Spine
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In this retrospective study, the long-term clinical results of lumbar intervertebral disc herniation in children less than 16 years of age were reviewed. ⋯ Satisfactory long-term clinical results and early return to school life were obtained with each surgical procedure. It is important to aim toward an early return to school via surgical treatment.
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A clinical and radiologic retrospective follow-up examination of patients treated surgically for severe juvenile spondylolisthesis. ⋯ Anterior spondylodesis including posterior instrumentation and reduction was superior to the simple anterior fusion in situ for normalization of the lumbosacral profile and osseous consolidation of the spondylodesis. This result was not reflected in the clinical evaluation.
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Thirty-three patients with single-level, unilateral lumbosacral radiculopathy underwent micro-decompression and intraoperative dermatomal evoked potential monitoring. Side-to-side latency asymmetry was calculated. A criteria for "abnormal" was defined. Intraoperative dermatomal evoked potentials were obtained before and after decompression. The changes were correlated with clinical outcome at the 3-month follow-up examination. ⋯ Intraoperative dermatomal evoked potential monitoring is technically demanding. Finding reproducible potentials is difficult. More research is necessary before general use of dermatomal evoked potentials for monitoring nerve root decompression.
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A large-scale study on school screening for scoliosis was conducted to assess the referral rate, prevalence rate, and positive predictive value using different angles of trunk rotation as criteria for referral. ⋯ The optimal cut-off point for referral when using the Scoliometer in school screening of scoliosis is still difficult to determine.