Orthopaedic surgery
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Orthopaedic surgery · Feb 2012
Restoration of lordosis and disk height after single-level transforaminal lumbar interbody fusion.
To study radiographic and clinical outcomes after transforaminal lumbar interbody fusion (TLIF) in order to determine the impact of TLIF on lumbar lordosis, intervertebral height and improvement in clinical outcome measures. ⋯ Intervertebral height and lumbar lordosis reconstruction are important for achieving good surgical results; guidance regarding the likely changes in lumbar lordosis and disk height after TLIF is provided by our findings.
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Orthopaedic surgery · Feb 2012
Comparative StudyComparison between anterior and posterior decompression for cervical spondylotic myelopathy: subjective evaluation and cost analysis.
To compare anterior and posterior approaches for treating cervical spondylotic myelopathy (CSM) involving more than two levels, especially in regard to quality of life and cost effectiveness. ⋯ Both anterior and posterior decompressions (with instrumentation) are effective procedures for improving the neurological outcomes of patients with CSM. However, although the two approaches have similar health care costs, anterior cervical corpectomy (with instrumentation) seems to be subjectively assessed by patients as better.
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Orthopaedic surgery · Nov 2011
Randomized Controlled TrialModified unilateral transpedicular percutaneous vertebroplasty for treatment of osteoporotic vertebral compression fractures.
To comparatively assess the clinical outcome of modified unilateral percutaneous vertebroplasty for the treatment of osteoporotic vertebral compression fractures. ⋯ Modified percutaneous vertebroplasty enhances the accuracy of cement injection into the center of the vertebral body, increasing the safety of the procedure with no increase in cost. It is a safer and more easily performed technique for treating patients with osteoporotic vertebral compression fractures than traditional percutaneous vertebroplasty.
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Orthopaedic surgery · Nov 2011
Randomized Controlled Trial Comparative StudyUse of a proximal humeral internal locking system enhanced by injectable graft for minimally invasive treatment of osteoporotic proximal humeral fractures in elderly patients.
To investigate the effect of treatment of osteoporotic proximal humeral fractures in elderly patients with a proximal humeral internal locking system (PHILOS) and minimally invasive injectable graft (MIIG). ⋯ PHILOS using MIPPO and augmented with MIIG X3 Hivisc produces satisfactory clinical results in aged patients with osteoporotic proximal humeral fractures and the method has advantages such as relatively minor trauma, stable fixation, fewer complications, and better joint function.