Spine
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Comparative Study
Comparison of same-day sequential anterior and posterior spinal fusion with delayed two-stage anterior and posterior spinal fusion.
This was a retrospective review. Short-term outcomes were compared based on two different surgical techniques. ⋯ In selected patients with pediatric spinal deformity, experienced spinal surgeons can reduce blood loss, hospital stay, and costs by performing anterior and posterior spinal fusions sequentially under one anesthetic.
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Case Reports
Transient paraplegia from intraoperative intercostal nerve block after transthoracic discectomy.
To present two patients with transient paraplegia from intercostal nerve blocks after transthoracic discectomy. ⋯ Because of the inherent risk of neurologic injury after thoracic discectomy, the authors discourage the use of intercostal nerve blocks for relieving postoperative pain after transthoracic discectomy.
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Review Case Reports
Postoperative toxic shock syndrome after lumbar laminectomy in a male patient.
Postoperative toxic shock syndrome in a male patient who underwent a lumbar laminectomy has not been reported. This case report identifies a rare, and potentially fatal, postoperative complication. ⋯ Spine surgeons should consider postoperative toxic shock syndrome as a diagnosis in a patient with fever, gastrointestinal symptoms, and hypotension in the presence of a benign-appearing lumbar laminectomy wound.
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Pseudohypoparathyroidism associated with disorders of the spine is rarely reported. In this report, the authors present a case of pseudohypoparathyroidism in a 41-year-old man who had narrow spinal canal and multiple disc herniation in the cervical spine. ⋯ A case of pseudohypoparathyroidism-associated spinal stenosis was reported.