Journal of spinal disorders & techniques
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J Spinal Disord Tech · Apr 2013
Case ReportsMinimally invasive lumbar transfacet screw fixation in the lateral decubitus position after extreme lateral interbody fusion: a technique and feasibility study.
Prospective evaluation of 10 patients undergoing minimally invasive lumbar interbody fusion for degenerative disk disease and radiculopathy. ⋯ Minimally invasive percutaneous transfacet screw fixation can be performed safely and effectively in the lateral decubitus position. This is an attractive option for posterior percutaneous fixation that can lead to a reduction of operative time and surgical morbidity in select cases.
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J Spinal Disord Tech · Apr 2013
Comparative StudyComparative analysis of 3 different construct systems for single-level anterior cervical discectomy and fusion: stand-alone cage, iliac graft plus plate augmentation, and cage plus plating.
A retrospective cohort-nested longitudinal study. ⋯ The trend of excellent radiologic outcome was observed for IP≥CP>CA. Plating may play a key role in the support of anterior height. As a result, plating prevents segmental kyphosis and subsidence and promotes bone fusion. Although the overall clinical outcomes were not different among the 3 groups, except for arm pain, more favorable trends regarding clinical outcome were observed for CP≥IP>CA.
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J Spinal Disord Tech · Apr 2013
Treatment for severe idiopathic upper thoracic scoliosis in adolescence.
To review the study of severe upper thoracic scoliosis (>90 degrees) in adolescence treated with pedicle screw constructs. ⋯ The pedicle screw constructs can be safely used for severe upper thoracic scoliosis. Curve correction is powerful for these curves, which are stiff and difficult to manage. Screw accuracy was excellent in this review.
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J Spinal Disord Tech · Apr 2013
Comparative StudyPolyetheretherketone interbody cages versus autogenous iliac crest bone grafts with anterior fixation for cervical disc disease.
The aim of this study was to compare the fusion rate, operation time, recovery of disc space height, clinical duration and improvement, return to activities of daily living, and complication rate associated with anterior cervical discectomy with interbody fusion by using polyetheretherketone cages or autogenous iliac crest bone grafts as disc replacement in a series of 60 patients. ⋯ Although outcomes were very successful in both groups in terms of fixation stability, recovery of disc space, return to activities of daily living and work, and remission of symptoms, operation time was considerably shorter for patients in the polyetheretherketone group, who had none of the complications associated with iliac crest bone graft harvesting, both differences being statistically significant.
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J Spinal Disord Tech · Apr 2013
Short fusion strategy for Lenke type 1 thoracic curve using pedicle screw fixation.
A retrospective case-control study ⋯ The short fusion strategy for a Lenke type 1 curve can produce equivalent correction of the main curve and clinical outcomes to conventional fusion strategy with less surgical time and blood loss, while maintaining better shoulder balance.