Spine
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Multicenter Study
Dysphagia after anterior cervical decompression and fusion: prevalence and risk factors from a longitudinal cohort study.
Retrospective analysis of the incidence and prevalence of dysphagia after anterior cervical decompression and fusion (ACDF). ⋯ Duration of preexisting pain and the number of vertebral levels involved in the surgical procedure appear to influence the likelihood of dysphagia after ACDF.
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Review Case Reports
Acute quadriparesis caused by calcification of the entire cervical ligamentum flavum in a white female--report of an unusual case and a brief review of the literature: case report.
Case report. ⋯ To our knowledge, this unusual case of complete calcification of the entire cervical LF has not previously been described. Multilevel laminectomy and fusion can improve neurologic function but may result in kyphosis.
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Literature review. ⋯ Physician recommendations for work and activity have important health and financial implications. Systemic, multidimensional approaches are necessary to improve performance.
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Retrospective series. ⋯ It was observed that the Lenke description for structurality of proximal thoracic curves can effectively determine which curves need fusion and which curves do not. Because there was no difference among inclusion of a nonstructural proximal thoracic curve into fusion or solely fusing the main thoracic curve in terms of outcomes, extension of fusion to T2 or T3 is unnecessary. In this patient population, the question of what the upper extent of instrumentation should be could not be answered.