Journal of spinal disorders & techniques
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J Spinal Disord Tech · Apr 2009
Comparative StudyMini-transforaminal lumbar interbody fusion versus anterior lumbar interbody fusion augmented by percutaneous pedicle screw fixation: a comparison of surgical outcomes in adult low-grade isthmic spondylolisthesis.
Retrospective clinical data analysis. ⋯ The mini-ALIF group demonstrated key radiographic advantages compared with the mini-TLIF group for adult low-grade isthmic spondylolisthesis. However, clinical and functional outcomes did not demonstrate significant differences between groups.
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J Spinal Disord Tech · Apr 2009
Case ReportsSpinal deformity in patients with Sotos syndrome (cerebral gigantism).
Retrospective review of a case series. ⋯ The development of spinal deformity is a common finding in children with Sotos syndrome and in our series it occurred in adolescence in 4 out of 5 patients. There is significant variability on the pattern of spine deformity, ranging from a scoliosis through kyphoscoliosis to a pure kyphosis, and also the age at presentation and need for treatment.
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J Spinal Disord Tech · Apr 2009
The timing and influence of MRI on the management of patients with cervical facet dislocations remains highly variable: a survey of members of the Spine Trauma Study Group.
Traumatic cervical facet dislocations are potentially devastating injuries. Magnetic resonance imaging (MRI) is an excellent means of assessing ligamentous disruption, disk herniation, and compression of the neural elements. However, despite an improved understanding of these facet dislocations with imaging, treatment remains controversial. ⋯ The timing and utilization of MRI for patients with traumatic cervical facet dislocations remains variable. Further outcome analysis in the form of evidence-based algorithms is necessary to optimize patient management and outcomes.
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J Spinal Disord Tech · Apr 2009
Management and outcomes of patients undergoing surgery for traumatic cervical fracture-subluxation associated with an asymptomatic vertebral artery injury.
Retrospective clinical series. ⋯ Reduction of a fracture, whether closed or open, without treatment of an associated asymptomatic VAO seems safe. Postoperative management of VAO consisting of either observation alone or aspirin therapy also seems to be a safe option.
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J Spinal Disord Tech · Apr 2009
Long-term follow-up results and radiographic findings of anterior surgery with Cloward trephination for cervical spondylotic myelopathy.
Serial retrospective long-term follow-up study. ⋯ Anterior surgery with Cloward trephination provides generally acceptable long-term results with considerable incidences of deterioration and radiographic abnormalities. This underlines the need for thorough decompression and preservation of the subchondral endplate bone for solid fusion and maintenance of the cervical lordotic curvature.