Spine
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This retrospective study analyzed the clinical and radiologic results of two groups of patients with unstable burst fractures of the thoracolumbar spine treated with anterior decompression, reduction of the kyphotic deformity, and stabilization by grafting and instrumentation. ⋯ The double rod instrumentation performs significantly better regarding loss of correction compared with the single rod instrumentation.
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A retrospective review of all cases of bacterial meningitis after spinal surgery. ⋯ This is a rare complication from which a good outcome is possible with early diagnosis and prompt management.
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A retrospective study was done in 12 teenagers with severe L5-S1 spondylolisthesis surgically treated with a single-stage posterior procedure for reduction, posterior interbody fusion, and segmental instrumentation. ⋯ Intraoperative distraction appears to be truly effective in reducing severe lumbosacral olyshtesis in children. Posterior interbody fusion (and eventual sacral dome osteotomy) successfully combines the goals of solid fusion with the requirements of root decompression. No neurologic problems were seen as a consequence of distraction. The solidity of the posterior segmental pedicle instrumentation combined with the anterior strut graft eliminate the need for postoperative casting.
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This anatomic study tested placement of C2 pedicle screws using cadaver specimens. ⋯ The present anatomic study suggests that transpedicular screw fixation may be performed safely in the C2 pedicle by using the second technique. Using the first technique is not safe.
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This study investigated the outcome of anterior decompression and stabilization for "unstable" burst fractures without initial neurologic deficits in the thoracolumbar spine. ⋯ Anterior decompression and stabilization for unstable burst fracture without initial neurologic deficits in the thoracolumbar spine has some advantages in the view of anatomical reduction and rigid stability that allows patients an early rehabilitation, return to work, and gainful employment.