Spine
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This is a case series studying the efficacy of concomitant inhalational anesthesia and transcranial electrical motor-evoked potential (tceMEP) monitoring in spinal deformity surgery. ⋯ Although isoflurane and nitrous oxide diminish tceMEP responses, reliable monitoring can still be accomplished while using significant levels of inhalational anesthetic agents.
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Prospective registry. ⋯ The mini-open lateral approach for thoracic and lumbar corpectomy was shown to be safe and effective in this series while avoiding many of the associated morbidities of thoracotomies for anterior column reconstruction and open posterior approaches.
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Meta Analysis Comparative Study
Minimal access versus open transforaminal lumbar interbody fusion: meta-analysis of fusion rates.
A quantitative meta-analysis was conducted on published studies reporting fusion rates after open or minimally invasive/mini-open transforaminal lumbar interbody fusion (TLIF) procedures for single or multilevel degenerative disease including stenosis with spondylolisthesis and degenerative disc disease. ⋯ Fusion rates for both open and mTLIF are relatively high and in similar ranges. Complication rates are also similar, with a trend toward mTLIF having a lower rate. This analysis provides clear benchmarks for fusion rates in open and mTLIF procedures for spine surgeons.