Spine
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Review Case Reports
Endovascular embolization of iatrogenic vertebral artery injury during anterior cervical spine surgery: report of two cases and review of the literature.
Case description. ⋯ In case of bleeding control by hemostatic packing, there remains a risk of delayed hemorrhage from pseudoaneurysm. Postoperative vertebral angiography is helpful to avoid life-threatening complications. Endovascular treatment can be a good alternative in the treatment of VAI.
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Randomized Controlled Trial
Is fusion necessary for surgically treated burst fractures of the thoracolumbar and lumbar spine?: a prospective, randomized study.
A prospective clinical trial was conducted. ⋯ The short-term results of short segmental fixation without fusion for surgically treated burst fractures of the thoracolumbar spine were satisfactory. The advantages of instrumentation without fusion are the elimination of donor site complications, saving more motion segments, and reducing blood loss and operative time.
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Repeated cross-sectional analysis using national Medicare data from the Dartmouth Atlas Project. ⋯ The rate of specific procedures within a region or "surgical signature" is remarkably stable over time. However, there has been a marked increase in rates of fusion, and a coincident shift and increase in cost. Rates of back surgery were not correlated with the per-capita supply of orthopedic and neurosurgeons.
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Comparative Study
Polish cultural adaptation of the Roland-Morris Questionnaire for evaluation of quality of life in patients with low back pain.
Cultural adaptation and cross-sectional psychometric testing. ⋯ The correlation between severity of disease and quality of life, between bending of spine and quality of life, between depression and quality of life, and between activities of daily living and quality of life has been found. According to this study, the RMQ can be used as a valid tool in the assessment of the functional level of patients with lumbar pain and previous lumbar herniation. The RMQ is fast and easy to complete; it is valid, reliable, and sensitive. We recommend the questionnaire to be used in research of quality of life in low back pain.
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Eleven vertebroplasty operations were studied in terms of radiation dose. ⋯ Measures have to be taken to reduce patient's skin dose, which, in extreme cases, may be close to deterministic effects threshold. The highest dose rates, recorded during the procedure, were found for primary operator's hands and chest when no shielding was used.