Spine
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A restrospective review of 81 cases of osteoid osteoma of the mobile spine submitted to surgical treatment. ⋯ Conventional excision therapy is a effective and reliable treatment for osteoid osteoma associated to low morbidity and low local recurrence rate. Minimally invasive surgery is emerging as an alternative method, reducing soft tissue trauma and the collateral damage caused by traditional surgical approach, allow patients a more rapid and complete return to normal function.
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Retrospective case series of five consecutive patients. ⋯ En bloc excision of chordoma, whether wide or marginal, is the most ideal for treatment to prolong disease-free survival. En bloc excisions of chordomas in the cervical spine are technically complex procedures but can be performed with acceptable safety and perioperative morbidity.
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A descriptive CT study of lumbar facet joint (FJ) arthrosis in general and spinal stenosis populations. ⋯ FJ arthrosis is an age-dependent and BMI and sex independent phenomenon. In the general population, the prevalence of FJ arthrosis increases cephalocaudally with the highest frequency at L5-S1. In the stenotic group, the highest frequency was observed at the two caudal levels; L4-L5 and L5-S1. The prevalence of FJ arthrosis was greater for the right side.
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The effects of hospital and surgeon volume on postoperative complications after LumbarSpine surgery.
Retrospective review. ⋯ The mortality and complication rates associated with lumbar spine surgery are lower when patients are treated by high-volume surgeons and hospitals.
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A retrospective cohort study from a single institution of a consecutive series of spine surgery patients. ⋯ Adjunctive local application of vancomycin powder decreases the postsurgical wound infection rate with statistical significance in posterior instrumented thoracolumbar spine fusions.