Spine
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Comparative Study Clinical Trial
Intraoperative neurophysiologic detection of iatrogenic C5 nerve root injury during laminectomy for cervical compression myelopathy.
A retrospective and prospective study was conducted to investigate intraoperative neurophysiologic monitoring during cervical laminectomy to detect iatrogenic C5 nerve root palsy. ⋯ In an effort to reduce postoperative C5 nerve root palsy, the clinician should consider intraoperative deltoid and biceps transcranial electrical motor-evoked potential and spontaneous electromyography monitoring whenever there is potential for iatrogenic C5 nerve root injury.
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The literature and current research related to spinal pain mechanisms were reviewed, as well as animal models related to its study. ⋯ Areas of continued research are highlighted that may help guide the management of painful spine symptoms and syndromes.
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A literature review and synthesis were performed. ⋯ Intraspinal medication delivery has become an effective technique for control of intractable pain in appropriately selected patients seen by spine surgeons.
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Case Reports
Metformin-associated lactic acidosis after elective cervical spine fusion: a case report.
A case of metformin-associated lactic acidosis after elective spinal surgery is reported. ⋯ Spinal surgeons should be aware of this preventable, potentially fatal side effect and stop metformin 48 hours before surgery.
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Comparative Study
It is easier to confuse a jury than convince a judge: the crisis in medical malpractice.
A study of cervical spine malpractice cases was conducted. Identifying tort reform models may help to resolve a crisis in medical malpractice. ⋯ To solve the medical malpractice crisis, Congress, the individual states, or both should adopt tort reform. Two tort reform models compensating injured patients and eliminating physician liability appear to be not only effective but also fair to all concerned parties.