Spine
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Retrospective case series. ⋯ From 1999 to 2008, the number of orthopedic surgeon candidates performing spine surgery has increased. These surgeons are performing more fusions and utilizing more structural allografts, interbody devices, and/or anterior cervical plates. Regional variations also remain in the types of constructs utilized.
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A retrospective study of 30 consecutive cases of pyogenic cervical spine infection, excluding postoperative infections. ⋯ Radical surgical debridement and appropriate antibiotic provide a reliable approach to achieve complete healing of the inflammation in cervical spondylodiscitis. Magnetic resonance imaging of the whole spine is recommended in all cases so as not to miss another infection in the spinal column. Regarding the surgical options, ventral plating after corpectomy for spondylodiscitis should be avoided.
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A prospective study evaluating a cohort of patients with spondylotic cervical spine compression. ⋯ The DTI appears to be a promising imaging modality in patients with spondylotic spinal cord compression. It reflects the presence of symptomatic myelopathy and shows considerable potential for discriminating between symptomatic and asymptomatic patients.
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Retrospective review of a prospectively maintained surgical database. ⋯ Thoracoscopic-assisted microsurgical resection is a safe, effective, and minimally invasive method of treating symptomatic HTDs in appropriately selected patients. The symptoms of most patients improve or resolve with minimal morbidity.