Spine
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Case Reports Multicenter Study
Neurologic deterioration secondary to unrecognized spinal instability following trauma--a multicenter study.
A retrospective study was undertaken that evaluated the medical records and imaging studies of a subset of patients with spinal injury from large level I trauma centers. ⋯ This multicenter study establishes that missed spinal injuries resulting in a neurologic deficit continue to occur in major trauma centers despite the presence of experienced personnel and sophisticated imaging techniques. Older age, high impact accidents, and patients with insufficient imaging are at highest risk.
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Cohort study of subjects with whiplash-associated disorders (WAD). ⋯ The results suggest that neck pain intensity in WAD seems to be influenced by several factors other than characteristics related to the injury event itself.
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Retrospective review. ⋯ Intraoperative SSEP monitoring can alert the surgeon to adverse iatrogenic intraoperative events with potential for neurologic injury. Most SSEP signal changes are reversible and do not result in a clinical deficit. Isolated nerve root injury appears to be the most common iatrogenic intraoperative injury during cervical spine corpectomy surgery.
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A retrospective consecutive case series, radiographic analysis, outcomes analysis, and report on complications. ⋯ Transpedicular wedge resection osteotomy procedure is a very effective technique to correct fixed sagittal imbalance and provide biomechanical stability. The high complication rate mandates a careful assessment of the risk/benefit ratio before undertaking what is a major reconstructive procedure. Most patients are satisfied, particularly when sagittal balance is achieved.
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A retrospective study of patients who underwent 1-3-level kyphoplasty procedures at a single institute. ⋯ The majority of kyphosis correction by kyphoplasty is limited to the vertebral body treated. The majority of height gained after kyphoplasty occurs in the midbody. Higher correction over longer spans of the spine can be achieved with multilevel kyphoplasty procedures, in proportion to the number of levels addressed. Notwithstanding its well-published clinical efficacy, it is unrealistic to expect a 1 or 2-level kyphoplasty to improve significantly the overall sagittal alignment after VCFs.