Spine
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A human cadaveric biomechanical proof-of-concept study. ⋯ Locking plate supplementation of anterior screw fixation of type II odontoid fractures improves construct strength and changes the failure mechanism from anterior screw cutout to posterior displacement of the screw. An attachable locking plate/interfragmentary screw construct may improve clinical outcomes for these fractures.
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A prospective clinical study. ⋯ The EM can develop into remarkable structures with spondylosis and aging in patients with cervical spondylotic myelopathy, affecting surgical outcomes as well as successful decompression procedures. A sound understanding of the histomorphological features of the EM is required to obtain satisfactory surgical outcomes in the limited field afforded by minimally invasive surgery.
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A retrospective study. ⋯ Based on the results of this study, PSO is considered a reliable and relatively safe procedure for the correction of fixed sagittal imbalance with multiple etiologies.
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A retrospective review. ⋯ There is a significant relationship between patient diagnosis and blood loss during posterior spinal fusion surgery in children.
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Comparative Study Clinical Trial
Comparison of 3 fusion techniques in the treatment of the degenerative cervical spine disease. Is stand-alone autograft really the "gold standard?": prospective study with 2-year follow-up.
A prospective study. ⋯ Significantly worse radiological and clinical results after 2 years of follow-up were achieved using stand-alone autograft technique in comparison with autograft supported by anterior plating similarly as in comparison with cage implant and anterior plating. Using artificial fusion substrate together with plate and cage can offer the same clinical and radiological results such as iliac autograft and plating. Anterior plating seems to be an important factor influencing the postoperative cervical spine alignment and also the clinical outcome.