Journal of spinal disorders & techniques
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J Spinal Disord Tech · Apr 2010
Comparative StudySkip laminectomy and laminoplasty for cervical spondylotic myelopathy: a prospective study of clinical and radiologic outcomes.
A prospective nonrandomized study comparing the outcomes of the 2 surgical techniques used in the treatment of cervical spondylotic myelopathy. ⋯ Skip laminectomy is an effective procedure for reducing the incidence of postoperative morbidities, such as persisting axial pain, and restriction of neck motion often seen after laminoplasty, and provides adequate decompression of the spinal cord as demonstrated on MRI for a minimum follow-up of 2 years.
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Cross-sectional study. ⋯ We did not find an association between facet orientation, facet tropism, and spondylolysis. One of the possible explanations for this is that the high prevalence of facet joint osteoarthritis in individuals with spondylolysis in the studied sample might have led to diminished differences in facet orientation.
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J Spinal Disord Tech · Apr 2010
Transthoracic surgical treatment for centrally located thoracic disc herniations presenting with myelopathy: a 5-year institutional experience.
Retrospective review. ⋯ Thoracotomy for treatment of centrally located thoracic disc herniations is associated with improvement in or stabilization of myelopathic symptoms in the majority of patients with an acceptable rate of complications. Interestingly, most patients with weakness improved in strength (12/16, 75%), no patients with normal strength developed new weakness (10/10, 100%), and only 2 patients had new weakness noted postoperatively (7.4%).
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J Spinal Disord Tech · Apr 2010
Comparative StudyComparison of perioperative oral multimodal analgesia versus IV PCA for spine surgery.
A preintervention and postintervention design was used to examine a total of 200 patients. ⋯ This quality improvement study shows some safety and significant advantages of a multimodal perioperative oral analgesic regimen compared with standard IV PCA after spine surgery.
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J Spinal Disord Tech · Apr 2010
Microendoscopic anterior approach for irreducible atlantoaxial dislocation: surgical techniques and preliminary results.
Surgical techniques and preliminary results. ⋯ Surgical technique of microendoscopic anterior release, reduction, fixation, and fusion is safe and reliable minimally invasive for treating IADD.