Spine
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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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A case of lower-extremity myelopathy induced by physical exertion in a patient with Type 2 (failure of segmentation) congenital kyphosis is reported. ⋯ Although Type 2 congenital kyphosis is a rare entity, it should be followed carefully and corrected surgically when appropriate. A history of exertional myelopathy may be an early sign of spinal cord impingement and is an indication for surgical decompression.
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Peer-reviewed literature was reviewed and summarized. ⋯ A successful arthrodesis is the fundamental surgical goal for patients with chronic pain of spinal origin. However, a successful fusion does not always correlate with a successful clinical result.
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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.