Spine
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Comparative Study
The risk of progression of scoliosis in cerebral palsy patients after intrathecal baclofen therapy.
Retrospective radiographic and medical chart review with matched control group. ⋯ This study demonstrates that ITB has no significant effect on curve progression, pelvic obliquity, or the incidence of scoliosis when compared with an age, gender, and GMFCS score-matched control group of patients with spastic CP without ITB.
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Comparative Study
Risk factors affecting the immediate postoperative course in pediatric scoliosis surgery.
A retrospective analysis of pediatric records of idiopathic scoliosis (IS) and neuromuscular scoliosis (NMS) etiology, in a search for complications and their risk factors immediately following surgical repair. ⋯ While NMS etiology, anterior and combined fusions correlated with a worse course, the Cobb angle, number of fused vertebrae, and the addition of thoracoplasty did not. Optimization of postoperative care should be carried out accordingly. Scoliosis surgery is safe even in extreme curves and long fusions. Thoracoplasty can be added whenever indicated, in order to improve the overall outcome.
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Case Reports
Local metastases along the tract of needle: a rare complication of vertebroplasty in treating spinal metastases.
Needle tract seeding after biopsy has been reported by many authors. Since the procedure of needle insertion in vertebroplasty is the same as in biopsy, tumor metastasis along the tract of the needle in vertebroplasty should be possible. ⋯ To our knowledge, local metastasis after vertebroplasty in treating spinal metastases has not been reported in the literature. However, this may be a potential complication of vertebroplasty in treating spinal metastases as improvement in cancer treatments occurs with subsequent longer survival times.
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Case report and clinical discussion. ⋯ To our knowledge, this is the first case of intradural cervical disc herniation in a KFS patient described in the literature.