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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We retrospectively analyzed our results in thoracolumbar and lumbar adolescent idiopathic scoliosis treated during adulthood. ⋯ Spino-pelvic recovery is easier in patients aged less than 60 years with PI < 55° and PT < 25°.
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Aim of the study was to evaluate the effectiveness of facet joints injections in lumbar facet syndrome correlating clinical results to the sagittal contour of the spine. ⋯ Facet joints injections have a more effective diagnostic than therapeutic value. The procedure could, however, give a temporary pain relief in cases with an overload of the facet joints due to lumbar hyperlordosis.
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We developed a new multilevel registration technique for pedicle screw (PS) insertion that has the capability of registering three consecutive vertebrae simultaneously, using a reference frame set to one of the caudal vertebrae. PSs are inserted in the consecutive and adjacent one or two vertebrae. This study aimed to investigate the perforation rates of the registered and unregistered adjacent vertebrae and compare the perforation rate of the PS and insertion time per PS between the conventional and new techniques. ⋯ The new technique may be less invasive and decrease operative time without compromising the accuracy of PS placement.
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Cranio-vertebral junction fixation is challenging due to the complex topographical anatomy and the presence of important anatomical structures. There are several limitations to the traditional occipital squama fixation methods. The purpose of this work is to assess the safety and feasibility of a new optimum trajectory of occipital condyle (OC) screws for occipitocervical fixation via a free-hand technique. ⋯ The free-hand technique of OC screw placement is a safe and viable option for occipitocervical fixation and may be a preferred alternative in selected cases. However, further studies are needed to compare its safety and reliability to other more established methods.
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The admission due to low back pain (LBP) became prevalent cause of international economic losses. Since LBP patients with disability are often subject to inpatient care, it is important to determine the appropriate time of discharge. The purpose of this study is to set the cut-off value of appropriate Oswestry Disability Index (ODI) at the time of discharge. ⋯ We set the cut-off value of dischargeable ODI for LBP inpatient with disability and found its predictor.