Spine
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Pseudohypoparathyroidism associated with disorders of the spine is rarely reported. In this report, the authors present a case of pseudohypoparathyroidism in a 41-year-old man who had narrow spinal canal and multiple disc herniation in the cervical spine. ⋯ A case of pseudohypoparathyroidism-associated spinal stenosis was reported.
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Review Case Reports
Postoperative toxic shock syndrome after lumbar laminectomy in a male patient.
Postoperative toxic shock syndrome in a male patient who underwent a lumbar laminectomy has not been reported. This case report identifies a rare, and potentially fatal, postoperative complication. ⋯ Spine surgeons should consider postoperative toxic shock syndrome as a diagnosis in a patient with fever, gastrointestinal symptoms, and hypotension in the presence of a benign-appearing lumbar laminectomy wound.
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This study is a prospective cross-sectional analytic study. ⋯ The zygapophysial joint is an important source of pain but the existence of a "facet syndrome" must be questioned.
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Thirty-five consecutive patients who underwent surgeries for decompression, and one-level fusions with Cotrel-Dubousset pedicle screws for spinal canal stenosis were included in this study. The relationship between bone mineral density of the lumbar spine and the rate of successful fusion and screw problems was studied. ⋯ The use of decompression and pedicle screws for spinal canal stenosis due to degenerative lumbar disorders can be done safely with one-level fusion in patients with decreased bone mineral density if patients with grade III osteoporosis are excluded. Bone mineral density is more reliable than radiographic grading to evaluate the degree of osteoporosis and should be included in the preoperative evaluation of patients with osteoporosis.
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In a prospective, single-blinded study, the incidence of false-positive screening tests for sacroiliac joint dysfunction was investigated using the standing flexion, seated flexion, and Gillet tests in 101 asymptomatic subjects. ⋯ This study suggests that asymmetry in sacroiliac motion due to relative hypomobility as determined by these tests can occur in asymptomatic joints. Obviously, one should not rely solely on these tests to diagnose symptomatic sacroiliac dysfunction.