Spine
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Review Case Reports
Intraoperative visible bubbling of air may be the first sign of venous air embolism during posterior surgery for scoliosis.
Case report of two children sustaining venous air embolism (VAE) during posterior surgery for scoliosis. ⋯ Visible air bubbling at the operative site may herald the onset of massive VAE during multilevel posterior spinal fusion and instrumentation. A prospective multicenter study using precordial Doppler, central venous catheter, and end-tidal CO2 is recommended to determine the true incidence of VAE in spinal deformity surgery and to evaluate monitoring and treatment methods.
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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.
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Case Reports
Single-stage anterior autogenous bone grafting and instrumentation in the surgical management of spinal tuberculosis.
Results of single-stage anterior autogenous bone grafting and instrumentation for spinal tuberculosis were reported. ⋯ The authors think that the single-stage anterior autogenous bone grafting and instrumentation are a safe and effective method in the surgical management of spinal tuberculosis.
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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 cohort. ⋯ Lifetime prevalence of back pain increased sharply during nursing school but slowly after that. Back pain at entering the nursing school was a predictor for back-related pain and disability. Self- reported occupational physical work load was associated with back pain and related disability. The nature of the association is unclear, but it is likely that back pain is exacerbated during nursing.