Journal of spinal disorders & techniques
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J Spinal Disord Tech · Dec 2014
Operative strategy for different types of thoracolumbar stress fractures in ankylosing spondylitis.
There are no accurate guidelines on the operative treatment of ankylosing spondylitis (AS)-related thoracolumbar stress fractures. For this reason, we categorized such bone fractures into 2 types: vertebral body type and intervertebral space type, according to the damage mechanism, cross-section spot, and iconography, and devised a targeted surgical plan based on the characteristics of each fracture type. ⋯ Choosing an anterior or posterior surgical approach based on the type of AS-related thoracolumbar stress fracture can enhance the stability of the fracture, effectively restore the neurocanal volume and spinal column's axis of stress, reduce the complications of spinal cord damage, and produce the desired clinical curative effect.
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J Spinal Disord Tech · Dec 2014
Review Meta Analysis Comparative StudyMeta-analysis of circumferential fusion versus posterolateral fusion in lumbar spondylolisthesis.
Literature review and meta-analysis. ⋯ There was really no difference for clinical satisfaction, complication rate, fusion rate, reoperation rate, operating time, and blood loss. PLF can reduce complication rate and operating time. CF can improve fusion rate for individuals with isthmic spondylolisthesis and restore lumbar alignment. The level of evidence was low.
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J Spinal Disord Tech · Dec 2014
Randomized Controlled TrialHemostatic techniques following multilevel posterior lumbar spine surgery: a randomized control trial.
This was a prospective, randomized controlled clinical study. ⋯ Application of absorbable gelatin sponge at the end of multilevel posterior lumbar fusion can significantly decrease postoperative drain output and length of hospital stay.
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J Spinal Disord Tech · Dec 2014
Surgical treatment for spinal tuberculosis with bilateral paraspinal abscess or bilateral psoas abscess: one-stage surgery.
This was a prospective study on the clinical outcomes of single-stage surgery for thoracic and lumbar spine tuberculosis patients with bilateral paraspinal or bilateral psoas abscesses. ⋯ Single-stage posterior surgery with instrumentation results in less operative trauma and can be a suitable alternative for treating thoracic and lumbar tuberculosis with bilateral paraspinal or bilateral psoas abscesses.
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J Spinal Disord Tech · Dec 2014
Clinical and radiographic analysis of c5 palsy after anterior cervical decompression and fusion for cervical degenerative disease.
A retrospective cohort study. ⋯ This study suggests that improved lordosis of the cervical spinal column can result in traction injury to the spinal cord and C5 nerve roots and that reoperation does not always produce good results. Methods of preventing and treating C5 palsy after anterior decompression and fusion require more evaluation.