Journal of spinal disorders & techniques
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J Spinal Disord Tech · Apr 2009
Comparative StudyThe management of spinal injuries in patients with ankylosing spondylitis or diffuse idiopathic skeletal hyperostosis: a comparison of treatment methods and clinical outcomes.
A retrospective review of 12 patients with ankylosing spondylitis (AS) and 18 patients with diffuse idiopathic skeletal hyperostosis (DISH) treated at a single institution for spinal injuries between the years 2000 and 2006. ⋯ Although the rate of neurologic injury was high for both groups, AS patients were more likely to exhibit neurologic deficits and undergo operative management. Although the majority of these spinal injuries were treated surgically, stable fractures without any associated neurologic deficits were often successfully managed with immobilization. Complications were observed with both operative and nonoperative treatments, although all of the deaths occurred in conjunction with the use of the halo-vest orthosis.
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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
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.