Spine
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Review Case Reports
Computer-assisted surgical planning and image-guided surgical navigation in refractory adult scoliosis surgery: case report and review of the literature.
Case report and literature review. ⋯ We advocate this novel application of virtual surgical planning and intraoperative surgical navigation to improve the safety and efficacy of complex spinal deformity corrections.
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Review Case Reports
Brown-Sèquard syndrome produced by C3-C4 cervical disc herniation: a case report and review of the literature.
The article presents a case in which Brown-Sèquard syndrome resulted from a painless C3-C4 disc herniation. ⋯ Brown-Sèquard syndrome is rarely caused by a cervical disc herniation. This etiology may be underdiagnosed but has a more favorable outcome in those cases where rapid diagnosis is followed by spinal cord decompression.
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Retrospective clinical study. ⋯ The use of intraoperative halo-femoral traction together with the wide facet resection and posterior release gradually provide a good correction and balance maintained by pedicle screw instrumentation. Intraoperative halo-femoral traction not only elongates spinal column but also elongates the thoracic cavity improving the compromised pulmonary function.
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Randomized Controlled Trial Comparative Study
Full-endoscopic interlaminar and transforaminal lumbar discectomy versus conventional microsurgical technique: a prospective, randomized, controlled study.
Prospective, randomized, controlled study of patients with lumbar disc herniations, operated either in a full-endoscopic or microsurgical technique. ⋯ The clinical results of the full-endoscopic technique are equal to those of the microsurgical technique. At the same time, there are advantages in the operation technique and reduced traumatization. With the surgical devices and the possibility of selecting an interlaminar or posterolateral to lateral transforaminal procedure, lumbar disc herniations outside and inside the spinal canal can be sufficiently removed using the full-endoscopic technique, when taking the appropriate criteria into account. Full-endoscopic surgery is a sufficient and safe supplementation and alternative to microsurgical procedures.
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Translation, cross-cultural adaptation, and psychometric testing of 2 questionnaires. ⋯ Both the Brazilian-Portuguese versions of the FABQ and the TSK are equally useful in terms of description and identification of patients with fear-avoidance behavior; however, in situations that clinicians or researchers aimed to use fear-avoidance as a follow-up measurement for treatment outcomes it seems that the TSK is the better option due to its better capacity to identify change over time.