Orthopaedic surgery
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Orthopaedic surgery · May 2009
Comparative StudyThe effects of MRI signal intensity changes and clinical manifestations on prognosis after surgical intervention for cervical spondylotic myelopathy.
To investigate whether the magnetic resonance (MR) T2 image signal intensity ratio and clinical manifestations can predict the prognosis in patients with cervical spondylotic myelopathy (CSM). ⋯ Patients with light or no intramedullary signal changes on T2WI had a good surgical outcome. However, increase of signal intensity ratio and occurrence of the pyramidal sign were associated with a poor prognosis after surgery.
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Orthopaedic surgery · May 2009
Comparative StudyA free-hand technique for pedicle screw placement in the lower cervical spine.
To describe a free-hand method for pedicle screw placement in the lower cervical spine with no intraoperative imaging monitors, and to evaluate the safety of this technique. ⋯ Based on 144 screw placements, cervical pedicle screw insertion utilizing a free-hand technique without intraoperative imaging guidance seems to be safe and reliable. However, solid knowledge of the anatomy of the cervical pedicle and adjacent neurovascular bundles, and careful preoperative review of cervical images, are imperative for successful screw placement in the cervical spine.
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Orthopaedic surgery · May 2009
Comparative StudyLong-term results of thoracolumbar and lumbar burst fractures after short-segment pedicle instrumentation, with special reference to implant failure and correction loss.
To assess the long-term results of short-segment pedicle instrumentation for thoracolumbar and lumbar burst fractures. ⋯ Short-segment pedicle instrumentation provides satisfactory reduction for thoracolumbar and lumbar burst fractures. The relatively high incidence of implant failure and the loss of correction may be caused by various factors, and more adequate fusion is recommended.
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Orthopaedic surgery · Feb 2009
Comparative StudySimultaneous combined anterior and posterior surgery for severe thoracolumbar fracture dislocations.
To analyze the clinical results of simultaneously combined anterior and posterior surgery for severe thoracolumbar fracture dislocations, and to clarify the surgical indications for these high-energy injuries. ⋯ For severe thoracolumbar fracture dislocations that cannot be effectively treated with either an anterior or posterior approach alone, simultaneously combined anterior and posterior surgery is a reliable method that can achieve a sufficient decompression, reduction and reconstruction.
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Orthopaedic surgery · Feb 2009
Comparative StudyPosterior pedicle screws combined with shortening and release techniques for lumbar and thoracolumbar adolescent idiopathic scoliosis.
To prospectively evaluate the clinical and radiographic effects of posterior surgery with wide posterior shortening release and segmental pedicle screws techniques in a consecutive group of patients with thoracolumbar /lumbar adolescent idiopathic scoliosis. ⋯ Wide posterior release and segmental pedicle screw instrumentation has excellent radiographic and clinical results with minimal complications.