Spine
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We describe an unusual cause of myelopathy with a discussion of similar cases previously reported in the literature. ⋯ Spinal gout should be considered in all patients presenting myelopathy and history of gout. When progressive neurological symptoms develop, surgical decompression can provide a satisfactory outcome.
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The biomechanical effects of disc degeneration and hybrid fixation on the transition and adjacent segments were evaluated using a numerical approach. ⋯ The use of the hybrid fixator should involve a certain trade-off between the protection of the transition segment and the deterioration of the adjacent segments. This trade-off stiffness, which largely depends on both fixator design and disc degeneration, provides the improved rigidity and flexibility of the transition and adjacent segments.
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A technical case report of direct surgery for spinal arteriovenous fistulas of the filum terminale. ⋯ Although intraoperative image guidance is certainly not a prerequisite, the concept of safe and minimally invasive surgery makes it indispensable. It can facilitate identification of crucial or important landmarks where anatomic structures may be distorted.
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Multicenter Study
Growing rods for the treatment of scoliosis in children with cerebral palsy: a critical assessment.
Retrospective analysis. ⋯ GRs via a posterior-only approach are effective. Constructs extending to the pelvis control PO more effectively. However, 30% of patients experienced deep wound infection.