Spine
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Case Reports Comparative Study
Indications for cervical pedicle screw instrumentation in nontraumatic lesions.
Retrospective clinical study. ⋯ There is an indication of cervical PS fixation for destructive lesions because of a high fusion rate with improvement of nape pain. On the other hand, there is no indication in cases of typical CSM and OPLL if a potential risk of vertebral artery or nerve injury is taken into account.
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Comparative Study
Postural model of sagittal spino-pelvic alignment and its relevance for lumbosacral developmental spondylolisthesis.
Comparative study of sagittal spino-pelvic alignment in children and adolescents with developmental lumbosacral spondylolisthesis compared with asymptomatic subjects. ⋯ Children and adolescents stand with a relatively constant global sagittal spino-pelvic alignment, regardless of the local lumbosacral deformity. A normal posture is maintained in low-grade spondylolisthesis and in high-grade spondylolisthesis with a balanced sacro-pelvis. Posture is abnormal in high-grade spondylolisthesis associated with a retroverted sacro-pelvis, suggesting that surgical reduction of the local lumbosacral deformity in these patients could be attempted to restore a normal posture.
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Comparative Study
Changes in physical function after palliative surgery for metastatic spinal tumor: association of the revised Tokuhashi score with neurologic recovery.
A retrospective study of patients undergoing palliative surgery for metastatic spinal tumors. ⋯ Palliative surgery benefited half of the patients with metastatic spinal tumor, with a greater probability of benefit found in persons with a higher total revised Tokuhashi score (score 9-15) and/or primary cancers with longer survival times.
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Case Reports
Lumbar epidural capillary hemangioma presenting as lumbar disc herniation disease: case report.
A case of lumbar spinal epidural hemangioma is presented. ⋯ We have reported for the first lumbar epidural capillary hemangioma patient in literature. These lesions are benign and surgical treatment is curative.