Spine
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An evidence-based analysis of published radiologic criteria for assessing spinal canal compromise and cord compression in patients with acute cervical spinal cord injury. ⋯ To date, there are few quantitative, reliable radiologic outcome measures for assessing spinal canal compromise or cord compression in patients with acute cervical spinal cord injury.
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Case report. ⋯ It is important for the surgeon to be aware of this potential complication and to inform patients who have diplopia that develops from abducens nerve palsy that most of these cranial nerve deficits spontaneously improve.
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Comparative Study
The publication rates of presentations at major Spine Specialty Society meetings (NASS, SRS, ISSLS).
A review of all the presentations at three major spine specialty meetings held over a 3-year period. ⋯ The publication rates of presentations at three major spine specialty meetings are high and quite comparable with the publication rates of meetings in other medical subspecialties. This reflects the high quality of the meeting programs and validates their selection process.
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Comparative Study Clinical Trial
Temporary external transpedicular fixation of the lumbosacral spine.
In this study, 133 patients with incapacitating low back pain underwent temporary external transpedicular fixation of the lumbosacral spine in a prospective trial. Of these patients, 67% had undergone one or more spinal procedures in the past. On the basis of temporary external transpedicular fixation, 55 of 133 patients were treated conservatively. With an average follow-up period of 37 months, the clinical results were analyzed. ⋯ In selecting suitable candidates for spinal fusion, temporary external transpedicular fixation (including a placebo trial) can be a valuable test.
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Case Reports Comparative Study
Can intramedullary signal change on magnetic resonance imaging predict surgical outcome in cervical spondylotic myelopathy?
A retrospective study evaluating magnetic resonance imaging, computed tomographic myelography, and clinical parameters in patients with cervical spondylotic myelopathy. ⋯ Patients with multisegmental areas of high signal intensity on T2-weighted magnetic resonance images tended to have poorer surgical results. However, the transverse area of the spinal cord at the level of maximum compression was a better prognostic indicator.