Spine
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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.
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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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Review Case Reports
Symptomatic vertebral artery compression by the rod of a C1-C2 posterior fusion construct: case report and review of the literature.
Case report. ⋯ In atlantoaxial fusion, the incidence of vertebral artery compression by the rod component of fusion construct may be underreported because it is difficult to detect with noncontrast computed tomography without computed tomographic angiography, which is not routinely obtained unless there is a high suspicion for vascular injury. We recommend inserting the rods with the cut (sharp) end pointing inferiorly, to avoid lacerating the vertebral artery. A vertebral artery compression from the rod in the absence of screw violation of the foramen transversarium should be considered in a patient with altered mental status after atlantoaxial fusion.
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Review Case Reports
Bilateral traumatic dislocation without fracture of the lumbosacral junction: case report and review of the literature.
Case report. ⋯ A careful clinical examination and imaging assessment must be done for appropriate diagnosis and treatment of this rare type of injury. Reduction in the face of intact articulating processes and pars interarticularis is challenging because of acting heavy forces on the lumbosacral joint. Facetectomies, nerve root decompression, and circumferential instrumented fusion are ways to decompress the neural elements, restore alignment, and maintain segmental stability.