Spine
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Review Case Reports
Cerebrospinal fluid leaks and their management after anterior cervical discectomy and fusion: a report of 13 cases and a review of the literature.
Retrospective medical record review and literature review. ⋯ CSF leak after ACDF is an uncommon complication that can usually be repaired. We provide a stepwise management strategy for CSF leaks in ACDF.
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A comparative study of 2 cohort series of surgically treated patients with adolescent idiopathic scoliosis (AIS) who were retrospectively analyzed, with level III evidence. ⋯ Independent of the surgical technique used, the cervical spine had a tendency to decompensate and acquire a kyphotic sagittal profile. Constructs based on all pedicle screws have a stronger hypokyphotic effect on the thoracic spine, with a predisposition to greater decompensation of the cervical spine. Kyphotic changes in the C2-C7 sagittal alignment induced by scoliosis correction are correlated with the level of the upper-instrumented vertebra.
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A novel method to identify the entry point. ⋯ The new technique quantifies the position of each thoracic pedicle screw entry point and it is convenient, easy to operate, and has relatively high accuracy of screw placement. This positioning technique can provide safe and accurate clinical guidance for selecting thoracic pedicle screw entry point.
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Systematic review of the literature. ⋯ There are few high-quality studies evaluating nonoperative treatments for reducing discogenic low back pain. Although conclusions from several studies favor intervention over sham, it is unclear whether these interventions confer stable long-term benefit. There is some promise in newer modalities such as biacuplasty; however, more inclusive studies need to be performed.