Asian spine journal
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Asian spine journal · Feb 2015
Comparison of the Japanese orthopaedic association score and the Japanese orthopaedic association cervical myelopathy evaluation questionnaire scores: time-dependent changes in patients with cervical spondylotic myelopathy and posterior longitudinal ligament.
Prospective cohort study. ⋯ Scores for upper- and lower-extremity function on the JOACMEQ correlated well with JOA scores. Because the JOACMEQ can also assess cervical spine function and quality of life, factors that cannot be assessed by the JOA score alone, the JOACMEQ is a more comprehensive evaluation tool.
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Asian spine journal · Feb 2015
Effects of methylprednisolone on neuroprotective effects of delay hypothermia on spinal cord injury in rat.
A retrospective study. ⋯ Hypothermia showed a significant neuroprotective effect, which can be improved with further studies optimizing the duration of hypothermia and the rewarming period. Moreover, the therapeutic effect of the delayed hypothermia can be extended by methylprednisolone.
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Asian spine journal · Feb 2015
Surgical correction in patients with lumbar degenerative kyphosis who had low bone mineral density: an analysis of 40 patients with a minimum follow-up of two years.
Retrospective study. ⋯ Osteoporosis did not influence the degree of correction, late sagittal decompensation, proximal adjacent fractures, and pseudoarthrosis in LDK. PIDiff had a significant association with sagittal decompensation and pseudoarthrosis.
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Asian spine journal · Feb 2015
An evaluation of the effectiveness of hyaluronidase in the selective nerve root block of radiculopathy: a double blind, controlled clinical trial.
Prospective, double-blind, randomized controlled trial. ⋯ The rebound pain (the re-occurrence of pain within 2-4 weeks after injection) that occurs within 2-4 weeks after the injection of the routine regimen can be reduced when hyaluronidase is added to the routine SNRB regimen.
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Asian spine journal · Feb 2015
Combat-related intradural gunshot wound to the thoracic spine: significant improvement and neurologic recovery following bullet removal.
The vast majority of combat-related penetrating spinal injuries from gunshot wounds result in severe or complete neurological deficit. Treatment is based on neurological status, the presence of cerebrospinal fluid (CSF) fistulas, and local effects of any retained fragment(s). We present a case of a 46-year-old male who sustained a spinal gunshot injury from a 7.62-mm AK-47 round that became lodged within the subarachnoid space at T9-T10. ⋯ Postoperative magnetic resonance imaging of the spine revealed contusion of the spinal cord at the T9 level. Early removal of an intra-canicular bullet in the setting of an incomplete spinal cord injury can lead to significant neurological recovery following even high-velocity and/or high-caliber gunshot wounds. However, this case does not speak to, and prior experience does not demonstrate, significant neurological benefit in the setting of a complete injury.