Spine
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Retrospective case series. ⋯ This study documented a 3.9% overall reoperation rate at our medical center, a 3-fold lower reoperation rate than the previously reported 12.9%. The most common reoperations were for infections (34%), pseudarthroses (26%), and postoperative curve progression of the adjacent unfused spine (17%).
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Thirty-four patients having advanced spinal tuberculosis with angulated kyphotic deformity who underwent posterior en bloc spondylectomy were reviewed. ⋯ The purpose of this article is more to describe the technique of posterior en bloc spondylectomy in patients with spine tuberculosis with kyphotic deformity. From the results of this preliminary study, en bloc spondylectomy for the treatment of spinal tuberculosis with angulated kyphotic deformity can be a safe and effective technique.
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Retrospective case review at a single center. ⋯ The incidence of PJK can be minimized by the appropriate selection of the upper end vertebra to be fused and avoiding disruption of the junctional ligamentum flavum. The development of DJK can be minimized by incorporation of the first lordotic disc into the fusion construct.
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Case report. ⋯ Literature of vascular abnormalities in association with Klippel-Feil syndrome takes the form of anecdotal reports. Aortic coarctation, vertebral artery dissection, aneurysms, persistent trigeminal artery, and abnormal origin of internal carotid are described. An unusual association of carotid internal agenesis and Klippel-Feil syndrome is reported with a literature review.