Spine
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This study is a prospective review of all spinal cord monitoring procedures in our unit from 1999 to 2004 in patients undergoing spinal deformity correction surgery. ⋯ The monitoring criteria are sufficiently strict to achieve a sensitivity of 1.0 and a specificity of 0.97. Monitoring of CMAPs alone has been adequate to avoid clinical neurological deficits.
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A retrospective review of pediatric kyphosis patients undergoing a spinal cord-level osteotomy for correction. ⋯ Intraoperative multimodality monitoring with some form of motor tract assessment is a fundamental component of kyphosis correction surgery in the spinal cord region in order to create a safer, optimal environment and to minimize neurologic deficit. The surgeon must be able to trust the information monitoring provides and act on it accordingly.
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Case report. ⋯ These cases need to be managed according to principles established in the treatment of extremity fractures with vascular and neurologic injuries. That is, early rigid fixation of the fracture to protect the vascular repair.
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: A retrospective study. ⋯ : The free-hand technique of thoracic and lumbosacral pedicle screw placement in revision spinal surgery is reliable and safe when using the quadrangulation method of gaining pedicle access in a prior fusion mass or at pseudarthrosis levels.
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A retrospective review of 34 patients with juvenile idiopathic scoliosis (JIS) treated with a nighttime bending brace. ⋯ Part-time bracing in JIS is successful and is better than the natural history.