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 Meta Analysis
Sacroiliac joint fusion for low back pain: a systematic review and meta-analysis.
Although pain is generally regarded as originating in the lumbar spine, it has been estimated that in 15-30 % of patients, LBP originates from the sacroiliac joint (SIJ). ⋯ SIJF appears to be a satisfactory procedure for alleviating pelvic girdle pain.
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This prospective study analyzes clinical characteristics and outcomes of sacral extradural spinal meningeal cysts (SESMC) without spinal nerve root fibers (SNRF) undergoing neck transfixion. ⋯ Most patients experienced significant improvement in their neurological function after surgery. The most significant area of neurological improvement was bowel/bladder dysfunction, however, preoperative stool or urine incontinence did not recover completely.
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The clinical impact of the coexistence of compressive cervical myelopathy (CM) and/or lumbar spinal canal stenosis (LCS) with compressive thoracic myelopathy (TM) remains unknown. The purpose of this study was to examine the incidence, clinical pictures, and surgical outcomes of patients with compressive TM and the coexistence of compressive CM and/or LCS. ⋯ About 70 % of patients who underwent surgery for TM had concurrent CM and/or LCS, and they were initially diagnosed with CM or LCS. Single-stage multilevel decompression surgery for TM with concurrent CM and/or LCS is comparable to thoracic only surgery with regard to complications and surgical results, and it is well tolerated in elderly patients.
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To directly compare the safety of fluoroscopic guided percutaneous thoracic pedicle screw placement between Caucasians and Asians. ⋯ There were no statistical significant differences in the overall perforation rates, grades of perforations, direction of perforations for implantation of percutaneous thoracic pedicle screws insertion using fluoroscopic guidance between Europeans and Asians. The safety profile for this technique was comparable to the current reported perforation rates for conventional open pedicle screw technique.
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The goal of this study was to compare the accuracy and cranial facet joint violation rates between percutaneous pedicle screw placements using conventional fluoroscopy and intraoperative 3-D CT (O-arm) computer navigation. ⋯ This study indicated the use of intraoperative CT imaging (O-arm) navigation in PPS placement have very beneficial implications for MIS.