Journal of spinal disorders & techniques
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J Spinal Disord Tech · May 2013
Anterior cervical intercorporal fusion in patients with osteoporotic or tumorous fractures using a cement augmented cervical plate system: first results of a prospective single-center study.
Prospective observational clinical study. ⋯ In patients with severe osteoporosis or in patients with advanced tumor disease, excellent surgical, clinical, and radiologic results are possible following our method. In our opinion, a second-step posterior approach can be avoided by this technique.
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An in vitro cadaveric biomechanical study. ⋯ The MPD restricted the A-P instability of the C1-C2 complex. In flexion, extension, and axial rotation, the C1-C2 ROM of the MPD was about 50% of the ROM in Intact, whereas equivalent to Intact in lateral bending.
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J Spinal Disord Tech · May 2013
Usefulness of MRI in determining the appropriate level of cement augmentation for acute osteoporotic vertebral compression fractures.
This is a prospective study on consecutive patients with acute osteoporotic vertebral compression fractures (OVCFs). ⋯ MRI with STIR sequencing exhibited a multitude of benefits in the exact identification of acute lesions and hidden lesions. Because of the high rate of misdiagnosis using standard plain radiographs and CT scans of the spine for OVCFs, MRI with STIR sequencing should be considered before cement augmentation procedures. Moreover, in cases with multiple lesions or severe osteoporosis, the importance of MRI should be further emphasized.
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J Spinal Disord Tech · May 2013
Functional outcomes, morbidity, mortality, and fracture healing in 26 consecutive geriatric odontoid fracture patients treated with posterior fusion.
Retrospective review. ⋯ PSF for geriatric odontoid fractures is associated with moderately high levels of morbidity and mortality. Posttreatment neck pain and disability is low and does not differ significantly from aged-matched cohorts. Odontoid fracture healing after surgical stabilization does not correlate with improved functional outcomes.