Journal of spinal disorders & techniques
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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 · Oct 2014
Randomized Controlled Trial Multicenter StudyA pilot evaluation of the role of bracing in stable thoracolumbar burst fractures without neurological deficit.
Prospective, 2-center, observer-blinded, randomized controlled trial. ⋯ Neurologically intact patients with stable thoracolumbar burst fractures treated with or without bracing had similar radiographic and clinical outcomes at 6 months follow-up. The no-brace group had shorter in-hospital lengths of stay. Conservative therapy involving early mobilization without brace immobilization may be warranted. Further studies with a larger series of patients and longer follow-up are required for conclusive findings.
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J Spinal Disord Tech · Aug 2013
Randomized Controlled TrialA multimodal approach for postoperative pain management after lumbar decompression surgery: a prospective, randomized study.
A prospective and randomized study. ⋯ Opioid and nonopioid analgesic combinations appear to be safe and effective after lumbar laminectomy. Patients demonstrate lower intravenous morphine requirements, better pain scores, and earlier time to solid food intake.
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J Spinal Disord Tech · Jul 2013
Randomized Controlled Trial Comparative StudyComparison between subcutaneous closed-suction drainage and conventional closed-suction drainage in adolescent idiopathic scoliosis patients undergoing posterior instrumented spinal fusion: a randomized control trial.
Prospective, randomized controlled clinical study. ⋯ The data suggest that subcutaneous closed-suction drainage offers a reasonable alternative to closed-wound suction drainage in adolescents idiopathic scoliosis patients undergoing posterior instrumented spinal fusion.
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J Spinal Disord Tech · Jul 2013
Randomized Controlled Trial Multicenter StudyFailure of porous tantalum cervical interbody fusion devices: two-year results from a prospective, randomized, multicenter clinical study.
The objective of this study was to assess the safety and efficacy of 2 novel cervical interbody fusion devices in the treatment of single-level degenerative cervical disk disease. Both devices were fabricated from a porous tantalum material. The high overall porosity of the devices was intended to facilitate anterior cervical interbody fusion. ⋯ This study demonstrates that stand-alone porous tantalum material is not ideal for a cervical spine interbody fusion because of the low rate of arthrodesis and the risk of device fragmentation in patients who fail to fuse.