Spine
-
Longitudinal study with a 6-month follow-up. ⋯ Work-related factors that were associated with the occurrence of musculoskeletal symptoms were quite similar to those associated with health care use and sick leave. However, for LBP, older age and living alone, and, for neck/upper extremity symptoms, living alone and being female more strongly determined whether subjects with these complaints took sick leave. These results imply that prevention strategies aimed at minimizing the risks of the occurrence of work-related musculoskeletal symptoms and prevention programs aimed at reducing sick leave may need to emphasize different sets of risk factors.
-
Retrospective report of five surgical cases and review of the literature. ⋯ The authors' one-stage anterior procedure employing their TARP for the surgical treatment of irreducible anterior atlantoaxial subluxation was effective in these five cases. This method was able to avoid the need for interval traction and/or a second stage posterior instrumentation and fusion procedure.
-
Prospective cohort study of randomly selected Veterans Affairs out-patients without baseline low back pain (LBP). ⋯ Depression is an important predictor of new LBP, with MRI findings likely less important. New imaging findings have a low incidence; disc extrusions and nerve root contact may be the most important of these findings.
-
An in vitro biomechanical study of C1-C2 posterior fusion techniques using a cadaveric model. ⋯ The results clearly indicate the potential of the intralaminar screw technique to provide stability that is equivalent to methods currently used. Given the serious complications that can follow vertebral artery injury and the decreased likelihood of injury by avoiding placement of C2 pedicle screw(s) and C1-C2 transarticular screw(s), strong consideration should be given to using a construct that incorporates C2 intralaminar screw(s).
-
Randomized Controlled Trial Comparative Study
The effect of autologous fibrin tissue adhesive on postoperative cerebrospinal fluid leak in spinal cord surgery: a randomized controlled trial.
A prospective randomized study evaluating the efficacy of autologous fibrin tissue adhesive for decreasing postoperative cerebrospinal fluid (CSF) leak in spinal cord surgery. ⋯ We used autologous fibrin tissue adhesive as a new sealant after dural closure instead of commercial fibrin tissue adhesive. No definitive CSF leak was observed, and the volume of drainage fluid was significantly lower in the group with autologous fibrin tissue adhesive than that in the group without fibrin tissue adhesive. The use of autologous fibrin tissue adhesive was superior to that of commercial fibrin tissue adhesive in cost.