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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Cadaveric studies have discouraged the use of cervical pedicle screws (CPS) with high misplacement rates. However, the clinical results show minimal screw-related complications and have highlighted the advantages of using CPS. We introduce "acceptable errors classification" in the placement of cervical pedicle screws to bridge the gap between the high radiological perforation rates and low clinical complications. ⋯ The acceptable errors classification in placement of CPS seems to bridge the gap between the high radiological perforation rates and the low clinical complications. The present study reinforces studies reporting minimal clinical complications with high rates of screw misplacements. These slides can be retrieved under Electronic Supplementary Material.
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To investigate whether the World Health Organization Safety Surgical Checklist (SSC) is an effective tool to reduce complications in spinal surgery. ⋯ The SSC seems to be an effective tool to reduce complications in spinal surgery. We propose to extend the use of checklist system also to the preoperative and postoperative phases in order to further reduce the incidence of complications. These slides can be retrieved under Electronic Supplementary Material.
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To investigate the correlation of parameters measured by dynamic-contrast-enhanced MRI (DCE-MRI) and 18F-FDG PET/CT in spinal tumors, and their role in differential diagnosis. ⋯ The vascular parameters measured by DCE-MRI and glucose metabolism measured by PET/CT from the most aggressive tumor area did not show a significant correlation. The results suggest they provide complementary information reflecting different aspects of the tumor, which may aid in diagnosis of spinal lesions. These slides can be retrieved under Electronic Supplementary Material.