Spine
-
Comparative Study
Comparison of in-hospital morbidity and mortality rates between anterior and nonanterior approach procedures for thoracic disc herniation.
Analysis of population-based national hospital discharge data collected for the Nationwide Inpatient Sample. ⋯ Anterior approach procedures for thoracic disc herniation were associated with increased in-hospital morbidity and mortality rates, as well as increased health care burden, compared with nonanterior approach procedures. If thoracic disc herniation can be adequately excised by either approach, a nonanterior approach procedure may be a better option.
-
A case report. ⋯ NTS can be caused by even VP in patients with a pathological fracture. NTS needs to be considered in cases where it is difficult to inject polymethyl methacrylate.
-
Case Reports
Traumatic expulsion of T4 vertebral body into the spinal canal treated by vertebrectomy and spine shortening.
A case report. ⋯ Total vertebrectomy and spinal shortening are safe and replicable procedures applicable in few patients with paraplegia. A surgical procedure after 3 weeks makes a complete reduction and a perfect sagittal alignment of the spine difficult to be obtained.
-
Case Reports
Rationale in the management of 4-level lumbar spondylolyses with or without instability and/or spondylolisthesis.
Case report. ⋯ Success of management of multiple lyses depends on the choice of appropriate treatment for each level separately. Pars block is a good invasive investigation to detect the symptomatic levels in a complex situation.
-
Retrospective analysis of a population-based insurance claims data set. ⋯ Although previous studies have demonstrated superior efficacy for the treatment of FBSS, SCS remains underused. Despite no significant decreases in overall health care cost with SCS implantation, because it is associated with decreased complications and improved outcomes, this technology warrants closer consideration for the management of chronic pain in patients with FBSS.