Spine
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Case report. ⋯ This is the first report of a synovial cyst hematoma due to anticoagulation therapy. Its magnetic resonance imaging features can be similar to synovial cyst, especially when it is hemorrhagic. Spinal decompression was the definitive treatment.
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En bloc resection of a chordoma of the C5 vertebra with wide surgical margins. ⋯ Total en bloc spondylectomy with wide surgical margins is feasible for malignant bone tumors of the cervical spine.
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Clinical Trial
Clinical outcome of symptomatic unilateral stress injuries of the lumbar pars interarticularis.
A prospective case-series study. ⋯ The increased incidence of the unilateral lumbar pars stress injuries or frank defect on the contralateral side in a throwing sports, e.g., cricket (fast bowling), may be related to the hand dominance of the individual. Nonoperative treatment for patients with a unilateral lumbar pars stress injuries or spondylolysis resulted in a high rate of success, with 81% (34/42) of patients avoiding surgery. If symptoms persist beyond a reasonable period, i.e., 6 months, and reverse gantry CT scan confirms a nonhealing defect of the pars interarticularis, one may consider a unilateral direct repair of the defect with good functional outcome. Direct repair in patients with spina bifida at the same lumbar level as the unilateral defect may be complicated by nonunion.
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Prospective follow-up and retrospective review of 174 patients surgically treated for degenerative lumbar spinal stenosis. ⋯ In patients undergoing surgery for degenerative lumbar spinal stenosis, the preoperative type of leg pain predicts function and leg symptom outcomes.