Spine
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Review Case Reports
A traumatic central cord syndrome occurring after adequate decompression for cervical spondylosis: biomechanics of injury: case report.
Case report with review of the literature. ⋯ Decompressive laminectomy provides an immediate decompressive effect on the spinal cord as seen by the dorsal migration of the cord, however, the biomechanics of the cervical spine after decompressive laminectomy remain uncertain. This case supports the ongoing research and need for more intensive research on postoperative cervical spine biomechanics, including decompressive laminectomies, decompressive laminectomy and fusion, and laminoplasty.
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A prospectively maintained database-generated retrospective review and cross-sectional outcome analysis was performed at a single academic center. ⋯ Although the majority of patients improve to an AMS between 90 and 100, many have significant disability and are less functional than the general population. Significant predictive variables include the initial motor score, formal education, comorbidities, age at injury, and development of spasticity. An assessment of more than just the motor score is required to obtain an appreciation of the function and outcomes in this population.
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A retrospective study of 15 cases of pure foraminal type cervical disc herniation (CDH) was performed. ⋯ Pure foraminal-type CDH may be overlooked with conventional MRI or CTM, so CTD should be performed. It provides valuable and additional information in difficult or ambiguous cases such as pure foraminal type.
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Controlled Clinical Trial
The fusion rate of calcium sulfate with local autograft bone compared with autologous iliac bone graft for instrumented short-segment spinal fusion.
A prospective study. ⋯ The fusion rate and fusion size between the two groups are similar. Calcium sulfate pellets may play a role as a bone graft extender in short-segment spinal fusion.
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A prospective, observational study using a novel procedure of video-assisted thoracoscopy and conventional, long spinal instruments for decompression of dorsal tubercular spondylitis. ⋯ Video-assisted thoracoscopic decompression of tubercular dorsal spondylitis is a viable option to achieve significant neurologic recovery with less morbidity, blood requirement, and hospital stay compared to the open thoracotomy procedures.