Spine
-
Analysis of patient and surgeon preference between selective and nonselective thoracic spinal fusions. ⋯ The DFQ quantifies the perceived trade off between residual deformity and spared motion segments. Two-year postoperative patient satisfaction, as measured by the Scoliosis Research Society-24 questionnaire, and surgeon preference, in terms of coronal radiographic outcome, correlated significantly with the DFQ.
-
Randomized Controlled Trial
Effect of modified techniques in Bryan cervical disc arthroplasty.
A prospective, randomized study of the clinical and radiographic outcomes in patients undergoing single- and 2-level cervical arthroplasty with Bryan cervical disc (Medtronic Sofamor Danek, Memphis, TN). ⋯ The modified techniques can improve the outcomes of the cervical arthroplasty with Bryan disc and prevent the unexpected imbalance and motion of cervical spine.
-
Retrospective analysis. ⋯ Considering the acceptable local recurrence rate, conservative surgery aided by effective control of intraoperative hemorrhage should be considered as an alternative procedure for patients with giant cell tumors of the sacrum. The advantages include lower morbidity, reduced neurologic deficits, speed and ease of the surgical procedure, reduced blood loss, preservation of spinal and pelvic continuity, and a low recurrence rate.
-
Repeated measures of cervical motion in asymptomatic subjects. ⋯ Inter and intratester reliability was supported for both the VR-based and the conventional methods. Results suggest better repeatability for the VR method, with rotation being more precise than flexion/extension. A single VR session was found to be effective in increasing cervical motion, possibly due to its motivating effect.