Journal of spinal disorders & techniques
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J Spinal Disord Tech · Nov 2015
Clinical TrialProspective Clinical and Radiographic Results of Activ L Total Disk Replacement at 1- to 3-Year Follow-up.
A prospective clinical study. ⋯ The 1- to 3-year follow-up of this cohort of patients showed satisfactory clinical outcomes. The IDHs at index and adjacent segments were well maintained after the surgery. The ROM at the lower adjacent segment remained unchanged, but the ROM at the index and upper adjacent segments showed a slight increase. The long-term results of activ L TDR was to be investigated.
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J Spinal Disord Tech · Nov 2015
Comparison of the Wake-up Test and Combined TES-MEP and CSEP Monitoring in Spinal Surgery.
A retrospective clinical analysis. ⋯ Combined TES-MEP and CSEP monitoring, with its high sensitivity and specificity, is an effective method for monitoring spinal function during surgery and should be the preferred choice. The wake-up test is a useful complementary method for monitoring because of its high specificity.
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J Spinal Disord Tech · Nov 2015
Fusion Rates of Different Anterior Grafts in Thoracolumbar Fractures.
Retrospective CT analysis of anterior fusion in thoracolumbar trauma. ⋯ Case control study, Level III.
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Postoperative epidural hematomas are rare complications following lumbar spine surgery, but if they are not quickly identified and treated they can lead to permanent neurological deficits. Epidural hematomas occur in approximately 0.10%-0.24% of all spine surgeries, and despite the fact that multiple large studies have been performed attempting to identify risk factors for this complication, there is still significant debate about the effect of subfascial drains, postoperative anticoagulation, and antiplatelet medication on the incidence of postoperative hematoma. The purpose of this manuscript is to review the epidemiology, etiology, diagnosis, and treatment of patients who develop a postoperative lumbar epidural hematoma.