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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The commonly described congenital atlanto-axial dislocation and Basilar-Invagination is antero-posterior or rotational or vertical plane. However, congenital dislocation in lateral plane has received scant attention. The purpose of this manuscript is to describe this unusual entity and discuss its management. ⋯ The acute angulation of joint on one side and near normal on other side leads to differential vertical movement, further accentuated by splaying of bifid C1. The entity is seen in young patients and often present with neck tilt and spastic quadriparesis. Management requires reshaping the joints and facet manipulation. If the reshaping is inappropriate, the joint is likely to redislocate before fusion occurs.
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The cross-sectional study evaluates the incidence, localization, treatment, and influencing factors of back pain (BP) in Germany's elite athletes. ⋯ At least every tenth athlete suffers temporarily from low BP at a level at which spine surgery could be the only option to relieve the pain. BP occurs independently of back-affecting training and additional stress. Further evaluation is needed to identify factors for avoiding severe BP in top athletes.
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The prevalence of chronic low back pain (CLBP) is higher in older than in younger adults and is associated with poor postural control and falls. The objective of this study was to compare the postural control of younger and older subjects with and without CLBP during a one-leg stance. ⋯ The findings indicate that CLBP affects the balance of both younger and older adults, and that the age-related changes also affect balance and modify the magnitude of CLBP effects on balance.
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Several methods have been used to reduce the infection rate in spinal surgeries with instrumentation. ⋯ Our study suggests that rifamycin application to the surgical area in spinal operations with instrumentation is an effective method to prevent S. aureus infections.