Spine
-
Case Reports
Revision and explantation strategies involving the CHARITE lumbar artificial disc replacement.
A large case series of anterior revision surgery in patients who had complications following lumbar total disc replacement with the CHARITE artificial disc. ⋯ Total disc replacement implant revisions occur largely as a result of technical errors in positioning and sizing of the implant. In addition, adherence to strict patient selection criteria will eliminate many cases of implant failure. When necessary, anterior revision surgery can be performed safely when a strategic approach is used.
-
Case Reports
Upper-airway obstruction after short posterior occipitocervical fusion in a flexed position.
Case report. ⋯ An adequate fixation angle is necessary to avoid airway obstruction after an occipitocervical fusion, even for short upper cervical fusions, especially in patients with rheumatoid arthritis.
-
Randomized Controlled Trial
Preliminary evaluation of a computer-assisted tool for the design and adjustment of braces in idiopathic scoliosis: a prospective and randomized study.
Prospective and randomized clinical study. ⋯ It is possible to improve the design and adjustment of braces in AIS and to achieve 3-dimensional correction of scoliotic curves with the use of a computer-assisted tool allowing 3-dimensional visualization of the spinal curves and the external shape of the trunk.
-
Clinical Trial
Intraoperative monitoring of motor-evoked potentials in children undergoing spinal surgery.
Clinical case series. ⋯ Combining spatial facilitation with a TES protocol improved monitoring of corticospinal motor pathways during spinal surgery in children. A ketamine-based anesthetic technique was preferred in children <6 years of age.