Spine
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Review Meta Analysis Comparative Study
Kinematics of the cervical adjacent segments after disc arthroplasty compared with anterior discectomy and fusion: a systematic review and meta-analysis.
Systematic review and meta-analysis. ⋯ Patients can be advised that single-level arthroplasty and ACDF result in clinically similar kinematic changes at short-term follow-up. Strength of Statement: Strong.
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Review Case Reports
Traumatic lumbosacral spondyloptosis treated five months after injury occurrence: a case report.
A case report. ⋯ We performed posterior decompression and in situ fusion of L3-S1 for the patients with traumatic lumbosacral spondyloptosis treated 5 months after injury, and the surgery produced a favorable clinical outcome.
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Review Comparative Study
Adjacent segment pathology following cervical motion-sparing procedures or devices compared with fusion surgery: a systematic review.
A systematic review. ⋯ Insufficient. Strength of Statement: Strong.
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Review Comparative Study
Do lumbar motion preserving devices reduce the risk of adjacent segment pathology compared with fusion surgery? A systematic review.
A systematic review of the literature. ⋯ 1. Evidence demonstrates that the risk of clinical ASP requiring surgery is likely greater after fusion but the risk is still quite rare. The increased risk compared to TDR could be as small as less than 1% or as great as 10%. Strength of Statement: Weak. 2. There is insufficient evidence to make a definitive statement regarding fusion versus other motion-sparing devices with respect to the risk of ASP.
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Consecutive case series and literature review. ⋯ The present findings suggest that the frequency of an abnormal VA at the extra- and intraosseous regions is increased when patients have AAS and CSA at the CVJ. Using preoperative 3D CTA, we can precisely identify anomalous VAs and thereby reduce the risk of their intraoperative injury.