Clinical orthopaedics and related research
-
Clin. Orthop. Relat. Res. · Jun 2014
Minimally invasive surgical approaches in the management of tuberculosis of the thoracic and lumbar spine.
Spinal tuberculosis is the most common form of skeletal tuberculosis. Various approaches have been described for surgical management of spinal tuberculosis, but many entail wide exposures with attendant morbidity; whether minimally invasive surgical (MIS) approaches are suitable is unknown. ⋯ Level IV, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.
-
Clin. Orthop. Relat. Res. · Jun 2014
Is the lateral transpsoas approach feasible for the treatment of adult degenerative scoliosis?
Lumbar degenerative scoliosis is a common condition in the elderly. Open traditional surgical approaches are associated with high-morbidity complication rates. Less invasive options may carry fewer risks in this patient population. A minimally disruptive lateral transpsoas retroperitoneal technique to accomplish interbody fusion was developed to avoid the morbidity of traditional open surgery, but this approach as an anterior stand-alone construction has not been reported yet for the treatment of adult degenerative scoliosis. ⋯ Level IV, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.
-
Clin. Orthop. Relat. Res. · May 2014
Multicenter StudyDeveloping a pathway for high-value, patient-centered total joint arthroplasty.
Total joint arthroplasty (TJA) is one of the most widely performed elective procedures; however, there are wide variations in cost and quality among facilities where the procedure is performed. ⋯ Level V, therapeutic study. See the Instructions for Authors for a complete description of levels of evidence.