Spine
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Review Case Reports
Nontraumatic subluxation of the atlanto-axial joint as rare form of acquired torticollis: diagnosis and clinical features of the Grisel's syndrome.
Case report and review of the literature. ⋯ At least in this case, our treatment led to shorter recovery and avoidance of halo fixation. Our new therapeutic approach to patients with Grisel's syndrome might lead to a shorter recovery.
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Randomized Controlled Trial Comparative Study
Diagnostic accuracy of the clinical examination in identifying the level of herniation in patients with sciatica.
Cross sectional ⋯ The current study did not find evidence to support the accuracy of individual tests from the neurological examination in identifying the level of disc herniation demonstrated on MRI. A neurologist's overall impression was moderately accurate in identifying the level of disc herniation.
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Cadaveric study. ⋯ On the basis of our results, there is no zone of absolute safety when using the direct lateral transpsoas approach. The potential for nerve injury exists when using this approach, and consequently, we recommend either direct visualization of the nerve roots intraoperatively and/or the use of neuromonitoring. In our opinion, a higher quality, larger clinical study that examines the outcomes and surgical complications of the direct lateral transpsoas approach is warranted.
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Historical Article
2010 ISSLS presidential address: juvenile low back pain: some reflections.
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Review Comparative Study
Early versus late stabilization of spine injuries: a systematic review.
Systematic review. ⋯ There is evidence in the current literature to show that early surgical stabilization leads to shorter hospital stays, shorter intensive care unit stays, less days on mechanical ventilation and lower pulmonary complications. This effect is more evident in patients who have more severe associated injuries as measured by ISS. This benefit is seen in patients who have cord injury as well as those who do not. There is some evidence that early stabilization does not increase the complication rates compared with late surgery.