Spine
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Retrospective analysis of a prospectively collected database of thoracoscopic microdiscectomies performed at the Maastricht University Medical Center. ⋯ Crippling upper back pain after MVCs may be caused by a (previously asymptomatic) thoracic disc herniation. Although the exact pathophysiological mechanism has not been elucidated, results after thoracoscopic microdiscectomy are quite encouraging.
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Multicenter Study
Translation, cross-cultural adaptation, and validation of a Chinese version of the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire.
Translation and psychometric testing of a questionnaire. ⋯ The results indicated that the Chinese JOACMEQ successfully retained the psychometric properties of the original JOACMEQ and support the usefulness of the Chinese JOACMEQ as an appropriate supplementary diagnostic and outcome measure for Chinese patients suspected of cervical spondylotic myelopathy.
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Review Case Reports
Atypical fungal vertebral osteomyelitis in a tsunami survivor of the Great East Japan Earthquake.
Case report. ⋯ We report a rare case of the fungal vertebral osteomyelitis caused by S. apiospermum. If a patient develops severe back pain after a near-drowning episode in dirty water such as a swamp or a river, the clinician should be suspicious of the possibility of fungal spondylitis by S. apiospermum.
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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.
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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.