Spine
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Case Reports
Bacteroides fragilis vertebral osteomyelitis complicated by percutaneous epidural adhesiolysis.
A case report of anaerobic vertebral osteomyelitis after percutaneous epidural adhesiolysis. ⋯ This is the first report to be issued regarding BFS secondary to percutaneous epidural adhesiolysis. In our case, the pathogenesis may have been direct inoculation of Bacteroides fragilis into the epidural space and disc during percutaneous epidural adhesiolysis because the procedural approach used was adjacent to the anus.
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Prospective case series and radiographical analysis. ⋯ This study reports the novel auto-correction of subaxial abnormalities after treatment of the primary upper cervical deformity and delineates the relationship between these 2 occurrences, thus demonstrating the reversibility of such complex abnormalities. Furthermore, the clinical outcomes after surgical treatment of swan neck deformities secondary to atlantoaxial dislocation are favorable and associated with a low complication rate.
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Retrospective observational cohort analysis of administrative claims. ⋯ Readmission rates for spinal stenosis decompression were approximately 8% to 10% per year. Fusion at the index procedure did not protect against subsequent readmission. Large databases can inform choice of surgical options by focusing examination on indications for surgery and reasons for readmission. Fusion along with decompression does not seem to impact readmission rates.
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Case control study. ⋯ In this limited series, 265 pedicle screws were placed in 33 patients 10 years or younger with 0.75% of pedicle screws resulting in a complication. The rates of screw malposition revealed on computed tomographic scan were similar to those of adolescent children. These data support the use of pedicle screws in children 10 years or younger for the treatment of complex spinal deformity.