Spine
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Retrospective clinical cohort study. ⋯ Translaminar screw fixation is a straightforward and effective technique for short-segment fusion in the lumbar spine. For patients with a strict indication for spondylodesis, intact posterior elements (lamina and facets) and a low preoperative disc height, translaminar screw fixation represents a successful fixation technique in the lumbar spine with good long-term results.
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Randomized Controlled Trial
Anterior-only stabilization using plating with bone structural autograft versus titanium mesh cages for two- or three-column thoracolumbar burst fractures: a prospective randomized study.
A randomized, controlled follow-up study to review patients with acute thoracolumbar burst fractures treated by anterior instrumentation and reconstruction. ⋯ Anterior-only instrumentation and reconstruction with structural autograft or titanium mesh cages is sufficient for surgical treatment of thoracolumbar burst fractures with a load-sharing score of > or = 7 and even with 3-column injuries.
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Randomized Controlled Trial
Clinical effectiveness of aquatic exercise to treat chronic low back pain: a randomized controlled trial.
This study was a prospective, randomized, controlled study. ⋯ It is concluded that a water-based exercises produced better improvement in disability and quality of life of the patients with CLBP than land-based exercise.
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Retrospective case series. ⋯ Patients undergoing first-time vertebral augmentation should be considered for vertebral biopsy. Tissue examination is useful and may reveal pathologic fracture or possible infection. However, if infection is reported, clinical and laboratory correlation are important to make a diagnosis of osteomyelitis.
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Case report and clinical discussion. ⋯ In extensive spinal hemangiomas, radiotherapy may represent a safe treatment modality with rapid clinical improvement even in cases with spinal cord compression. This report contributes to a wide range of known vascular abnormalities in Klippel-Trenaunay-Weber syndrome and supports the need for a careful multisystemic evaluation of these patients.