Spine
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Case report. ⋯ We present the first report describing a case of anterior spinal cord syndrome caused by a cement embolism in the anterior spinal artery after vertebroplasty. The severity of this complication warrants that surgeons should inform patients of the same while obtaining their consent for vertebroplasty.
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A cadaveric study with postoperative computed tomography scan to evaluate instrumentation placement. ⋯ Use of the S2 iliac technique may be a viable option in minimally invasive thoracolumbar deformity surgery. The screws were all in-line and connected easily to the cephalad instrumentation. On average, a length of approximately 90 mm was attained. No visceral or neurovascular structure was injured. Visualization of the first dorsal foramen and a standard anteroposterior and inlet radiograph were used for placement.
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Pre-post intervention study using outcome measure design. ⋯ Vertebral wedge osteotomy is potentially an effective treatment option for paralytic scoliosis. At 2-year follow-up, there was no loss of function as measured by the PODCI and FIM, and there was improvement in the COPM. Cobb angle measurements were either improved or maintained in 12 of 13 patients. Although 2 patients required fusion, they had an average of 2.5 years of subsequent growth before surgery.
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Randomized Controlled Trial Multicenter Study Comparative Study
Does multilevel lumbar stenosis lead to poorer outcomes?: a subanalysis of the Spine Patient Outcomes Research Trial (SPORT) lumbar stenosis study.
A subanalysis study. ⋯ Patients with spinal stenosis without associated degenerative spondylolisthesis or scoliosis can be managed nonoperatively irrespective of the number of levels involved. If surgery is performed, the number of levels treated does not predict outcome. In contrast, patients with concomitant degenerative spondylolisthesis and single level stenosis do better surgically than those with additional levels of stenosis. This study emphasizes the importance of shared decision-making between the physician and patient when considering treatment for spinal stenosis.
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Observational prospective study. ⋯ This first Spanish version of the Neck Disability Index is reliable, valid, and sensitive to change.