European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
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Randomized Controlled Trial
Treatment of MM-associated spinal fracture with percutaneous vertebroplasty (PVP) and chemotherapy.
To investigate the effect of treatment of multiple myeloma (MM)-associated spinal fracture with percutaneous vertebroplasty (PVP) and chemotherapy. ⋯ Percutaneous vertebroplasty is a minimally invasive surgery for MM-associated pathologic fracture. PVP had the characteristics of minimal trauma, easy operation and less complication. PVP can achieve long-term analgesic effect, and enhance the spinal stability.
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To describe the clinical outcomes and complications in a consecutive series of extreme lateral interbody fusion cases. ⋯ Extreme lateral interbody fusion is a safe and effective technique for anterior interbody fusion.
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There are only a few follow-up studies of untreated Scheuermann's disease. The aim of this study was to investigate the relationship between vertebral changes, back pain, and disability in patients with untreated Scheuermann's disease after a 37-year follow-up. ⋯ Scheuermann's patients had a higher risk for back pain and disabilities during activities of daily living than controls. However, the degree of thoracic kyphosis among Scheuermann's patients was not related to back pain, quality of life, or general health.
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Comparative Study
Improving successful rate of transcranial electrical motor-evoked potentials monitoring during spinal surgery in young children.
This prospective study was to investigate the successful rate of intraoperative motor evoked potentials (MEP) monitoring for children (<12 years old) with congenital scoliosis. ⋯ Low dose anesthesia by either TIVA with propofol or sevoflurane-based mixture anesthesia protocol can help the intraoperative spinal cord monitoring to successfully elicit MEP and perform reliable monitoring for patients below 12 years of age.
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Comparative Study
Spinous process morphology: the effect of ageing through adulthood on spinous process size and relationship to sagittal alignment.
Blinded radiographic analysis of CT scans reformatted for precise lumbar spinous process (LSP) measurement. ⋯ This study demonstrates that the dimensions of the LSP change with age. Increases in LSP height and even more impressive increases in LSP width occur with advancing age. There is an inverse relationship between lumbar lordosis and LSP height.