Spine
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Case series. ⋯ Relapse of low back or buttock pain and leg pain after thoracolumbar fusion to the sacrum may be related to a sacral fracture, difficult to diagnose in conventional radiographs. Surgery should be considered in the presence of a concomitant L5-S1 pseudarthrosis and when symptoms do not improve with the nonoperative treatment.
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Retrospective review. ⋯ Use of ketorolac after spinal fusion surgery in humans, limited to 48 hours after surgery for adjunctive analgesia, has no significant effect on ultimate fusion rates.
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Case Reports
Traumatic complex dislocation of the atlanto-axial joint with odontoid and C2 superior articular facet fracture.
Case report and clinical discussion. ⋯ To our knowledge, this is the first case of a traumatic atlantoaxial rotatory dislocation with accompanying odontoid and C2 superior articular facet fracture.
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We evaluated 2 types of nerve growth factor (NGF) receptors on dorsal root ganglion (DRG) cells and nerve fibers innervating rat lumbar intervertebral discs. ⋯ Rat L5/6 intervertebral discs were innervated by multisegmental levels of DRG. Most DRG neurons innervating the discs were positive for 2 types of NGF receptors.
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An animal experimental study on hypothermia after spinal cord injury(SCI). OBJECTIVE.: To investigate the neuroprotective effect of moderate epidural hypothermia (MEH) on SCI in rats and evaluate the antiapoptotic and anti-inflammatory effect of hypothermia. ⋯ These results suggest that MEH may be a possible therapeutic candidate when combined with clinically proven surgical and medical methods for SCI.