World Neurosurg
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Biography Historical Article
Spinal anatomy in an essential illustrated medical treatise of the late Ottoman era.
The aim of this article is to introduce a great physician of the late Ottoman period and his writings on spinal anatomy. ⋯ The most important characteristic of Şanizade's work is that it is the first illustrated anatomy book printed in the Ottoman Age, and the value of the work is shown by Şanizade being one of the originators of medical terms in Ottoman Medicine.
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Desmoid tumors are rare clinical entities that cause significant morbidity based on their locally aggressive nature. Complete resection with wide margins is the standard of care; however, when arising in the neck, resection is limited due to proximity of the lesion to critical structures. ⋯ Complete resection of desmoid tumors is the standard of care. In this case, we felt that complete resection would lead to iatrogenic instability; therefore, an occiput to thoracic fusion was performed at the time of the resection.
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Multicenter Study
Outcomes and complications of extension of previous long fusion to the sacro-pelvis: is an anterior approach necessary?
Patients with previous multilevel spinal fusion may require extension of the fusion to the sacro-pelvis. Our objective was to evaluate the outcomes and complications of these patients, stratified based on whether the revision was performed using a posterior-only spinal fusion (PSF) or combined anterior-posterior spinal fusion (APSF). ⋯ Among adults with previously treated scoliosis requiring extension to the sacro-pelvis, PSF produced radiographic fusion and clinical outcomes equivalent to APSF, whereas complication rates may be lower. PSO resulted in greater sagittal plane correction, without an increase in overall complication rates.
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To analyze the interspinous distance and the height, length, and thickness of the lumbar spinous process for interspinous device implantation in Korean patients. ⋯ There is a decreasing trend in the interspinous distance in the L1-5 levels with advancing years. Taking progressive collapse of the interspinous distance with the aging process into consideration, interspinous implants should be carefully selected in younger patients.