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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Spine surgery, particularly deformity correction, is associated with a high risk of peri-operative or post-operative complications, and these complications can lead to catastrophic consequences. This case report will present the etiology and treatment process of the peri-operative cardiac arrest during scoliosis correction surgery. ⋯ There are many etiologies should be considered in peri-operative cardiac arrest during posterior correction spine surgery, such as venous air embolism and electrolyte imbalance. Stress cardiomyopathy, which occurs after stressful conditions, such as surgery should also be considered. Surgeons must consider these etiologies when faced with critical situations, and the successful treatment of such cases relies on team collaboration and prompt intervention.
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To assess the efficacy and safety of subcutaneous perispinal infiltration of low dose of triamcinolone and lidocaine indicated for pain control in patients with cervical osteoarthritis (COA). ⋯ Low dose subcutaneous perispinal injection of triamcinolone and lidocaine may offer clinical benefits for patients with symptomatic COA refractory to conventional treatments. 99mTc-PYP/CT fusion scans images were useful as a guide for localization of infiltrations.
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The purpose of this study was to investigate the outcomes of minimally invasive PCF using an interfacet joint fusion cage. ⋯ Performing a minimally invasive facet fusion may be an effective option for treating patients with a history of nonunion. Although the reoperation rate was high in this challenging cohort, only 4 out of 10 reoperations required device removal. More research is warranted to refine indications for this procedure and review larger samples of patients.
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The pathomechanism of dropped head syndrome (DHS) is unclear. In this study, we aimed to examine the features of the paraspinal cervical muscles in patients with DHS by analyzing the volume of these muscles using magnetic resonance imaging (MRI). ⋯ MRI analyses of the present study revealed that neither the extensor muscles in DHS were atrophic nor the flexor muscles were hypertrophic. Further, fatty infiltration of the extensor muscles may not induce muscle weakness of the extensors in patients with DHS.