Disord Tech · May 2009
Minimally invasive interbody fusion for revision lumbar surgery: technical feasibility and safety.
Retrospective chart review of one surgeon's practice. ⋯ Minimally invasive lumbar interbody fusion by revision surgery is technically feasible and is not associated with more blood loss or neurologic morbidity. However, revision surgery has a higher minor perioperative complication rate, particularly of incidental durotomy. These outcomes demand significant experience before attempting minimally invasive revision surgery in the lumbar spine.