European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
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Review Case Reports
Surgical treatment for unilateral cervical facet dislocation in a young child aged 22 months old: a case report and review of the literature.
Cervical unilateral facet dislocation (UFD) in the younger children (0-10 years old) has rarely been reported in the literature and most surgeons have no experience for this kind of injury. Here, we reported a rare case of cervical UFD in a 22-month-old girl. ⋯ Cervical UFD in young children is definitely a great challenge, and each patient requires individual treatment. Closed reduction along with rigid immobilization is the first choice at the early stage, and operative treatment is indicated for cases that involved neurological deterioration, demonstrated recurrence,significant instability and failed closed reduction. However, long-term results and complications of surgical treatment in the pediatric population are worrisome.
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Review Case Reports
Calcified pseudomeningocele of the lumbar spine: a review.
In this article, we review the English literature of calcified pseudomeningoceles in the lumbar region. ⋯ The treatment is surgicel removal and the decision to treat is based on patient symptoms and correlating these with imaging. There is an average reported follow-up of 1.7 years postoperatively for these patients and the reported outcome after surgery is good.
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Intervertebral disc degeneration, a main cause of back pain, is an endemic problem and a big economic burden for the health care system. Current treatments are symptom relieving but do not address underlying problems-biological and structural deterioration of the disc. Tissue engineering is an emerging approach for the treatment of intervertebral disc degeneration since it restores the functionality of native tissues. Although numerous studies have focused on the nucleus pulposus tissue engineering and achieved successes in laboratory settings, disc tissue engineering without annulus fibrosus for the end stage of disc degeneration is deemed to fail. The purpose of this article is to review the advancement of annulus fibrosus tissue engineering. ⋯ Despite the promising results in disc tissue engineering, there is still much work to be done regarding the clinical application.
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Review Case Reports
Isolated atypical spinal tuberculosis mistaken for neoplasia: case report and literature review.
We report a case of isolated intra-spinal tuberculosis in a 45 year-old woman. The uncommon findings in MRI were more suggestive of tumor lesion. ⋯ This case indicated the complexity of differentiating atypical spinal tuberculosis from disease which could cause spinal cord and cauda equina compression.
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Randomized Controlled Trial Comparative Study
Dysphagia after anterior cervical discectomy and fusion: a prospective study comparing two anterior surgical approaches.
The Smith-Robinson approach is commonly used to expose the vertebrae in anterior cervical discectomy and fusion (ACDF). Postoperative dysphagia has been frequently reported following this procedure. In this approach, surgical dissection can be carried out either lateral (LEO) or medial (MEO) to the omohyoid muscle. The purpose of this study was to compare the degree of dysphagia between the LEO and MEO groups. ⋯ The findings from this study suggest that the LEO approach should be selected if the level of surgery involves C3-C4. For C6-C7 surgery, however, a left-sided MEO approach should be used. Depending on surgeon's preference, either approach can be used if both cervical levels are involved.