Spine
-
Prospective case series and radiographical analysis. ⋯ This study reports the novel auto-correction of subaxial abnormalities after treatment of the primary upper cervical deformity and delineates the relationship between these 2 occurrences, thus demonstrating the reversibility of such complex abnormalities. Furthermore, the clinical outcomes after surgical treatment of swan neck deformities secondary to atlantoaxial dislocation are favorable and associated with a low complication rate.
-
Retrospective cohort analysis. ⋯ Although all patients typically present with a similar functional status, patients with intramedullary lesions are more unlikely to improve after surgical resection and derive less of a benefit compared with those with intradural extramedullary and vertebral hemangiomas.
-
Review
Lumbar spine fusion for chronic low back pain due to degenerative disc disease: a systematic review.
Systematic literature review. ⋯ The body of literature supports fusion surgery as a viable treatment option for reducing pain and improving function in patients with chronic LBP refractory to nonsurgical care when a diagnosis of disc degeneration can be made.
-
Multicenter Study
Posterior global malalignment after osteotomy for sagittal plane deformity: it happens and here is why.
Multicenter, retrospective analysis of 183 consecutive patients undergoing lumbar osteotomy. ⋯ A significantly lower pelvic incidence and lack of restoration of thoracic kyphosis may lead to sagittal overcorrection with a posterior alignment. Although the clinical significance of posterior malalignment is still unclear, this study showed a compensatory loss of cervical lordosis in these patients. Particular attention must be paid to preoperative planning before sagittal realignment procedures. Further study will be necessary to evaluate long-term clinical outcomes of these patients.
-
Retrospective chart review. ⋯ Perceived association with infection should not influence the surgeon in bone graft choice for spinal fusion. There is a lack of scientific evidence to recommend for or against routine cultures on allograft implantation in the literature. Our results strongly underline the pertinence of larger multicenter clinical trials to assess the pertinence of peroperative allograft bone culture.