Journal of spinal disorders & techniques
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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 significance of postdecompression facet joint effusion after minimally invasive decompression for degenerative lumbar spinal stenosis.
A retrospective case series study. ⋯ The relatively high incidence of PDFE after MEDL suggests that injury to the integrity of facet joint is inevitable during decompression of the stenosis, even using minimally invasive techniques. However, the overall stability is well preserved with very rare progression of spondylolisthesis. Most patients with PDFE are asymptomatic. The prognosis of PDFE is very good. Spinal fusion is rarely indicated.
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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 · Nov 2014
How Well Do Radiological Assessments of Truncal and Shoulder Balance Correlate with Cosmetic Assessment Indices in Lenke 1C Adolescent Idiopathic Scoliosis?
A correlation study. ⋯ Radiographic indices can only minisculely (r≤0.7) reflect cosmetic deformity in Lenke 1C scoliosis, which emphasizes not only the vulnerability of over-reliance on radiographic indices but also the vital importance of clinical cosmetic evaluations. In particular, cosmetic shoulder height and angle are not represented by radiographic indices. However, radiograph trunk shift was significantly associated with cosmetic trunk shift in cosmetic pictures.
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J Spinal Disord Tech · Oct 2014
Does the Prevalence of Spondylolysis and Spina Bifida Occulta Observed in Pediatric Patients Remain Stable in Adults?
Cross sectional study. ⋯ The prevalence of lumbar spondylolysis remained constant from pediatric age through adulthood. The prevalence of SBO decreased from 41.2% in children to 7.7% in adults; this finding suggests that closure of the vertebral arch may not be completed in early childhood in a large percentage of subjects.