Journal of spinal disorders & techniques
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J Spinal Disord Tech · Aug 2014
Function-preserving reduction and fixation of unstable Jefferson fractures using a C1 posterior limited construct.
This is a retrospective, clinical, and radiologic study of posterior reduction and fusion of the C1 arch in the treatment of unstable Jefferson fractures. ⋯ C1 posterior limited construct is a valid technique and a feasible method for treating unstable Jefferson fractures, which allows preservation of the function of the craniocervical junction, without significant morbidity.
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J Spinal Disord Tech · Aug 2014
Mortality in elderly patients following operative and nonoperative management of odontoid fractures.
Retrospective matched cohort study. ⋯ There was no significant difference between 1- and 5-year mortality in patients treated operatively or nonoperatively. Regardless of treatment Charlson score had a significant impact on mortality. Age significantly affected mortality in patients treated surgically.
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J Spinal Disord Tech · Aug 2014
Radiographic analysis of PEEK cage and FRA in adult spinal deformity fused to sacrum.
Retrospective radiographic study. ⋯ Both PEEK cages and FRAs can significantly increase disk space height and achieve similar clinical outcomes in treating adult spinal deformity fused to the sacrum. The radiographic results of PEEK cages were superior to FRAs in terms of an earlier solid fusion, and greater restoration of segmental lordosis.
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J Spinal Disord Tech · Jul 2014
Cortical Bone Trajectory for Thoracic Pedicle Screws: A Technical Note.
A morphometric measurement of new thoracic pedicle screw trajectory using computed tomography (CT) and a biomechanical study on cadaveric thoracic vertebrae using insertional torque. ⋯ The detailed morphometric measurement and favorable screw fixation stability of thoracic CBT are reported. The insertional torque using thoracic CBT technique was 53.8% higher than that of the traditional technique.
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J Spinal Disord Tech · Jul 2014
Review Meta Analysis Comparative StudyLumbar fusion versus nonoperative management for treatment of discogenic low back pain: a systematic review and meta-analysis of randomized controlled trials.
Systematic review and meta-analysis of randomized controlled trials (RCTs). ⋯ Despite the significant improvement in ODI in the lumbar fusion groups in 3 studies, pooled data revealed no significant difference when compared with the nonoperative group. Although there was an overall improvement of 7.39 points in the ODI in favor of lumbar fusion, it is unclear that this change in ODI would lead to a clinically significant difference. Prospective randomized trials comparing a specific surgical technique versus a structured physical therapy program may improve evidence quality. Until then, either operative intervention by lumbar fusion or nonoperative management and physical therapy remain 2 acceptable treatment methods for intractable low back pain.