Journal of spinal disorders & techniques
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J Spinal Disord Tech · Feb 2008
Clinical TrialIntradiscal electrothermal therapy (IDET) provides effective symptom relief in patients with discogenic low back pain.
Single-arm, prospective clinical trial. ⋯ The findings of this study suggest that durable clinical improvements can be realized after IDET in highly selected patients with mild disc degeneration, confirmatory imaging evidence of annular disruption, and concordant pain provocation by low pressure discography.
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J Spinal Disord Tech · Feb 2008
Intradiscal electrothermal therapy (IDET) for low back pain in worker's compensation patients: can it provide a potential answer? Long-term results.
This prospective study was conducted to evaluate improvements in pain and disability in a series of 53 consecutive worker's compensation patients with low back pain (LBP) after treatment with the intradiscal electrothermal therapy (IDET) procedure. ⋯ IDET procedure can be a useful, safe, and cost-effective option in the management of carefully selected workers compensation claimants with chronic LBP of discogenic etiology.
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This is a biomechanical study using human cadaveric lumbar spine. ⋯ Transsacral rod fixation provides strong ligamentotaxis due to intact annulus. Standalone transsacral rod is able to reduce ROM significantly and achieve indirect decompression by distracting L5-S1 disc space. However, additional posterior fixation, such as facet screws or pedicle screws, is required to achieve better construct stability for successful fusion.
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J Spinal Disord Tech · Feb 2008
Anterior lumbar interbody fusion for lumbosacral junction in steep sacral slope.
Retrospective study of surgical technique and clinical outcome. ⋯ In selected cases, a steep sacral slope may not be an absolute contraindication of ALIF. Moreover, the C-arm-guided reduction and cage insertion method is a reliable way of treating spondylolisthesis in those with a steep sacral slope.
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J Spinal Disord Tech · Feb 2008
Case ReportsThoracic myelopathy due to ossification of the yellow ligament in young baseball pitchers.
Case series. ⋯ Patients had no other factors influencing the development of OYL and the lesions were localized at the left side in the thoracolumbar junction, indicating that repeated, localized rotatory mechanical stress caused by the pitching motion probably influenced the development of OYL in these young baseball pitchers.