Spine
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Comparative Study
Corpectomy versus laminoplasty for multilevel cervical myelopathy: an independent matched-cohort analysis.
Matched patient cohorts using retrospective chart and radiographic review with independent clinical and radiographic follow-up were reviewed. ⋯ Both multilevel corpectomy and laminoplasty reliably arrest myelopathic progression in multilevel cervical myelopathy and can lead to significant neurologic recovery and pain reduction in a majority of patients. Surprisingly, the laminoplasty cohort tended to require less pain medication at final follow-up than did the multilevel corpectomy cohort. Given this and the higher prevalence of complications among multilevel corpectomy patients, it is believed that laminoplasty may be the preferred method of treatment for multilevel cervical myelopathy in the absence of preoperative kyphosis.
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A case was reported in which paradoxical air embolism arose from the patent foramen ovale in scoliosis surgery. ⋯ It is critical to detect a patent foramen ovale before surgery and cerebral embolization intraoperatively. This might permit ascertainment of the etiologic diagnosis in case of a complication in surgery for scoliosis.
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A retrospective chart analysis of pediatric trauma patients with suspected cervical spine injury was performed. ⋯ In obtunded and intubated pediatric trauma patients with suspected cervical spine injury, the clearance protocol using cervical spine MRI was effective and cost-efficient.