Spine
-
Observational cross-sectional study. ⋯ Outcome for patients diagnosed with PMASC remains poor and presents an ongoing challenge for professionals in the field of neurospinal medicine and surgery. In our analyses of AA, adult patients, males, and patients undergoing radical resections were associated with increased survival. However, incidence of these lesions is low; hence, building strong collaborative, interdisciplinary, and multi-institutional study groups is necessary to define the optimal treatment of PMASC.
-
An in vitro biomechanical study. ⋯ The results indicated that the varied atlas fracture patterns were due primarily to radial forces causing outward lateral expansion of its lateral masses. Anterior and posterior arch fracture locations are dependent, in part, upon the cross-sectional arch dimensions. Transverse ligament rupture or bony avulsion is likely associated with real-life atlantal burst fractures.
-
Epidemiological total population study based on a prospective follow-up cerebral palsy (CP) registry. ⋯ The incidence of scoliosis increased with GMFCS level and age. Observed variations related to CP subtype were confounded by the GMFCS, reflecting the different distribution of GMFCS levels in the subtypes. Follow-up programs for early detection of scoliosis should be based on the child's GMFCS level and age.
-
Prospective trial of virtual endoscopy in spinal surgery. ⋯ Virtual endoscopy of the spine may be useful to surgeons for diagnosis, preoperative planning, and postoperative assessment by obviating the need to mentally construct a 3-dimensional picture of the spinal canal from 2-dimensional computed tomographic scans.
-
Retrospective case series. ⋯ Posterior vertebral column resection is an effective technique providing a successful correction of stiff complex congenital deformities. However, it is a technically demanding procedure, with possible risks for major complications.