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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Cauda equina syndrome following transforaminal lumbar interbody fusion (TLIF) is very rare, and the causes implicated include inadequate decompression, retained disc fragments, epidural haematoma, gel foams, fat pad grafts, retained sponges, intradural masses and ischaemia of conus. This is a rare case report of pseudoaneurysm of dorsal branch of lumbar artery presenting with delayed onset incomplete cauda equina syndrome following TLIF. ⋯ This case presentation shows the necessity of diagnosing epidural haematomas due to vascular aneurysm in patients with post-operative radiculopathy and neurodeficit and the effectiveness of endovascular embolisation in treating such a threatening condition.
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To explore the correlations between postoperative hip pain and spino-pelvic/hip parameters in adult scoliosis patients after long-segment spinal fusion. ⋯ Postoperative hip pain among adult scoliosis patients after long-segment spinal fusion is significantly associated with the variation in acetabular coverage and CE angle, and the change in acetabular coverage is correlated with that in LL for those who develop hip pain after the surgery. These slides can be retrieved under Electronic Supplementary Material.
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Case Reports
Total en bloc spondylectomy of T11 and spine shortening performed on a 17-month-old patient: art of the possible.
Case report. ⋯ IV.
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To compare topical tranexamic acid versus intravenous tranexamic acid in reducing intra- and postoperative blood loss and transfusion rate in deformity patients. ⋯ There is significant decrease in postoperative bleeding in pediatric deformity patients with combined topical and IV tranexamic acid.
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Achieving an adequate level of patient's satisfaction with results is one of the goals of adult spinal deformity (ASD) surgery. However, it is unclear whether the same factors affect satisfaction in all patient populations. Patients' age influences the postoperative course and prevalence of complications after ASD surgery. The purpose of this study was to determine the factors predicting satisfaction 2 years after ASD surgery in younger and older patients. ⋯ In younger patients, avoiding complications and improving patients' self-image were essential for substantial satisfaction levels. In older patients, revision, standing ability, as well as sagittal spinopelvic alignment restoration, were the key factors. Surgeons should consider the differences in goals of each patient.