Spine
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Outcomes of muscle-preserving interlaminar decompression (MILD) for the lumbar spine are reported. ⋯ In MILD for the lumbar spine, damage to the posterior stabilizing structures such as the intervertebral facet joints, paravertebral muscles, thoracolumbar fascia, supra- and interspinous ligaments, can be minimized, while preserving the function of the spinous processes as lever arms for lumbar extension.
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A case report and clinical discussion. ⋯ This case report illustrates a rare but life-threatening complication of oxygen-ozone therapy for the cervical disc herniation. Infection is a common risk for any invasive spinal techniques involving puncture, so attention should be paid to the sterility during the procedures. A high index of suspicion along with reliance on enhanced-MRI is essential to diagnose the condition and institute appropriate treatment on an individual basis.
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An analysis of clinical and radiographic data of 40 consecutive patients with fixed sagittal imbalance. ⋯ PI and TK can predict the lumbar lordosis necessary to correct sagittal imbalance in patients under-going PSO with high sensitivity. Sagittal correction and clinical outcome scores were equivalent comparing PSO's performed at L2 and L3. Patients with degenerative sagittal imbalance and those with shorter fusions are more likely to lose correction with time.
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Retrospective review. ⋯ Compared with custom-bent rods, unit rods provided superior correction of pelvic obliquity but were associated with higher transfusion requirements, higher infection rates, more proximal fixation problems, and longer intensive care unit and hospital stays.
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Study to determine the internal consistency and validity of adapted German version of Scoliosis Research Society-22 (SRS-22) questionnaire. ⋯ The adapted German version of the SRS-22 questionnaire can be used to assess the outcome of treatment for German-speaking patients with idiopathic scoliosis.