Spine
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A prospective study of the sagittal standing posture of 766 adolescents. ⋯ Meaningful classifications exist for adolescent sagittal thoraco-lumbo-pelvic alignment, and these can be determined successfully from sagittal photographs. More neutral thoraco-lumbo-pelvic postures are associated with less back pain.
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A retrospective study. ⋯ In this series, 9 of 76 (12%) of patients with odontoid fractures also had a lower cervical spinal injury. Surgical stabilization was the choice of treatment as it facilitated early rehabilitation and reduced complications. We propose a new algorithm for treatment according to neurologic complications, segmental instability, and reducibility of the luxated lower cervical spine.
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The gene expression of interleukin (IL)-20 on human herniated intervertebral disc. OBJECTIVE.: To elucidate the role of novel cytokine IL-20 in the pathogenesis of human intervertebral disc (IVD) herniation. ⋯ IL-20 induces proinflammatory, chemotaxtic, and matrix degradative responses in IVD cells especially in combination with IL-1beta. Our study suggests that IL-20 plays an important role in the pathogenesis of disc herniation.
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Case Reports
Traumatic complex dislocation of the atlanto-axial joint with odontoid and C2 superior articular facet fracture.
Case report and clinical discussion. ⋯ To our knowledge, this is the first case of a traumatic atlantoaxial rotatory dislocation with accompanying odontoid and C2 superior articular facet fracture.
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An animal experimental study on hypothermia after spinal cord injury(SCI). OBJECTIVE.: To investigate the neuroprotective effect of moderate epidural hypothermia (MEH) on SCI in rats and evaluate the antiapoptotic and anti-inflammatory effect of hypothermia. ⋯ These results suggest that MEH may be a possible therapeutic candidate when combined with clinically proven surgical and medical methods for SCI.