Spine
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Case report of a patient with lumbosacral dislocation. ⋯ This study reports a rare injury of the lumbosacral junction that was detected 3 months after injury. Satisfactory results were obtained with nonoperative treatment in this case. Although a surgical approach is advisable in acute cases to decompress the neurologic structures and to stabilize the lumbosacral junction, conservative management may be the treatment of choice in inveterate lesions.
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Comparative Study
Symptoms, signs, and functional disability in adult spondylolisthesis.
A cross-sectional clinical study. ⋯ The clinical pattern and functional disability in adult spondylolisthesis and in low back pain of nonspecific origin are similar. Sciatica in adult spondylolisthesis is typically not associated with a positive straight leg raising test result.
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Report of a successfully diagnosed and treated case of spinal cord compression due to epidural actinomycosis. ⋯ High clinical suspicion and proper use of imaging data led to timely diagnosis of this rare case of mediastinal, epidural, and intramuscular thoracic actinomycosis. Specific antibiotic therapy and timely, well-targeted surgical intervention greatly improve the outcome of this condition.
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A review of the charts and radiographs of 22 patients with idiopathic lumbar, thoracolumbar, and thoracic scoliosis who underwent single-stage anterior fusion with rigid third-generation instrumentation and titanium surgical mesh implants. ⋯ Accepted correction of idiopathic scoliosis can be achieved with anterior instrumented fusion alone.