World Neurosurg
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Direct pars repair with cannulated screws in adults: A case series and systematic literature review.
Lumbar spondylolysis occurs in 5%-8% of adults. This study aimed to report clinical and radiographic outcomes of direct pars repair in adults with lumbar spondylolysis. ⋯ Lumbar spondylolysis treatment with open fracture reduction and direct pars repair with cannulated screws in adults is safe and may result in mechanical back/radicular pain relief, even in the absence of radiographic fusion.
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This study aims to evaluate the therapeutic reliability of posterior percutaneous cement-augmented screws short fixation (PASF) in patients with severe osteoporotic vertebral burst fractures (OVBFs). ⋯ The clinical and radiologic results of this study suggest that PASF could be a safe and effective treatment option for severe OVBFs when conservative treatments have failed.
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Different sagittal morphologies are associated with various lumbar degenerative diseases. In this paper, we aim to investigate the association between Roussouly classification and the characteristics of lumbar degeneration. ⋯ Risks of advanced disc degeneration are higher for patients with lumbar spine morphologies of Roussouly type 1 or type 2, especially for patients with type 2 lumbar spine, whereas high-grade degeneration of facet joint tends to occur in type 3 and type 4 lumbar spine, especially for individuals with type 4 lumbar spine.
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Previous studies identified a correlation between preoperative resilience scores and patient reported outcome measures in several surgical subspecialities. No previous studies, to our knowledge, have analyzed preoperative resilience and patient reported outcomes in lumbar spinal fusion. ⋯ Preoperative resilience is associated with improvement in pain and physical and mental health quality of life during the early postoperative period following lumbar spinal fusion. Additional research is needed to determine if improvements are maintained beyond this interval and whether resilience can be modified to optimize outcomes.
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To describe the use of intraoperative anteroposterior long cassette radiographs (APLCRs) to guide kickstand rod application in adult spinal deformity. ⋯ Intraoperative APLCRs can help guide application of a kickstand rod in adult thoracolumbar deformity correction. Patients with a greater fractional lumbar curve may derive greater benefit of kickstand usage, independent of major curve magnitude.